Kidney Function: Reabsorption & Secretion

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Questions and Answers

What is the primary route of drug elimination from the body?

  • Through the kidneys (correct)
  • Through the intestines
  • Through the bile
  • Through the lungs

Which substances are typically not filtered by the glomerulus in the nephron?

  • Electrolytes
  • Proteins (correct)
  • Amino acids
  • Small molecules

After the ultrafiltrate enters Bowman's space, which structure does it pass through next?

  • Distal convoluted tubule
  • Loop of Henle
  • Proximal convoluted tubule (correct)
  • Collecting duct

What components are typically included in the ultrafiltrate formed in the nephron?

<p>Water and glucose (A)</p> Signup and view all the answers

Which part of the nephron primarily focuses on the excretion of drugs?

<p>Nephron (B)</p> Signup and view all the answers

What is the mechanism of action for liver microsomal enzyme (LME) inducers?

<p>Stimulate or increase the activity of CYP (D)</p> Signup and view all the answers

What is a potential result of using LME inducers such as Rifampin?

<p>Development of tolerance over time (B)</p> Signup and view all the answers

How do LME inhibitors affect drugs that are metabolized by the same enzyme?

<p>They increase plasma levels, raising the risk of toxicity (A)</p> Signup and view all the answers

Which of the following is NOT considered a characteristic of LME inducers?

<p>They inhibit enzyme activity temporarily (B)</p> Signup and view all the answers

Which of the following is an example of an LME inhibitor?

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

What is the primary result of tubular reabsorption in the kidneys?

<p>Transport of solutes and water into blood (D)</p> Signup and view all the answers

Which process directly involves the movement of solutes and water from tubular fluid to blood?

<p>Tubular reabsorption (B)</p> Signup and view all the answers

What role do renal epithelial cells play in tubular secretion?

<p>They secrete pharmaceuticals into the renal tubule. (D)</p> Signup and view all the answers

What is the correct sequence of events during the process of tubular reabsorption?

<p>Tubular fluid → Interstitial fluid → Blood (B)</p> Signup and view all the answers

Which of the following does NOT occur during tubular secretion?

<p>Transport of solutes to interstitial fluid (D)</p> Signup and view all the answers

What is the primary role of the liver in drug metabolism?

<p>It processes lipophilic drugs for excretion. (C)</p> Signup and view all the answers

Which type of metabolic reaction is characterized by introducing or unmasking a polar functional group?

<p>Oxidation reactions (D)</p> Signup and view all the answers

What is the role of prodrugs in drug metabolism?

<p>They remain inactive until converted into their active form. (C)</p> Signup and view all the answers

Which tissue is NOT primarily involved in drug metabolism?

<p>Brain (B)</p> Signup and view all the answers

What characterizes the cytochrome P450 system in drug metabolism?

<p>It is involved in oxidation reactions to enhance solubility. (C)</p> Signup and view all the answers

Flashcards

Tubular Reabsorption

Process of removing solutes and water from tubular fluid to blood.

Tubular Fluid

The liquid in the kidney's tubules.

Interstitial Fluid

Fluid surrounding the tubules.

Tubular Secretion

Drugs secreted into the tubule from blood.

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Renal Epithelial Cells

Cells lining the renal tubules.

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Drug Elimination

Removal of a drug from the body, primarily through the kidneys into urine.

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Renal Elimination

Excretion of drugs by the kidneys.

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Glomerulus

Small blood vessel in the nephron where filtration occurs.

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What is NOT filtered?

Cells, proteins, and large molecules are not filtered by the glomerulus.

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What is FILTERED?

Water, electrolytes, glucose, amino acids, and other small molecules are filtered into Bowman's space.

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Liver Microsomal Enzymes (LMEs)

Enzymes in the liver responsible for breaking down (metabolizing) drugs and other substances.

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LME Inducers

Drugs that increase the activity of LMEs, leading to faster metabolism of other drugs.

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LME Inhibitors

Drugs that decrease the activity of LMEs, leading to slower metabolism and higher drug levels.

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How do inducers affect drug dosage?

Inducers can decrease drug effectiveness by speeding up metabolism, so the dosage may need to be increased.

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How do inhibitors affect drug toxicity?

Inhibitors can increase drug toxicity by slowing down metabolism, leading to higher drug levels in the body.

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Drug Metabolism

The process of changing lipophilic (fat-soluble) drugs into more polar (water-soluble) forms for easier excretion.

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Main Site of Drug Metabolism

The liver is the primary site of drug metabolism, handling about 75% of the process.

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Prodrugs

Inactive drugs that become active after being metabolized by the body.

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Cytochrome P450

A family of enzymes that catalyze many Phase I oxidation reactions during drug metabolism.

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Phase I Reactions

Metabolic reactions that introduce or reveal polar groups (like OH, NH2, COOH) on drug molecules, increasing water solubility.

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Study Notes

Reabsorption

  • Tubular reabsorption is the process by which solutes and water are removed from the tubule fluid and transported into interstitial fluid then into the blood.

Tubular Secretion

  • Some drugs are secreted from renal epithelial cells into the lumen of renal tubule.

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