Physiology - Renin Angiotensin system Flashcards

1
Q

which of these is not a major compound of the RAAS?

a.angiotensin 1
b. angiotensin 2
c. aldosterone
d,renin

A

a.angiotensin 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what triggers the RAAS?

a. dehydration, sodium deficiency, haemorrhage
b. hypertension
c. low blood pressure
d. dehydration, sodium increase

A

a.dehydration, sodium deficiency, haemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what happens following sodium defficiency and dehydration?

a. increased renin
b. increased ahngiotensin 1
c. decrease in blood volume and pressure
d. increase in blood volume and pressure

A

c. decrease in blood volume and pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

where is renin secreted?

a. proximal convuluted tubule
b. juxtaglomerular cells of afferent arterioles in kidneys
c. juxtaglomerular cells of efferent arterioles in kidneys
d. glomerulus
e. macula densa

A

b. juxtaglomerular cells of afferent arterioles in kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the primary determinant of RAAS activity?

a. rate of angiotensin 1 conversion
b. sodium levels
c. renin secretion rate

A

c.renin secretion rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does hypovolaemia refer to?

a. low extracellular fluid
b. high extracellular flid
c. low intracellular fluid
d. high intracellular potassium

A

a.low extracellular fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what detects the low perfusion pressure of the kidney caused by dehydration etc?

a. baroreceptors
b. glomerulus
c. macula densa cells
d. juxtaglomerular cells of afferent arteriole

A

a.baroreceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what type of cells detect decreased plasma sodium in the DCT/ reduced glomerular filtration in order to trigger renin secretion?

a. baroreceptors
b. glomerulus
c. macula densa cells
d. juxtaglomerular cells of afferent arteriole

A

c. macula densa cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

which of these does not cause increased renin secretion?

a. sympathetic stimulation of the juxtaglomerular apparatus
b. decreased sodium in the distal convuluted tubules
c. decreased perfusion pressure
d. decreased potassium in plasma

A

d.decreased potassium in plasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what causes sympathetic stimulation of the juxtaglomerular apparatus?

a. stress/trauma
b. inflammation
c. arousal
d. infection

A

a.stress/trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

which receptor is activated by stress/ trauma ?

a. a1 adrenergic receptor
b. a1 cholinergic receptor
c. b1 adrenergic receptor
d. b2 adrenergic receptor

A

c. b1 adrenergic receptor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
Hypovolaemia
B. Low blood pressure
C. Low plasma electrolyte levels
D. Low glomerular filtrate 
electrolyte levels
E. Noradrenaline
A

d. low glomerular filtrate electrolyte levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

where is angiotensinogen released from?

a. juxtaglomerular cells of the kidneys
b. liver
c. lungs
d. macula densa

A

b.liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the role of angiotensin converting enzyme?

a. converts angiotensin to agt 1
b. converts agt 2 to agt 1
c. converts agt 1 to agt
d. converts agt 1 to agt 2

A

d. converts agt 1 to agt 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

where is ACE found?

a. juxtaglomerular cells of the kidneys
b. liver
c. lungs
d. macula densa

A

c.lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

where is aldosterone secreted from in response to increased agt 2?

a. juxtaglomerular cells of the kidneys
b. liver
c. lungs
d. adrenal cortex

A

d.adrenal cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is released from the adrenal cortex?

a. agt 1
b. aldosterone
c. agt
d. agt 2
e. renin

A

b.aldosterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the effect of increased aldosterone release from the adrenal cortex?

a. increased sodium and water reabsorption , increased potassium and H+ excretion in urine at kidneys
b. decreased sodium and water reabsorption , increased potassium and H+ excretion in urine at kidneys
b. decreased sodium and water reabsorption , decreased potassium and H+ excretion in urine at kidneys

A

a.increased sodium and water reabsorption , increased potassium and H+ excretion in urine at kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

which statement is true of agt 2 ?

a. it is a weak vasoconstrictor
b. it is a weak vasodilator
c. it is a strong vasodilator
d. it is a potent vasoconstrictor

A

d.it is a potent vasoconstrictor

raises peripheral resistance and BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

which substance promotes ADH (vasopression) release which expands extracellular volume and vasoconstricts?

a. agt
b. agt 1
c. agt 2
d. aldosterone

21
Q

agt 2 faciliates the release of which substance by postganglionic sympathetic neurons?

a. adrenaline
b. norepinephrine
c. epinephrine
d. noradrenaline

A

b.norepinephrine

22
Q

agt increases Na and H2O reabsorption from where?

a. DCT
b. kidneys
c. PCT
d. glomerulus

23
Q
Which is an indirect function of angiotensin II?
A. Increases water reabsorption in 
nephron
B. Inhibits thirst
C. Releases aldosterone from 
pituitary gland
D. Releases ADH from adrenal 
gland
E. Relaxes vascular smooth 
muscle
A

A. Increases water reabsorption in

nephron

24
Q

where is ADH released from?

a. adrenal cortex
b. pituitary gland
c. kidneys
b. liver
d. lungs

A

b.pituitary gland

25
what are the two types of agt 2 receptor? a. Agt 1 and Agt2 b. a1 and a2 c. b1 and b2 d. AT1 and AT2
d.AT1 and AT2
26
which agt 2 receptor is found on vascular smooth muscle cells, the brain, kidney and adrenal cortex? a. AT1 b. AT2
a.AT1
27
which agt 2 receptor is found in the fetus and brain of adults with expression falling after birth? a. AT1 b. AT2
b.AT2
28
which agt 2 receptor mediates most of the effects of agt 2? a. AT1 b. AT2
a.AT1
29
what type of receptor are the AT receptors? a. g protein linked b. muscarinic d. nicotinic
a.g protein linked
30
what is the g protein of an AT1 receptor linked to in vascular smooth muscle? a. PL-1 b. PL-D c. PL-2 d. PL-C
d.PL-C
31
what does agt do in smooth muscle? a. increase ca2+ so contracts b. decreases ca2+ so contracts c. increases ca2+ so relaxes d. decreases ca2+ so relaxes
a.increase ca2+ so contracts
32
activation of which agt receptor leads to activation of tyrosine kinases? a. AT1 b. AT2
a.AT1
33
what is the G protein of AT2 receptors linked to? a. PL-C b. tyrosine kinases c. phosphatases
c. phosphatases
34
what do phosphatases do when activatd by AT2 receptor activation by agt2? a. agonise growth effects, close K+ channels, decrease NO production b. antagonise growth effects, open K+ channels, increase NO production
b.antagonise growth effects, open K+ channels, increase NO production
35
what effect does AT2 activation have on K+ channels? a. opens b. closes
a.opens
36
a tumour secreting which substance can lead to hypertension through RAAS overactivity? a. aldosterone b. renin c. agt 2 d. agt 1
b.renin
37
how does renal artery stenosis lead to hypertension?
constriction of renal artery by atherosclerotic plaque reduced perfusion pressure renin secretion blood pressure increase
38
which of these does not lead to hypertension due to RAAS overactivity? a. renin secreting tumour b. increased agt 2 production c. increased angiotensinogen production d. renal artery stenosis
b. increased agt 2 production
39
what type of drug is propanolol? a. B adrenergic blocker b. renin inhibitor c. prostaglandin synthesis inhibitor d. ACE inhibitor
a.B adrenergic blocker
40
which of these drugs is a b adrenergic blocker? a. propanolol b. indomethacin c. pepstatin and enalkiren d. catopril and enalapril e. losartan
a.propanolol
41
which of these drugs is an inhibitor of prostaglandin synthesis? a. propanolol b. indomethacin c. pepstatin and enalkiren d. catopril and enalapril e. losartan
b.indomethacin
42
which of these drugs is a renin inhibitor? a. propanolol b. indomethacin c. pepstatin and enalkiren d. catopril and enalapril e. losartan
c.pepstatin and enalkiren
43
which of these drugs is a ACE inhibitor ? a. propanolol b. indomethacin c. pepstatin and enalkiren d. catopril and enalapril e. losartan
d.catopril and enalapril
44
which of these drugs is an AT receptor antagonist / blocker ? a. propanolol b. indomethacin c. pepstatin and enalkiren d. catopril and enalapril e. losartan
e.losartan
45
what type of drug is indomethacin? a. B adrenergic blocker b. renin inhibitor c. prostaglandin synthesis inhibitor d. ACE inhibitor
c.prostaglandin synthesis inhibitor
46
what type of drug is pepstaton and enalkiren ? a. B adrenergic blocker b. renin inhibitor c. prostaglandin synthesis inhibitor d. ACE inhibitor
b.renin inhibitor
47
what type of drug is catopril and enalapril ? a. B adrenergic blocker b. renin inhibitor c. prostaglandin synthesis inhibitor d. ACE inhibitor
d.ACE inhibitor
48
what type of drug is losartan? a. B adrenergic blocker b. renin inhibitor c. prostaglandin synthesis inhibitor d. ACE inhibitor e. AT receptor antagonists/blockers
e. AT receptor antagonists/blockers
49
How do ACE inhibitors lower blood pressure? A. Increase the degradation of bradykinin B. Inhibit angiotensin converting enzyme, which disrupts the production of angiotensin 1 from angiotensin 2 C. Inhibit renin, which disrupts the production of angiotensin 1 from angiotensinogen D. Inhibit renin, which disrupts the production of angiotensin 2 from angiotensinogen E. Inhibit angiotensin converting enzyme, which disrupts the production angiotensin 2 from angiotensin 1
E. Inhibit angiotensin converting enzyme, which disrupts the production angiotensin 2 from angiotensin 1