Diurteics Flashcards
Which of the following drugs inhibits the enzyme that prevents dehydration of H2CO3 in the proximal convoluted tubule?
A) Furosemide
B) Canagliflozin
C) Acetazolamide
D) Spironolactone
C) Acetazolamide
Rationale: Acetazolamide is a carbonic anhydrase inhibitor that prevents the dehydration of H2CO3 in the proximal convoluted tubule.
Which drug is an SGLT2 inhibitor used for the treatment of hyperglycemia?
A) Brinzolamide
B) Canagliflozin
C) Mannitol
D) Triamterene
B) Canagliflozin
Rationale: Canagliflozin is an SGLT2 inhibitor used for the treatment of hyperglycemia in diabetes mellitus.
Loop diuretics inhibit which transporter?
A) Na/K/2Cl transporter
B) Na/Cl transporter
C) Sodium/glucose cotransporter
D) Carbonic anhydrase enzyme
A) Na/K/2Cl transporter
Rationale: Loop diuretics, such as Furosemide, inhibit the Na/K/2Cl transporter in the ascending limb of Henle’s loop.
Which of the following is NOT a clinical application of Thiazides?
A) Hypertension
B) Glaucoma
C) Mild heart failure
D) Nephrolithiasis
B) Glaucoma
Rationale: Thiazides are used for hypertension, mild heart failure, nephrolithiasis, and nephrogenic diabetes insipidus, but not for glaucoma.
Which drug is a potassium-sparing diuretic that blocks epithelial sodium channels in collecting tubules?
A) Amiloride
B) Hydrochlorothiazide
C) Furosemide
D) Mannitol
A) Amiloride
Rationale: Amiloride is a potassium-sparing diuretic that blocks epithelial sodium channels in collecting tubules, reducing Na retention and K wasting.
Which drug has a physical osmotic effect on tissue water distribution?
A) Spironolactone
B) Tolvaptan
C) Mannitol
D) Acetazolamide
C) Mannitol
Rationale: Mannitol has a physical osmotic effect on tissue water distribution because it is retained in the vascular compartment.
Which of the following drugs is an antagonist at V1 and V2 ADH receptors?
A) Conivaptan
B) Canagliflozin
C) Eplerenone
D) Metolazone
A) Conivaptan
Rationale: Conivaptan is an antagonist at V1 and V2 ADH receptors, reducing water reabsorption and increasing plasma Na concentration.
Which drug is NOT recommended in severe renal or liver disease?
A) Canagliflozin
B) Brinzolamide
C) Triamterene
D) Mannitol
A) Canagliflozin
Rationale: Canagliflozin, an SGLT2 inhibitor, is not recommended in severe renal or liver disease.
Which drug is known to cause hyperkalemic metabolic acidosis?
A) Triamterene
B) Hydrochlorothiazide
C) Furosemide
D) Acetazolamide
A) Triamterene
Rationale: Triamterene, a potassium-sparing diuretic, can cause hyperkalemic metabolic acidosis.
Which of the following drugs is used for the treatment of increased intracranial pressure?
A) Mannitol
B) Spironolactone
C) Canagliflozin
D) Tolvaptan
A) Mannitol
Rationale: Mannitol is used for the treatment of increased intracranial pressure due to its osmotic diuretic properties.
Which drug is a pharmacologic antagonist of aldosterone in collecting tubules?
A) Spironolactone
B) Furosemide
C) Dapagliflozin
D) Brinzolamide
A) Spironolactone
Rationale: Spironolactone is a potassium-sparing diuretic that acts as a pharmacologic antagonist of aldosterone in collecting tubules.
Which of the following drugs is used topically for glaucoma?
A) Brinzolamide
B) Canagliflozin
C) Mannitol
D) Hydrochlorothiazide
A) Brinzolamide
Rationale: Brinzolamide is a carbonic anhydrase inhibitor used topically for the treatment of glaucoma.
Which drug is known to cause hypokalemic metabolic alkalosis?
A) Furosemide
B) Amiloride
C) Acetazolamide
D) Tolvaptan
A) Furosemide
Rationale: Furosemide, a loop diuretic, can cause hypokalemic metabolic alkalosis due to increased NaCl excretion and K wasting.
Which of the following is a clinical application of Carbonic Anhydrase Inhibitors?
A) Diabetes mellitus
B) Hypertension
C) Glaucoma
D) Aldosteronism
C) Glaucoma
Rationale: Carbonic Anhydrase Inhibitors, such as Acetazolamide, are used for the treatment of glaucoma.
Which drug is a selective antagonist at V2 ADH receptors?
A) Tolvaptan
B) Conivaptan
C) Spironolactone
D) Furosemide
A) Tolvaptan
Rationale: Tolvaptan is a selective antagonist at V2 ADH receptors, reducing water reabsorption and increasing plasma Na concentration.
Which of the following drugs is used for the treatment of mountain sickness?
A) Acetazolamide
B) Canagliflozin
C) Mannitol
D) Tolvaptan
A) Acetazolamide
Rationale: Acetazolamide is a carbonic anhydrase inhibitor used for the treatment of mountain sickness.