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Retired NBME 21 Answers

nbme21/Block 2/Question#25 (reveal difficulty score)
A 54-year-old man comes to the physician for ...
Area labeled 'F' (Efferent arteriole) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—hungrybox(1277)
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Relevant diagram

ATII constricts the efferent arteriole. ACE inhibitors block the ACE-mediated conversion of ATI to ATII.

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 +1  upvote downvote
submitted by neolidone(2)
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  • ACEI prevent the conversion from Angiotensin I to Angiotensin II. It leads to a dilation of the efferent artery which is constricted under ATII's effect.

  • The point of this question is to realize which structure is the efferent artery. In the picture, the label C is Juxtaglomerula cells, the adherent part of the label E is Macula densa of DCT. Those structures are in close contact with the afferent artery to sense sodium and perfusion pressure, so the F is the efferent artery.

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kevin  Just look at the arrows; the last one will be efferent since it flows from afferent to efferent +2



 +0  upvote downvote
submitted by โˆ—an_improved_me(91)
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Since AgII also affects the proximal tubular Na+/H+ antiport, would (A) also be a correct answer if it didn't say "most effected"?

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