Active Tubular Secretion Mechanisms Quiz
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Questions and Answers

What is the main requirement for active tubular secretion?

  • Passive diffusion
  • Dependence on renal blood flow
  • Energy for transportation of compounds with the concentration gradient
  • Carrier-mediated process (correct)

Which compounds are secreted through the system for organic acids/anions?

  • Uric acid and morphine
  • Glucuronides and sulphates (correct)
  • Salts and sugars
  • Catecholamines and choline

What is the renal clearance value for penicillin, indicating its active secretion?

  • 500 ml/min (correct)
  • 200 ml/min
  • 700 ml/min
  • 130 ml/min

How are drugs undergoing active secretion affected by changes in pH and protein binding?

<p>They are unaffected (C)</p> Signup and view all the answers

What is unique about the system for secretion of organic bases/cations?

<p>It can be bidirectional, i.e. agents may both be secreted as well as reabsorbed actively (D)</p> Signup and view all the answers

What is the primary location where active secretion occurs in the nephron?

<p>Proximal tubule (A)</p> Signup and view all the answers

How does a drug with greater rate of clearance affect the excretion of another drug with which it competes?

<p>It retards the excretion of the other drug (B)</p> Signup and view all the answers

What is the therapeutic effect of probenecid on organic acids such as penicillins?

<p>It increases their concentration in plasma by at least two fold (A)</p> Signup and view all the answers

Why is inhibition of drug secretion by probenecid undesirable in the case of nitrofurantoin?

<p>Nitrofurantoin is used as a urinary tract antiseptic (D)</p> Signup and view all the answers

What is cimetidine known for being a competitive inhibitor of?

<p>Organic cation transport (B)</p> Signup and view all the answers

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