medium · MCAT bio-biochem

A patient is unable to reabsorb glucose in their proximal convoluted tubule, resulting in glucose in the urine (glycosuria). Physiologically, this most likely occurs because:

  1. Antidiuretic Hormone (ADH) is inhibiting tubular reabsorption of filtered sugar in the nephron segments.
  2. The loop of Henle fails to create a sufficient osmotic gradient in the renal medulla.
  3. The glomerulus has become too permeable, allowing excess glucose to enter the tubular filtrate.
  4. The blood glucose concentration has exceeded the transport maximum (T_m) of the carrier proteins

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