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 Best of Five 2.81

 

   

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BOF: 2.81

 

A 54-year-old male who is known to have alcoholic liver disease and cirrhosis has been admitted to your ward with tense ascites. After draining the ascites you start the patient on spironolactone. One of the medical students asks you why you used spironolactone instead of furosemide. You begin to explain how spironolactone counteracts the effects of aldosterone and he asks you in which part of the kidney aldosterone acts. You reply that aldosterone acts primarily on the:

 

a)      Proximal convoluted tubule

b)      Ascending loop of Henle

c)      Descending loop of Henle

d)      Collecting ducts

e)      Macula densa

 

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