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Endocrine Glands and Hormone Classes (3A) Practice Test

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Q1

Investigators examined a lipid-soluble hormone secreted by an endocrine gland located atop the kidneys. In healthy volunteers, an intravenous infusion of this hormone for 30 minutes increased expression of epithelial Na$^+$ channels in distal nephron cells and was followed by a gradual rise in arterial pressure over 2 hours. When arterial pressure rose, secretion of the hormone decreased.

A separate arm used a competitive antagonist that prevented the hormone–receptor complex from binding DNA response elements. Plasma electrolyte data are shown:

Condition | Plasma Na$^+$ (mM) | Plasma K$^+$ (mM) Baseline | 140 | 4.2 Infusion | 143 | 3.6 Infusion + DNA-binding antagonist | 140 | 4.2

Based on the vignette, which outcome is most consistent with this hormone class’s mechanism of action?

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