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Multiple Choice
Which two substances are most commonly used to determine a patient's glomerular filtration rate (GFR)?
A
Albumin and hemoglobin
B
Inulin and creatinine
C
Glucose and urea
D
Sodium and potassium
Verified step by step guidance
1
Understand the concept of glomerular filtration rate (GFR): GFR is a measure of how well the kidneys filter blood, specifically the rate at which substances are cleared from the plasma by the glomeruli in the kidneys.
Identify the characteristics of substances used to measure GFR: These substances must be freely filtered by the glomeruli, not reabsorbed or secreted by the renal tubules, and must remain stable in the bloodstream during the test.
Review the options provided: Albumin and hemoglobin are proteins that are not freely filtered by the glomeruli. Glucose and urea are reabsorbed by the renal tubules, and sodium and potassium are actively regulated by the kidneys. These substances do not meet the criteria for measuring GFR.
Focus on inulin and creatinine: Inulin is an exogenous substance (introduced into the body) that is ideal for measuring GFR because it is freely filtered and not reabsorbed or secreted. Creatinine is an endogenous substance (produced by the body) that is commonly used in clinical settings to estimate GFR, though it is slightly secreted by the tubules.
Conclude that inulin and creatinine are the correct substances for determining GFR, as they meet the necessary criteria for accurate measurement of kidney filtration efficiency.