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Physiology · Renal physiology
Sample itemWhat is the principal effect of antidiuretic hormone on the collecting duct?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Increase water permeability through aquaporin insertion
Antidiuretic hormone inserts aquaporin-2 channels into collecting-duct principal cells, allowing water reabsorption and concentrating urine.
Option by option
A. Increase water permeability through aquaporin insertion (correct)
Correct: aquaporin insertion enables regulated water recovery.
B. Prevent urea recycling in all nephron segments
ADH can facilitate urea recycling in the inner medulla.
C. Increase glucose filtration at the glomerulus
Glucose filtration depends on plasma concentration and glomerular filtration.
D. Block sodium reabsorption in proximal tubule
Proximal sodium reabsorption is not blocked by ADH.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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