Diabetes Insipidus (DI) Types and Causes

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29 Questions

What is the origin of Oxytocin?

Produced in Paraventricular nuclei in the hypothalamus

Which defect causes Nephrogenic Diabetes Insipidus?

Autosomal mutation of V2 receptors gene in the kidney

Why do patients with Diabetes Insipidus experience polyuria?

Excessive water loss with no increase in other constituents

What mechanism of action does Oxytocin have?

Binds to receptors coupled to a G Protein enzyme and induces an increase in cytoplasmic Ca2+ for muscle contraction

What causes Central Diabetes Insipidus?

Lesion in the supraoptic nucleus

Why do patients with Diabetes Insipidus develop polydipsia?

To prevent dehydration due to excessive polyuria

Which protein carries 2/3 of T4 and 1/2 of T3 in the blood?

Thyroxine binding globulin (TBG)

Why is T3 more active than T4?

It has a higher affinity to thyroid receptors

Which type of thyroid receptor does T3 specifically bind to?

α 1, α 2, and β 2

Where are extranuclear thyroid receptors found?

Mitochondria

Which of the following is NOT a non-genomic action mediated by extranuclear receptors?

DNA replication

What is the primary physiological effect of Thyroid Hormones on metabolism?

Stimulation of metabolic rate

What effect do excessive thyroid hormones have on mitochondria?

Mitochondrial swelling and increased uncoupling of oxidative phosphorylation

How do thyroid hormones affect Na/K ATPase enzyme activity in cell membranes?

Increased enzyme activity

What effect do thyroid hormones have on protein metabolism?

Increased protein synthesis

How do thyroid hormones affect fat metabolism?

Increase lipolysis and free fatty acid oxidation

Which process is NOT affected by thyroid hormones?

Cholesterol synthesis

What is the consequence of increased activity of Na/K ATPase enzyme due to thyroid hormones?

Increased energy consumption

What stimulates the osteoblasts production of IL-6 and RANKL?

PTH

Which cells have no receptors for PTH?

Osteoclasts

What does PTH do to phosphate reabsorption in the renal proximal convoluted tubules?

Decreases it

What is the role of 1,25(OH)2D3 (dihydroxycholecalciferol) in the kidneys?

Activates enzyme production

What effect does PTH and 1,25(OH)2D3 have on calcium reabsorption in the distal part of renal tubules?

Increases it

What effect do PTH and 1,25(OH)2D3 have on calcium and phosphate absorption by the intestine?

Increase both

How is calcium primarily absorbed in the upper small intestine?

Passive diffusion

Which factor affects the solubility of calcium salts in the gastrointestinal tract?

Acidic food products

What is the role of vitamin D3 in calcium absorption?

Stimulates calcium absorption

Which compound plays a crucial role in cell phosphorylation and dephosphorylation reactions?

ATP

What happens when the concentration of cations and anions in a solution exceeds the solubility product?

Precipitation of the salt occurs

Learn about the two main types of Diabetes Insipidus (DI): Central DI and Nephrogenic DI. Central DI is caused by a lesion in the supraoptic nucleus, while Nephrogenic DI is due to congenital defects of renal V2 receptors. Explore the differences in causes and mechanisms of these two forms of DI.

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