WorksheetsRenal System
Total questions: 37
Worksheet time: 22mins
Which of the following regulator response to decrease intravascular volume
RAAS
ADH
Natriuretic peptide
Renal Sympathetic nerves
which of the following volume regulator operate in response to increase intravascular volume?
Natriuretic peptide
ADH
RAAS
Renal sympathetic nerves
Types of Natriuretic peptides (SATA)
ANP
BNP
CNP
DNP
which of the following NPR couple to guanyl cylate domains? (SATA)
NPR-A
NPR-B
NPR-C
NPR-D
Which of the following Natriuretic peptide binds with high affinity to NPR-A?
ANP
BNP
CNP
Which of the following Natriuretic peptide binds with high affinity to NPR-B?
ANP
BNP
CNP
ANP stimulates guanylate cyclase that decrease cGMP and cause relaxation
True or False
True
False
Natriuretic peptide effect is dilate the afferent arteriole but constrict efferent arteriole, Increase intraglomerular pressure and decrease Glomerular filtration rate
True or false
True
False
Vasopressin gives effect through which of following receptors?
NPR-A
NPR-B
V1
V2
V1 receptors located on collecting duct principal cells (Gq) and gives increase water reabsorption effect while V2 receptors located on vascular smooth muscles (Gs) and gives effect of constriction of arterioles
True
False
Water reabsorption effect of V2 (Gs) receptor is through increase cGMP
True
False
Which of the following includes modulation of renin release?
Decrease the pressure of afferent arterioles
Sympathetic activation through Juxtaglomerular cells
Decrease Na transport to distal convoluted tubule
In RAAS system, increase level of renin gives which of the following effects through AT1 receptors
Vasoldilation
Vasoconstriction
Increase ADH secretion
Stimulation of thirst
Na reabsorption
What are three common clinical conditions of edema formation?
Heart Failure
Cirrhosis
Nephrotic Syndrome
Right Heart failure cause pulmonary edema while left heart failure cause peripheral edema
True
False
Most common risk factor for Heart failure
Ischemic Heart Disease
Hypertension
Pathophysiologic process of Right heart failure: Inability of the heart to provide adequate blood flow into the pulmonary circulation at a normal central venous pressure
True
False
Pathophysiologic process of left heart failure: Inability of the heart to generate adequate cardiac output to perfuse vital tissues
True
False
What are main goals for management of heart failure?
Decrease contractibility
Increase Contractibility
Decrease preload and afterload
Increase preload and afterload
Treatment of heart failure includes
Arterial dilators
Venodilators
Diuretics
Cardiac Glycosides
Morphine
Nephrotic Syndrome is excretion of 3 g or more protein in the urine due to glomerular injury
True
False
Clinical manifestation of Nephrotic Syndrome (SATA)
Hyperalbuminemia
Hypoalbuminemia
Hypercholesterolemia
Peripheral edema
Prone to infection
Treatment of Nephrotic syndrome includes (SATA)
Normal-protein (1 g/kg body weight/day)
low-fat diet, salt restriction
immunosuppression
Heparionoids
Spironolactone inhibits epithelial Na+ transporter (ENaC) in the distal convoluted tubule? True or False
True
False
Deafness is a side effect of Eplerenone. True or False
True
False
Chlorthalidone has the shortest duration of action. True or false
True
false
Eplerenone can cause life threatening hyperkalemia when combined when combined with ACEIs
True
False
Spironolactone can cause hypokalemia when combined with ACEIs
True
False
Furosemide may increase incidence of toxicities with impaired renal function
True
False
Hydrochlorothiazide may increase incidence of toxicities with impaired renal function
True
False
Furosemide may cause hypercalcemia while Hydrochlorothiazide A/E is hypocalcemia
True
False
Hydrochlorothiazide is used in the 1st line therapy for acute relief of edema in heart failure
True
False
Ethacrynic acid is K sparing diuretic while Eplerenone is Loop diuretic
True
False
Loop diuretics are preferred over thiazides in the management of malignant hypertension and volume-based
hypertension in patients with advanced CKD.
True
false
Furosemide is 40 times more potent
than others Loop diuretics
True
False
Eplerenone cause more Gynecomastia than Spironolactone.
True
False
What are the following are volume regulators (SATA)
RAAS
Renal Sympathetic nerves
ADH
Natriuretic peptide
