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nbme q - appendicitis
#1
A 22-year-old woman is participating in a study that meassure renal function. Evaluation of serum and urine shows the following:

Serum Urine

Na+(mEq/L) 140 100

K+(mEq/L) 4 50

Glucose (mg/dL) 100 0

Creatinine (mg/dL) 1 100

p-Aminohippuric acid(mg/mL) 0.1 50



Assuming a urine flow of 1 mL/min, which of the following best represents her filtration fraction?

A) .10
B) .20
C) .30
D) .40
E) .50










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#2
FF=GFR/RPF

GFR=Clearance of creatinine=100mg/dL X 1ml/min / 1mg/dL=100ml/min

RPF=Clearance of PAH=50mg/ml X 1ml/min / 0.1 mg/ml=500ml/min

Therefore FF= 100ml/min / 500ml/min

FF=0.20 should be B
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