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Renal System

Total questions: 37

Worksheet time: 22mins

Name
Class
Date
1.

Which of the following regulator response to decrease intravascular volume

a)

RAAS

b)

ADH

c)

Natriuretic peptide

d)

Renal Sympathetic nerves

2.

which of the following volume regulator operate in response to increase intravascular volume?

a)

Natriuretic peptide

b)

ADH

c)

RAAS

d)

Renal sympathetic nerves

3.

Types of Natriuretic peptides (SATA)

a)

ANP

b)

BNP

c)

CNP

d)

DNP

4.

which of the following NPR couple to guanyl cylate domains? (SATA)

a)

NPR-A

b)

NPR-B

c)

NPR-C

d)

NPR-D

5.

Which of the following Natriuretic peptide binds with high affinity to NPR-A?

a)

ANP

b)

BNP

c)

CNP

6.

Which of the following Natriuretic peptide binds with high affinity to NPR-B?

a)

ANP

b)

BNP

c)

CNP

7.

ANP stimulates guanylate cyclase that decrease ­cGMP and cause relaxation

True or False

a)

True

b)

False

8.

Natriuretic peptide effect is dilate the afferent arteriole but constrict efferent arteriole, Increase ­intraglomerular pressure and decrease Glomerular filtration rate

­ True or false

a)

True

b)

False

9.

Vasopressin gives effect through which of following receptors?

a)

NPR-A

b)

NPR-B

c)

V1

d)

V2

10.

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

a)

True

b)

False

11.

Water reabsorption effect of V2 (Gs) receptor is through increase cGMP

a)

True

b)

False

12.

Which of the following includes modulation of renin release?

a)

Decrease the pressure of afferent arterioles

b)

Sympathetic activation through Juxtaglomerular cells

c)

Decrease Na transport to distal convoluted tubule

13.

In RAAS system, increase level of renin gives which of the following effects through AT1 receptors

a)

Vasoldilation

b)

Vasoconstriction

c)

Increase ADH secretion

d)

Stimulation of thirst

e)

Na reabsorption

14.

What are three common clinical conditions of edema formation?

a)

Heart Failure

b)

Cirrhosis

c)

Nephrotic Syndrome

15.

Right Heart failure cause pulmonary edema while left heart failure cause peripheral edema

a)

True

b)

False

16.

Most common risk factor for Heart failure

a)

Ischemic Heart Disease

b)

Hypertension

17.

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

a)

True

b)

False

18.

Pathophysiologic process of left heart failure: Inability of the heart to  generate adequate  cardiac output to perfuse  vital tissues

a)

True

b)

False

19.

What are main goals for management of heart failure?

a)

Decrease contractibility

b)

Increase Contractibility

c)

Decrease preload and afterload

d)

Increase preload and afterload

20.

Treatment of heart failure includes

a)

Arterial dilators

b)

Venodilators

c)

Diuretics

d)

Cardiac Glycosides

e)

Morphine

21.

Nephrotic Syndrome is excretion of 3 g or more protein in the urine due to glomerular injury

a)

True

b)

False

22.

Clinical manifestation of Nephrotic Syndrome (SATA)

a)

Hyperalbuminemia

b)

Hypoalbuminemia

c)

Hypercholesterolemia

d)

Peripheral edema

e)

Prone to infection

23.

Treatment of Nephrotic syndrome includes (SATA)

a)

Normal-protein (1 g/kg body weight/day)

b)

low-fat diet, salt restriction

c)

immunosuppression

d)

Heparionoids

24.

Spironolactone inhibits epithelial Na+ transporter (ENaC) in the distal convoluted tubule? True or False

a)

True

b)

False

25.

Deafness is a side effect of Eplerenone. True or False

a)

True

b)

False

26.

Chlorthalidone has the shortest duration of action. True or false

a)

True

b)

false

27.

Eplerenone can cause life threatening hyperkalemia when combined when combined with ACEIs

a)

True

b)

False

28.

Spironolactone can cause hypokalemia when combined with ACEIs

a)

True

b)

False

29.

Furosemide may increase incidence of toxicities with impaired renal function

a)

True

b)

False

30.

Hydrochlorothiazide may increase incidence of toxicities with impaired renal function

a)

True

b)

False

31.

Furosemide may cause hypercalcemia while Hydrochlorothiazide A/E is hypocalcemia

a)

True

b)

False

32.

Hydrochlorothiazide is used in the 1st line therapy for acute relief of edema in heart failure

a)

True

b)

False

33.

Ethacrynic acid is K sparing diuretic while Eplerenone is Loop diuretic

a)

True

b)

False

34.

Loop diuretics are preferred over thiazides in the management of malignant hypertension and volume-based

hypertension in patients with advanced CKD.

a)

True

b)

false

35.

Furosemide is 40 times more potent

than others Loop diuretics

a)

True

b)

False

36.

Eplerenone cause more Gynecomastia than Spironolactone.

a)

True

b)

False

37.

What are the following are volume regulators (SATA)

a)

RAAS

b)

Renal Sympathetic nerves

c)

ADH

d)

Natriuretic peptide