Drug Excretion · Pharmacology

Which factor most significantly determines the 'Renal Clearance' of a drug?

  1. The drug's molecular weight relative to plasma albumin
  2. The rate of filtration, secretion, and reabsorption in the nephron
  3. The total volume of urine produced over twenty-four hours
  4. The rate at which hepatic enzymes metabolize the parent drug into conjugates
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Correct answer: The rate of filtration, secretion, and reabsorption in the nephron

Renal clearance is the net result of three processes: (Filtration + Secretion) minus Reabsorption. A drug that is filtered and secreted but not reabsorbed will have a very high renal clearance.

Difficulty: Medium Question 7 of 20

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