Overview
Introduction
The nephron, the functional unit of the kidney, performs filtration at the glomerulus, selective reabsorption along the tubular system, and secretion to maintain fluid, electrol...
The nephron, the functional unit of the kidney, performs filtration at the glomerulus, selective reabsorption along the tubular system, and secretion to maintain fluid, electrolyte, and acid-base homeostasis. Glomerular filtration rate (GFR), normally 90-120 mL/min/1.73m², is determined by the balance of hydrostatic and oncotic pressures across the glomerular capillary membrane, regulated by afferent and efferent arteriolar tone. The proximal convoluted tubule reabsorbs approximately 65% of filtered sodium and water, all filtered glucose and amino acids, and most bicarbonate through sodium-hydrogen exchange. The loop of Henle establishes the medullary concentration gradient through countercurrent multiplication, while the collecting duct responds to antidiuretic hormone (ADH) by inserting aquaporin-2 channels for water reabsorption. On the exam, writers often pair stable-sounding options with unstable data—notice the mismatch before you commit. If the stem names a license or role, reread that line; scope errors are classic trap answers even when the clinical topic is familiar. Run a 60-second scan: breathing work and oxygenation, perfusion and end organs, neuro baseline, likely infection sources, and devices that can fail quietly. When two answers feel partly right, pick the...
