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Human Body & Health

A patient exhibiting hyperoxaluria is prescribed potassium citrate. If the concentration of citrate in the renal filtrate increases, which consequence follows?

A)Reduced calcium phosphate crystallization
B)Increased uric acid stone formation
C)Elevated proximal tubule pH levels
D)Decreased calcium oxalate supersaturation

💡 Explanation

Citrate inhibits calcium oxalate crystallization in the kidneys by complexing with calcium, thereby reducing the supersaturation of calcium oxalate; because citrate acts as a crystallization inhibitor, a rise in citrate decreases calcium oxalate supersaturation. Therefore, decreased calcium oxalate supersaturation occurs, rather than promoting stone formation or significantly altering tubule pH.

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