Homeostasis and the Kidney

Homeostasis and the Kidney MDCAT MCQs with answers

40 past paper MCQs on Homeostasis and the Kidney, from the Homeostasis unit of MDCAT Biology. The year each question appeared is shown where known; tap “Show answer” for the correct option and a short solution.

1.Kidneys perform their osmoregulatory role under the effect of Antidiuretic Hormone, which type of urine is produced in this situation? (UHS MDCAT 2025)

  1. Hypotonic urine with decreased volume
  2. Hypotonic urine with increased volume
  3. Hypertonic urine with decreased volume
  4. Hypertonic urine with increased volume
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Correct answer: (c) Hypertonic urine with decreased volume

ADH makes the collecting ducts reabsorb more water, so a smaller volume of concentrated, hypertonic urine leaves.

2.The process of osmoregulation refers to: (UHS MDCAT 2025)

  1. The filtration of blood to remove metabolic waste
  2. The regulation of solute and water movement between an organism and its environment
  3. The creation of an osmotic gradient in the kidney medulla
  4. The secretion of hormones that control blood plasma
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Correct answer: (b) The regulation of solute and water movement between an organism and its environment

Osmoregulation is the control of the water and solute balance between the organism and its surroundings.

3.Which type of nephron is responsible for the development of osmotic gradients in the renal medulla? (KMU MDCAT 2025)

  1. Glomerular
  2. Cortical
  3. Juxtamedullary
  4. Medullary
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Correct answer: (c) Juxtamedullary

Only the juxtamedullary nephrons have loops long enough to build the osmotic gradient of the medulla.

4.Which of the following describes how the distal convoluted tubule contributes to regulation of blood pH in the body? (KMU MDCAT 2025)

  1. Selective reabsorption of Glucose
  2. Active secretion of hydrogen ions into the filtrate
  3. Active secretion of sodium from the glomerular filtrate
  4. Tubular reabsorption of potassium ions
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Correct answer: (b) Active secretion of hydrogen ions into the filtrate

The distal tubule secretes hydrogen ions into the filtrate, which is how the blood is kept from turning acidic.

5.The sodium potassium pumps in the distal convoluted tubule are activated by: (KMU MDCAT 2025)

  1. Aldosterone
  2. Antidiuretic hormone
  3. Anti-natriuretic peptide
  4. Renin
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Correct answer: (a) Aldosterone

Aldosterone from the adrenal cortex drives the sodium potassium pumps of the distal tubule.

6.If a person drinks excessive amount of water, how does the kidney respond to maintaining osmoregulation? (KMU MDCAT 2025)

  1. Increase ADH release and water reabsorption
  2. Increase aldosterone release and reabsorb more sodium
  3. Decrease renin secretion and retain more water
  4. Decrease ADH release and increase water excretion
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Correct answer: (d) Decrease ADH release and increase water excretion

Dilute blood suppresses ADH, the ducts stay impermeable, and the surplus water leaves as dilute urine.

7.The primary function of glomerular capillaries is: (KMU MDCAT 2025)

  1. Reabsorption of water and solutes from the renal tubules
  2. Secretion of waste products from the blood into the tubules
  3. Filtration of blood from glomerular filtrate
  4. Supply of nutrients and oxygen to the kidney
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Correct answer: (c) Filtration of blood from glomerular filtrate

High pressure in the glomerulus forces water and small solutes out of the blood as the filtrate.

8.Hyperparathyroidism may lead to the formation of: (KMU MDCAT 2025)

  1. Calcium phosphate stones
  2. Uric acid stones
  3. Cystine stones
  4. Struvite stones
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Correct answer: (a) Calcium phosphate stones

Too much parathyroid hormone frees calcium from the bones, and the excess settles as calcium phosphate stones.

9.Overconsumption of which of the following foods increases the risk of calcium oxalate stone? (SIBA MDCAT 2025)

  1. Leafy vegetables
  2. Fruits contain Vitamin C*
  3. Fruits contain high fiber
  4. Whole grains
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Correct answer: (a) Leafy vegetables

Spinach and other leafy vegetables are rich in oxalate, which settles with calcium as a stone.

10.Which of the following substances pass through the glomerulus into Bowman's capsule? (SIBA MDCAT 2025)

  1. Glucose
  2. Red blood cells
  3. Platelets
  4. Albumin
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Correct answer: (a) Glucose

Glucose is small enough to be filtered; cells and plasma proteins are held back.

11.The water content of human kidney is regulated by ADH. Which of the following gland is involved in its secretion process? (SIBA MDCAT 2025)

  1. Adrenal gland
  2. Pituitary gland
  3. Thyroid gland
  4. Parathyroid gland
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Correct answer: (b) Pituitary gland

Antidiuretic hormone is released from the posterior lobe of the pituitary.

12.Osmotic gradient of inner medulla of kidney is increased by: (SZABMU MDCAT 2025)

  1. Urea
  2. Water
  3. Phosphate
  4. Potassium
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Correct answer: (a) Urea

Urea diffusing out of the collecting duct is what makes the inner medulla so concentrated.

13.The hormone, when overproduced can lead to hypercalcemia and stone formation is: (SZABMU MDCAT 2025)

  1. Insulin
  2. Thyroxine
  3. Parathyroid hormone
  4. Antidiuretic hormone
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Correct answer: (c) Parathyroid hormone

Excess parathyroid hormone frees calcium from bone, and the surplus settles in the kidney as stones.

14.Additional capillaries present in the juxtamedullary nephrons to form a loop of vessels are: (SZABMU MDCAT 2025)

  1. Efferent arterioles
  2. Peritubular capillaries
  3. Vasa recta
  4. Afferent arterioles
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Correct answer: (c) Vasa recta

The vasa recta are the straight capillaries that follow the long loops of the juxtamedullary nephrons.

15.How do the kidneys contribute to maintain normal blood calcium level? (SZABMU MDCAT 2025)

  1. By storing excess calcium
  2. By reabsorbing calcium and activating vitamin D
  3. By secreting calcium directly into the blood
  4. By converting calcium into urea for excretion
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Correct answer: (b) By reabsorbing calcium and activating vitamin D

The kidney reabsorbs calcium from the filtrate and makes vitamin D active so the gut absorbs more.

16.Osmoreceptors that detect the osmotic pressure of blood are primarily located in the: (SZABMU MDCAT 2025)

  1. Cerebellum
  2. Medulla oblongata
  3. Hypothalamus
  4. Cerebral cortex
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Correct answer: (c) Hypothalamus

The osmoreceptors of the hypothalamus watch the osmotic pressure of the blood and call for ADH.

17.A desert mammal faces severe dehydration in a hot sunny day. Which internal condition would lead to secretion of ADH? (NUMS MDCAT 2024)

  1. High osmotic pressure of blood
  2. High blood pressure
  3. Low osmotic pressure of blood
  4. Low solute potential of blood
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Correct answer: (a) High osmotic pressure of blood

Losing water concentrates the blood, and the osmoreceptors answer that by calling for ADH.

18.Hormone secreted in bulk due to decreased water content of blood is: (NUMS MDCAT 2023)

  1. Anti-Diuretic Hormone (ADH)
  2. Oxytocin
  3. Glucagon
  4. Thyroxin
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Correct answer: (a) Anti-Diuretic Hormone (ADH)

Concentrated blood is sensed by the hypothalamus, which calls for antidiuretic hormone.

19.The target cells of this hormone are present in kidney tubules: (PMC MDCAT 2022)

  1. Aldosterone
  2. Corticosterone
  3. Cortisol
  4. Noradrenaline
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Correct answer: (a) Aldosterone

Aldosterone acts on the distal tubule of the nephron to reabsorb sodium.

20.The mechanism of regulation, generally between organism and Its environment, of solutes and the gain and the loss of water is called? (PMC MDCAT 2022)

  1. Hemostasis
  2. Homeostasis
  3. Osmoregulation
  4. Thermoregulation
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Correct answer: (c) Osmoregulation

Controlling the water and solute balance with the surroundings is osmoregulation.

21.The active uptake of sodium in the ascending limb or thick loop of Henle is promoted by the action of: (PMC MDCAT 2020)

  1. Aldosterone
  2. Thyroxine
  3. ADH
  4. Cortisone
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Correct answer: (a) Aldosterone

Aldosterone drives the sodium pumps of the nephron.

22.The excretion of hypertonic urine in humans is associated best with the: (PMC MDCAT 2020)

  1. Glomerular capsule
  2. Proximal convoluted tubule
  3. Loop of Henle
  4. Distal convoluted tubule
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Correct answer: (c) Loop of Henle

The loop of Henle builds the salt gradient of the medulla that lets water be drawn from the collecting duct.

23.The capillaries of glomerulus rejoin to form an _______. (UHS MDCAT 2018)

  1. Efferent arteriole
  2. Afferent arteriole
  3. Peritubular capillaries
  4. Collecting duct
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Correct answer: (a) Efferent arteriole

The glomerular capillaries gather again into the efferent arteriole, which is narrower than the afferent one.

24.When filtration is completed the waste products through distal tube of Nephrons empties to: (UHS MDCAT 2018)

  1. Efferent Arteriole
  2. Collecting Tubules
  3. Peritubular capillaries
  4. Proximal tubules
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Correct answer: (b) Collecting Tubules

The distal tubule empties into the collecting duct, which carries the urine down through the medulla.

25._________ hormone is released from the posterior lobe of the pituitary gland. (UHS MDCAT 2018)

  1. Adrenaline
  2. Thyroid stimulating hormone
  3. FSH
  4. Antidiuretic hormone
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Correct answer: (d) Antidiuretic hormone

The posterior pituitary releases antidiuretic hormone and oxytocin.

26.The hormone which controls the uptake of Sodium ions in kidney and its maintenance in blood plasma is: (UHS MDCAT 2018)

  1. Somatotrophic Hormone
  2. Aldosterone Hormone
  3. Gonadotrophic Hormone
  4. Thyroxine Hormone
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Correct answer: (b) Aldosterone Hormone

Aldosterone drives the sodium pumps of the distal tubule.

27.Keeping correct balance of ions and water in our body is called as: (UHS MDCAT 2018)

  1. Thermoregulation
  2. Osmoregulation
  3. Excretion
  4. Selective reabsorption
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Correct answer: (b) Osmoregulation

Keeping the water and solute balance right is osmoregulation.

28.Blood solute potential is controlled by the following hormone. (UHS MDCAT 2018)

  1. Estrogen
  2. Epinephrine
  3. Thyroxine
  4. Vasopressin
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Correct answer: (d) Vasopressin

Vasopressin, that is antidiuretic hormone, sets how much water the kidney returns to the blood.

29.Blood leaves the Bowman’s capsule by: (UHS MDCAT 2017)

  1. Afferent arterioles
  2. Afferent capillaries
  3. Efferent arterioles
  4. Efferent capillaries
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Correct answer: (c) Efferent arterioles

The glomerular capillaries gather into the efferent arteriole.

30.The mechanism of regulation, generally between organisms and its environment, of (UHS MDCAT 2017)

  1. Homeostasis
  2. Osmoregulation
  3. Thermoregulation
  4. Excretion
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Correct answer: (b) Osmoregulation

Controlling the water and solute balance with the surroundings is osmoregulation.

31.End-stage renal failure is called: (UHS MDCAT 2017)

  1. Kidney failure stage
  2. Hyperoxaluria
  3. Uremia
  4. Hypercalcemia
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Correct answer: (c) Uremia

Uraemia is the accumulation of urea and other wastes when the kidneys fail.

32.Which structure receives about 20% of total blood and has a weight less than 1% of the total body: (UHS MDCAT 2017)

  1. Heart
  2. Lungs
  3. Kidney
  4. Liver
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Correct answer: (c) Kidney

The kidneys take about a fifth of the cardiac output though they weigh less than a hundredth of the body.

33.Bowman’s capsule continues as extensively convoluted portion known as: (UHS MDCAT 2016)

  1. Peritubular capillaries
  2. Proximal convoluted tubules
  3. Efferent arterioles
  4. Afferent arterioles
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Correct answer: (b) Proximal convoluted tubules

The Bowman capsule leads into the proximal convoluted tubule.

34.A hormone released from posterior pituitary lobe acts to be actively transport water from filtrate is collecting tubules back to kidney is shown as: (UHS MDCAT 2016)

  1. Renin
  2. Antidiuretic hormone
  3. Angiotensin
  4. Growth Factor
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Correct answer: (b) Antidiuretic hormone

Antidiuretic hormone makes the collecting duct permeable, so water returns to the blood.

35.Those nephrons which are present along the border of the cortex and medulla are called: (UHS MDCAT 2015)

  1. Juxtamedullary nephrons
  2. Cortical nephrons
  3. Internal nephrons
  4. Outer nephrons
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Correct answer: (a) Juxtamedullary nephrons

The juxtamedullary nephrons sit at the border and send their long loops into the medulla.

36.When water is in short supply, increased water retention occurs through the: (UHS MDCAT 2015)

  1. Cortical nephrons
  2. Proximal Convoluted Tubule
  3. Juxtamedullary nephrons
  4. The tissue of cortex
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Correct answer: (c) Juxtamedullary nephrons

Only their long loops can build the gradient that lets water be drawn back.

37.In nephrons, counter-current multiplier occurs at: (UHS MDCAT 2015)

  1. Loop of Henle
  2. Collecting Duct
  3. Bowman’s Capsule
  4. Glomerulus
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Correct answer: (a) Loop of Henle

The two limbs of the loop of Henle work against each other to multiply the gradient.

38.Ascending loop of Henle does not allow outflow of: (UHS MDCAT 2015)

  1. Na+ ions
  2. K ions
  3. Cl― ions +
  4. Water
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Correct answer: (d) Water

The ascending limb is impermeable to water; it pumps out salt instead.

39.A larger quantity of dilute urine is produced in diabetes insipidus. This disease is due to the deficiency of: (UHS MDCAT 2015)

  1. Antidiuretic Hormone
  2. Aldosterone
  3. Thyroxine
  4. Cortisol
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Correct answer: (a) Antidiuretic Hormone

Without antidiuretic hormone the collecting duct stays impermeable and a great deal of dilute urine is passed.

40.Water and sodium ions are reabsorbed in: (UHS MDCAT 2015)

  1. Urinary Bladder and Urethra
  2. Ureter
  3. Adrenal Cortex
  4. Proximal Convoluted Tubule & Collecting Duct
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Correct answer: (d) Proximal Convoluted Tubule & Collecting Duct

Most water and sodium return in the proximal tubule, and the rest under hormonal control in the collecting duct.

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