Q2 Quiz #1 Practice Questions Flashcards
Most H2O reabsorption by the kidney occurs in __. Most Na+ reabsorption by the kidney occurs in __.
a. proximal tubule, distal tubule and collecting duct
b. ascending loop of Henle, proximal tubule
c. descending loop of Henle, distal tubule and collecting duct
d. distal tubule, distal tubule
e. proximal tubule, proximal tubule
e. proximal tubule, proximal tubule
In which of the following section(s) of the nephron is/are Na+ reabsorption accompanied with water reabsorption under normal physiological conditions? SELECT ALL CORRECT ANSWER(S)
A. Proximal tubule
B. Descending loop of Henle
C. Bowman’s capsule
D. Ascending loop of Henle
E. Distal tubule
A. Proximal tubule
E. Distal tubule
Which of the following treatment plans would lower the blood pressure in patients with hypertension?
A. Activate the receptors of antidiuretic hormone.
B. Activate the angiotensin-converting-enzyme.
C. Take synthetic natriuretic peptide.
D. Increase sympathetic nervous system activity.
C. Take synthetic natriuretic peptide.
If secretion of Para-aminohippuric acid (PAH) is incomplete in a patient, the plasma clearance rate of PAH would be __ the renal plasma flow (RPF) for the patient.
A. less than
B. greater than
C. the same as
D. PAH is not used to determine RPF
A. less than
Water absorption mainly happens in the __. Fat absorption mainly happens in the __.
A. small intestine, large intestine
B. large intestine, small intestine
C. small intestine, small intestine
D. small intestine, gallbladder
E. stomach, liver
C. small intestine, small intestine
Sympathetic stimulation on the renal afferent artery causes a/an __ of renal blood flow (RBF) and a/an ___ of glomerular filtration rate (GFR).
A. increase, increase
B. increase, decrease
C. decrease, increase
D. decrease, decrease
D. decrease, decrease
Omeprazole is used to treat peptic ulcer. The mechanism of Omeprazole is to __ that is expressed by the __.
A. inhibit H-Na- ATPase, chief cells
B. activate H-HCO3- exchanger, chief cells
C. inhibit H-HCO3- exchanger, parietal cells
D. activate H-K-ATPase, chief cells
E. inhibit H-K- ATPase, parietal cells
E. inhibit H-K- ATPase, parietal cells
Secretion in the stomach can be increased by __. SELECT ALL CORRECT ANSWER(S).
A. norepinephrine
B. enterogastric reflex
C. secretin
D. acetylcholine
E. gastrin
D. acetylcholine
E. gastrin
Fructose is a __. It is produced from __ by enzymes found on the brush border of the small intestine.
A. monosaccharide, lactose
B. monosaccharide, sucrose
C. disaccharide, maltose
D. disaccharide, starch
E. monosaccharide, maltose
B. monosaccharide, sucrose
Taking iron supplement with orange juice will __ iron absorption, because orange juice will __ ferrous iron (Fe+ +) amount by reducing ferric iron (Fe+++).
A. increase, increase
B. increase, decrease
C. decrease, decrease
D. decrease, increase
A. increase, increase
Which of the following substances is secreted by the stomach?
A. Histamine
B. Cholecystokinin
C. Secretin
D. Enterokinase
A. Histamine
Your patient received a partial gastrectomy (partial removal of the stomach) three months ago due to stomach cancer. The patient complains of bloating and diarrhea, which results from __ of the small-intestine luminal contents. The condition may also cause peripheral tissue __.
A. hypotonicity, dehydration
B. hypertonicity, dehydration
C. hypertonicity, edema
D. hypotonicity, edema
B. hypertonicity, dehydration
Enterogastric reflex would mainly lead to __ of peristalsis in the duodenum and __ of mass contraction in the large intestine. Answer choices A-F.
A. no change, increase
B. increase, decrease
C. decrease, decrease
D. decrease, increase
E. decrease, no change
F. no change, no change
F. no change, no change
Your patient is taking an angiotensin converting enzyme (ACE) inhibitor. The drug reduces the circulating __ level.
A. angiotensinogen
B. angiotensin I
C. angiotensin II
D. Renin
C. angiotensin II
If the patient’s glomerular filtration rate (GFR) = 125 ml/minute,urine flow rate = 1 ml/minute, the urine concentration of substance X = 15 mg/ml, the plasma concentration of the substance X = 0.2 mg/ml, which of the following statements is the most accurate conclusion?
A. Substance X is neither reabsorbed nor secreted.
B. There is net reabsorption of substance X.
C. There is net secretion of substance X.
D. The GFR equals the plasma clearance rate of substance X.
B. There is net reabsorption of substance X.
Your patient is a healthy 20-year-old female who was nervous about the scheduled extraction of an impacted wisdom tooth. Her blood pressure increased from 90/70mmHg to 120/85mmHg right before the procedure. Assuming the glomerular filtration rate stayed constant, what most likely happened in the nephron?
A. constriction of the efferent arteriole
B. constriction of the afferent arteriole
C. dilation of the afferent arteriole
D. relaxation of podocytes in the Bowman’s capsule
B. constriction of the afferent arteriole
The plasma colloid osmotic pressure in the efferent arterioles is __ it in the afferent arterioles.
A. Greater than
B. Less than
C. The same as
A. Greater than
A(An) __ of the glomerular filtration rate (GFR) would cause the macula densa to release vasodilator __.
A. Increase, nitric oxide
B. Decrease, adenosine
C. Decrease, nitric oxide
D. Increase, adenosine
C. Decrease, nitric oxide
__ promotes secretion of renin.
A. Increased filtrate flow in the juxtaglomerular apparatus
B. Reduced amount of NaCl in the plasma
C. Increased perfusion pressure in the afferent arteriole
D. Parasympathetic activation
B. Reduced amount of NaCl in the plasma
Which of the following is produced by the kidneys?
A. Antidiuretic hormone
B. Angiotensinogen
C. Natriuretic peptides
D. Renin
E. Aldosterone
D. Renin
“Dumping syndrome” results from a defect in closure of the pyloric sphincter, causing excessive chyme to be “dumped” into the small intestine from the stomach. This condition may cause peripheral tissue __ resulting from __ of the small-intestine luminal contents.
A. dehydration, hypotonicity
B. dehydration, hypertonicity
C. edema, hypertonicity
D. edema, hypotonicity
E. edema, isotonicity
B. dehydration, hypertonicity
An increase of extracellular fluid volume causes ANP (atrial natriuretic peptide) secretion to __, and glomerular filtration rate to __.
A. increase, increase
B. increase, decrease
C. decrease, increase
D. decrease, decrease
E. no change, increase
A. increase, increase
Resection (removal) of the end ileum will mainly lead to malabsorption of __.
A. bile salts
B. fatty acids
C. vitamin D
D. H2O
A. bile salts
Pick the FALSE statement about normal human gastric juice.
A. It is rich in HCl.
B. It contains pepsin.
C. The secretion is under neural, hormonal and local control.
D. The secretion is accelerated by secretin.
E. The secretion is accelerated by histamine.
D. The secretion is accelerated by secretin.
Amino acids enter into the lumen of the nephron tubules mainly through __. They are normally not found in the urine, because most amino acids are reabsorbed at the __.
A. glomerular filtration, distal and collecting tubules
B. tubular secretion, distal and collecting tubules
C. glomerular filtration, proximal tubule
D. tubular secretion, proximal tubule
C. glomerular filtration, proximal tubule
In the GI tract lumen, the pH is highest in the __, and lowest in the __.
A. stomach, small intestine
B. large intestine, stomach
C. small intestine, large intestine
D. small intestine, stomach
E. large intestine, small intestine
B. large intestine, stomach
Secretin is mainly released from __ in the digestive system, and could lead to __.
A. duodenum, increased pancreatic aqueous NaHCO3 secretion
B. parietal cells, increased pancreatic digestive enzymes secretion
C. chief cells, increased bile secretion from the liver
D. ECL cells, reduced gastric acid secretion
A. duodenum, increased pancreatic aqueous NaHCO3 secretion
Which of the following medications could be used to treat peptic ulcer?
A. H-K- ATPase inhibitor
B. H-HCO3- exchanger activator
C. H-HCO3- exchanger inhibitor
D. H-K-ATPase activator
A. H-K- ATPase inhibitor
Galactose is a __. It is produced from __ by enzymes found on the brush border of the small intestine.
A. monosaccharide, lactose
B. monosaccharide, sucrose
C. disaccharide, maltose
D. disaccharide, starch
E. monosaccharide, maltose
A. monosaccharide, lactose
Which of the following substances stimulate the secretion of parietal cells? (SELECT ALL CORRECT ANSWERS.)
A. CCK (cholecystokinin)
B. Acetylcholine
C. Gastrin
D. Somatostatin
E. Histamine
B. Acetylcholine
C. Gastrin
E. Histamine
Urea reabsorption in the proximal tubule is __.
A. passive diffusion subsequent of Na+ reabsorption
B. passive diffusion through Na+-Urea symporter
C. active transportation through Na+-Urea symporter
D. active transportation through K+-Urea antiporter
A. passive diffusion subsequent of Na+ reabsorption
Statement one: The descending limb of the long loop of Henle is permeable to water. Statement two: The ascending limb of the long loop of Henle is impermeable to Na+. Statement one is __. Statement two is __.
A. True, true
B. True, false
C. False, false
D. False, true
B. True, false