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Human Body & Health

If a drug that is normally cleared renally is administered to a patient with acute kidney injury, which consequence follows?

A)Increased first-pass hepatic metabolism
B)Elevated plasma drug concentration
C)Decreased drug absorption from the gut
D)Enhanced drug excretion via bile

💡 Explanation

Acute kidney injury reduces glomerular filtration and tubular secretion, thus decreasing renal clearance of the drug. Because drug elimination is impaired, plasma drug concentration increases, therefore, answer B is correct, rather than A, C, or D which involve alternative metabolic pathways.

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