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Physiology Glomerular Filtration, Renal Blood Flow, and Their Control f9512dec

Renal plasma flow is best determined by:

A
Inulin
B
Creatinine
C
PAH
D
Mannitol
High-Yield Explanation
Ans. C. PAHa. Renal plasma flow - RPFi. Can be measured by infusing para-amino hippuric acid (PAH) and determining its urine and plasma concentration.ii. 90% of the PAH in arterial blood is removed in a single circulation through the kidney. It is therefore become common place to calculate the "renal plasma flow" by dividing the amount of PAH in urine by the plasma PAH level.iii. Effective renal plasma flow (ERPF): -iv. ERPF = UPAH X V = Clearance of PAHv. PPAH = 625 ml/min.vi. Actual - RPF = ERPF = 630 Extraction ratio 0.9 = 720 ml/min.b. Renal Blood flow = RPF x 11- Hematocrit =700x10.55=1273ml/mm.c. "for determination of the GFR do a creatinine or Inulin clearance test and for determination of RBF or RPF the PAH clearance is to be done"

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