USMLE · Question #389
Capillary loops located in the medulla are also known as _________.
The correct answer is A. Vasa recta. Vasa recta are the straight capillary loops that dip into the renal medulla alongside the loops of Henle, playing a critical role in the countercurrent exchange mechanism that allows the kidney to concentrate urine. Why the distractors are wrong: B. Urea collectors - not a real…
Question
Capillary loops located in the medulla are also known as _________.
Options
- AVasa recta
- BUrea collectors
- CTrigone
- DMacula densa
How the community answered
(41 responses)- A71% (29)
- B10% (4)
- C2% (1)
- D17% (7)
Explanation
Vasa recta are the straight capillary loops that dip into the renal medulla alongside the loops of Henle, playing a critical role in the countercurrent exchange mechanism that allows the kidney to concentrate urine.
Why the distractors are wrong:
- B. Urea collectors - not a real anatomical term; urea is recycled in the medulla but no structure is called this.
- C. Trigone - a triangular region on the inner wall of the bladder, defined by the two ureteral openings and the urethral opening; entirely unrelated to capillaries.
- D. Macula densa - a cluster of specialized cells in the distal tubule that senses sodium concentration and regulates renin release (part of the juxtaglomerular apparatus), not a capillary structure.
Memory tip: "Vasa recta" is Latin for "straight vessels" - think of them as straight straws plunging down into the medulla, running parallel to the loop of Henle. If you remember straight vessels → medulla, you'll never confuse them with the glomerular capillaries (which are coiled/rounded, sitting in the cortex).
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