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Question #45741

Difficulty: 8/10 | 🟢 Free

The Question

In the regulation of kidney function, the Atrial Natriuretic Factor (ANF) acts as a physiological antagonist to the Renin-Angiotensin-Aldosterone System (RAAS). If a patient experiences chronically elevated levels of ANF due to an atrial anomaly, which of the following represents the most accurate sequence of renal and systemic consequences?

Options

  • A.

    Vasodilation of blood vessels, suppression of renin release from the JGA, and decreased conditional Na+ reabsorption in the distal tubules, leading to natriuresis and hypovolemia.

  • B.

    Direct inhibition of obligatory Na+ reabsorption in the proximal convoluted tubule (PCT), leading to massive polyuria and a compensatory spike in aldosterone secretion.

  • C.

    Inhibition of angiotensin II formation, leading to decreased ADH secretion and a compensatory increase in obligatory water reabsorption in the PCT.

  • D.

    Stimulation of the adrenal medulla to suppress aldosterone, causing decreased K+ excretion and increased Na+ retention in the collecting duct.

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Correct Answer

Step-by-Step Solution

Explanation

How the Examiner Thinks

Comparative_Analysis

Sharpen your ability to evaluate multiple scenarios and distinguish between competing potential answers.

Concepts Behind This Question

Proximal Convoluted Tubule Selectivity|ANF Antagonism|RAAS System

Why This Question Is Tricky

Common Mistakes

Conceptual Pivot: Distinguishing between 'obligatory' reabsorption in the PCT (hormone-independent) and 'conditional' reabsorption in the DCT/CD (hormone-dependent).

A common misconception is that systemic hormones like ANF drastically alter the bulk reabsorption in the PCT.

In reality, ANF fine-tunes distal segments by antagonizing RAAS, leading to a failure of compensatory distal adjustment.

Option D also includes a classic anatomical location trap (Adrenal Medulla vs.

Adrenal Cortex).

Quick Facts About This Question

Question Information

SubjectBiology
ChapterExcretory Products and Their Elimination - Class 11
ConceptProximal Convoluted Tubule Selectivity
Difficulty8
Cognitive Load5
Target Solve Time120 sec
AccessFree