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Multiple Choice
What is the primary pathophysiologic basis of acute glomerulonephritis?
A
Degeneration of renal tubular cells
B
Obstruction of the ureters by kidney stones
C
Excessive secretion of antidiuretic hormone
D
Immune-mediated inflammation of the glomeruli
Verified step by step guidance
1
Understand the term 'acute glomerulonephritis': Acute glomerulonephritis is a condition characterized by inflammation of the glomeruli, which are the tiny filtering units in the kidneys responsible for removing waste and excess fluid from the blood.
Recognize the pathophysiologic basis: The primary cause of acute glomerulonephritis is immune-mediated inflammation. This occurs when the immune system mistakenly targets the glomeruli, leading to damage and impaired kidney function.
Identify the mechanism of immune-mediated inflammation: Antigen-antibody complexes are deposited in the glomeruli, triggering an inflammatory response. This response involves the activation of immune cells and the release of inflammatory mediators, which damage the glomerular structure.
Differentiate from other options: Degeneration of renal tubular cells, obstruction of the ureters by kidney stones, and excessive secretion of antidiuretic hormone are unrelated to the immune-mediated inflammation seen in acute glomerulonephritis. These options describe other pathophysiologic processes.
Conclude the correct answer: Based on the understanding of the immune-mediated mechanism, the correct answer is 'Immune-mediated inflammation of the glomeruli,' which is the primary pathophysiologic basis of acute glomerulonephritis.