KROK 1 2009 – Question 156 · KROK (Medicine) · Pathophysiology

As a result of a road accident a driver has gotten a trauma. Now he is in shock condition and presents with a decrease in daily diuresis down to 300 ml. What is the main pathogenetic factor of such alteration in the diuresis?

  1. A. Arterial pressure drop
  2. B. Secondary hyperaldosteronism
  3. C. Decrease in number of the functioning glomerules
  4. D. Increase in vascular permeability
  5. E. Oncotic blood pressure drop
Hint

Ask which primary haemodynamic change in shock reduces filtration, before any hormonal or structural kidney changes have time to develop.

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