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Q.

Which of the following factors is responsible for the formation of concentrated urine?

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a

Hydrostatic pressure during glomerular filtration

b

Low levels of antidiuretic hormone

c

Maintaining hyperosmolarity towards the medullary interstitiumin the kidneys

d

Secretion of erythropoietin by Juxtaglomerular complex

answer is C.

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Detailed Solution

Counter current flow in loop of Henle and vasa recta helps maintain a concentration gradient in the medullary interstitium. There is increasing osmolarity towards the inner medullary interstitium (from 300 mOsml/L in the cortex to about 1200 mOsml/L in the medulla). Such a gradient helps in concentration of urine.
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