Content from 9/22 to 9/24 Flashcards

1
Q

T/F - Decreases in both circulating adiponectin levels and adiponectin receptor levels can contribute to reduced adiponectin action and to the development of insulin resistance?

A

TRUE

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2
Q

T/F - As visceral adiposity begins to increase, there is a parallel increase in the secretion and action of adiponectin?

A

FALSE

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3
Q
Which of the following intracellular singlaling molecules is NOT involved in the enhanced GLUT-4 translocation and glucose transport activity by the interaction of AdipoR1 and APPL1?
AMPK
p38 MAPK
PI3K
Akt
eNOS
A

eNOS

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4
Q

T/F - The primary form of adiponectin in the plasma is the globular form?

A

FALSE

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5
Q
Which of the following is NOT considered to be an adipokine?
Adiponectin
Resistin
PAI-1
Angiotensinogen
FFAs
A

FFAs

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6
Q

T/F - The expression of the adaptor protein APPL2 is increased in insulin-resistance muscle cells and antagonizes the interaction of AdipoR1 and APPL1 to activate cell metabolism.

A

TRUE

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7
Q

T/F - Adiponectin transport across the endothelium of the vasculature in skeletal muscle tissue is by simple diffusion?

A

FALSE

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8
Q

T/F - Circulating adiponectin levels are positively correlated with whole-body insulin sensitivity?

A

TRUE

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9
Q

T/F - With increasing resting BP there are generally increases in fasting plasma insulin and whole-body insulin sensitivity?

A

FALSE

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10
Q

T/F - Regarding vascular dysfunction in the development of hypertension… Over time, hyperinsulinemia leads to less rigid and more constricted blood vessels, contributing to the hypertensive state?

A

FALSE

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11
Q

T/F - Regarding the relationship between hyperinsulinemia and renal-induced hypertension… SNS over-activity can enhance ENaC activity in the kidney leading to enhanced sodium retention and hypertension?

A

FALSE

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12
Q

T/F - ANG II has effects on blood pressure through its direct action to cause vasoconstriction in peripheral vascular beds, as well as indirectly by its ability to cause increased secretion of aldosterone?

A

TRUE

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13
Q

T/F - Most of the individuals who have some degree of hypertension also have signs of impaired glucose tolerance and insulin resistance?

A

TRUE

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14
Q

Renin acts to cleave ___ to form ____. This peptide is cleaved by ____ to form the bioactive peptide _____

A

Angiotensinogen, ANG I, ACE, ANG II

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15
Q

T/F - The pharmacological inhibition of ACE would lead to an increase in BP?

A

FALSE

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16
Q

T/F - Increased SNS activity in the Metabolic Syndrome is associated with enhanced release of the peptidase renin?

A

TRUE

17
Q

T/F - Adiponectin is secreted primarily by white fat cells?

A

TRUE

18
Q

T/F - Adiponectin can exist in the plasma as high molecular weight forms, low molecular weight forms, and globular forms?

A

TRUE

19
Q

T/F - The globular form of adiponectin has biological action?

A

TRUE

20
Q

T/F - As adipocytes become larger due to increased lipid storage, the secretion of adiponectin decreases?

A

TRUE

21
Q

T/F - One mechanism for reduced adiponectin secretion is increased FFA action on the adipocytes?

A

TRUE

22
Q

T/F - The transport of adiponectin in the circulation requires attachment to binding globulins such as albumin?

A

TRUE

23
Q

T/F - Hyperinsulinemia is associated with the development of dyslipidemia, leading to the increased formation of atherosclerotic plaques in blood vessels?

A

TRUE

24
Q

T/F - Hyperinsulinemia can lead to the proliferation of vascular smooth muscle cells?

A

TRUE

25
Q

T/F - Hyperinsulinemia is associated with enhance sympathetic nervous activity to peripheral vascular beds, causing vasoconstriction and elevated blood pressure

A

TRUE

26
Q

T/F - Hyperinsulinemia can lead to SNS overactivation?

A

TRUE

27
Q

T/F - Hyperinsulinemia can cause both enhanced ENaC activity and NHE expression, leading to enhanced sodium retention and hypertension?

A

TRUE