**Core Concept**
Seibert's class II defect is a type of renal tubular acidosis characterized by a failure of the distal tubules to reabsorb bicarbonate ions. This results in a loss of bicarbonate in the urine, leading to metabolic acidosis.
**Why the Correct Answer is Right**
The defect is due to a problem with the sodium-bicarbonate cotransporter in the distal convoluted tubule, which is responsible for reabsorbing bicarbonate ions back into the bloodstream. Normally, this transporter helps maintain acid-base balance by reabsorbing bicarbonate and secreting hydrogen ions. In Seibert's class II defect, this process is impaired, leading to a loss of bicarbonate in the urine.
**Why Each Wrong Option is Incorrect**
* **Option A:** Not relevant to Seibert's class II defect.
* **Option B:** This is actually a description of Seibert's class III defect, which involves a problem with the distal tubules' ability to secrete hydrogen ions.
* **Option C:** This is incorrect because Seibert's class II defect is not related to a problem with potassium reabsorption.
**Clinical Pearl / High-Yield Fact**
Remember the key difference between Seibert's class II and class III defects: class II involves a failure to reabsorb bicarbonate, while class III involves a failure to secrete hydrogen ions.
**Correct Answer:** B. Seibert's class II defect involves a failure to reabsorb bicarbonate ions in the distal convoluted tubule.
Free Medical MCQs · NEET PG · USMLE · AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.