medium · MCAT bio-biochem

A patient with diabetes has a blood glucose concentration that exceeds the renal threshold.

Which mechanism explains the resulting polyuria (excessive urination)?

  1. Unreabsorbed glucose in the nephron exerts an osmotic pressure that prevents water reabsorption.
  2. High blood glucose levels constrict the afferent arteriole, increasing filtration pressure.
  3. Glucose increases the secretion of ADH, leading to water loss.
  4. Glucose inhibits the Na^+/K^+ ATPase in the proximal tubule.

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