**Core Concept:** Furosemide is a loop diuretic, a type of medication used to increase urine output in clinical scenarios like oedema, congestive heart failure, and acute kidney injury. It works by inhibiting the Na+/K+-ATPase pump in the thick ascending limb of the loop of Henle, leading to increased distal convoluted tubule sodium and water reabsorption.
**Why the Correct Answer is Right:** Furosemide works by inhibiting the Na+/K+-ATPase pump in the thick ascending limb of the loop of Henle, leading to increased sodium and water reabsorption in the distal convoluted tubule. This results in an increase in urine output and reduction of oedema and excess fluid accumulation.
**Why Each Wrong Option is Incorrect:**
A. Kidney (incorrect site of action) - Furosemide's site of action is in the loop of Henle, not the entire kidney.
B. Liver (incorrect site of action) - Furosemide affects the distal convoluted tubule and not liver functions.
C. Brain (incorrect site of action) - Furosemide does not affect the brain but rather the distal convoluted tubule in the nephrons.
D. Blood vessels (incorrect mechanism) - Furosemide works by inhibiting the Na+/K+-ATPase pump, not affecting blood vessels directly.
**Clinical Pearl:** Understanding the site of action of furosemide helps in understanding its mechanism of action, clinical efficacy, and potential side effects. It is crucial for students and healthcare professionals alike to grasp the precise physiological action of furosemide to effectively prescribe and monitor its use in patients.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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