**Core Concept**
The question is testing the renal physiology of bicarbonate (HCO3-) reabsorption, a critical process for maintaining acid-base balance. In the kidneys, HCO3- reabsorption occurs primarily in the proximal convoluted tubule (PCT), where it is reabsorbed back into the bloodstream.
**Why the Correct Answer is Right**
In the PCT, HCO3- reabsorption occurs through a two-step process involving the enzyme carbonic anhydrase. First, carbonic anhydrase catalyzes the reaction between carbon dioxide (CO2) and water (H2O) to form carbonic acid (H2CO3), which then dissociates into H+ and HCO3-. The H+ ions are secreted into the lumen, and the HCO3- ions are reabsorbed back into the bloodstream through a sodium-hydrogen exchanger (NHE3). This process is highly efficient, with approximately 80-90% of filtered HCO3- being reabsorbed in the PCT.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is not specified, so we'll move on to the other options.
* **Option B:** While the distal convoluted tubule (DCT) does have some HCO3- reabsorption, it is not the primary site of HCO3- reabsorption.
* **Option C:** The collecting duct (CD) also has some HCO3- reabsorption, but it is not the main site of HCO3- reabsorption.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that the kidneys play a crucial role in maintaining acid-base balance, and HCO3- reabsorption in the PCT is a critical component of this process. A defect in HCO3- reabsorption can lead to metabolic acidosis.
**Correct Answer: A. Proximal convoluted tubule**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.