A 34-year-old missionary in southern Asia is traveling to a remote village and becomes stranded when his bus breaks down. He has no access to water for 36 hours, during which his urine osmolality reaches 1100 mOsm/L. Urine concentration depends primarily on the serum level of vasopressin, which is regulated by the neurohypophysis in response to plasma osmolality and blood volume. Which of the following nephron segments responds to vasopressin by increasing absorption of a specific solute that is important for generating a high medullary concentration gradient?
A) Cortical segment of the collecting duct
B) Early distal tubule
C) Medullary segment of the collecting duct
D) Proximal tubule
E) Thin ascending limb of the loop of Henle
Correct Answer:
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