Diabetes Insipidus Monitoring and Types

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Questions and Answers

What is the primary stimulus for the secretion of antidiuretic hormone (ADH) in response to changes in osmolality?

  • Decreased osmolality
  • Decreased blood pressure
  • Increased osmolality (correct)
  • Increased blood volume

How does a decrease in osmolality affect the thirst mechanism?

  • Suppresses the thirst center (correct)
  • Stimulates the thirst center
  • Increases water intake
  • Restores blood volume

Which system primarily responds to a decreased blood volume by secreting renin?

  • Osmoreceptors system
  • Thirst mechanism
  • Renin Angiotensin Aldosterone system (correct)
  • ADH regulation system

What effect does angiotensin II have on blood pressure?

<p>Increases blood pressure (B)</p> Signup and view all the answers

How does increased osmolality affect water reabsorption at the collecting duct?

<p>Increases water reabsorption (D)</p> Signup and view all the answers

What is the role of aldosterone in response to decreased blood volume?

<p>Increases Na+ retention (B)</p> Signup and view all the answers

What is the consequence of vasopressin deficiency?

<p>Diabetes insipidus (A)</p> Signup and view all the answers

Which type of Diabetes Insipidus is characterized by impairment of ADH secretion?

<p>Cranial (neurogenic, central) Diabetes Insipidus (C)</p> Signup and view all the answers

Which condition can cause Cranial Diabetes Insipidus?

<p>Trauma or head injury (D)</p> Signup and view all the answers

What is a common cause of acquired Diabetes Insipidus?

<p>Infection (B)</p> Signup and view all the answers

Which of the following is NOT a risk factor for developing Diabetes Insipidus?

<p>Consuming electrolyte-rich diet (D)</p> Signup and view all the answers

What effect does ADH deficiency have on blood osmolality?

<p>Increases blood osmolality (D)</p> Signup and view all the answers

What is the ideal Urine/Plasma Osmolality ratio during an overnight water deprivation test to confirm Diabetes Insipidus?

<p>1.5 (B)</p> Signup and view all the answers

Which condition can lead to Syndrome of Inappropriate Antidiuretic Hormone (SIADH) due to pathologic ADH excess?

<p>Pulmonary disease (A)</p> Signup and view all the answers

Which of the following drugs is NOT associated with causing Syndrome of Inappropriate Antidiuretic Hormone (SIADH) due to its CNS effects?

<p>Antipyretics (C)</p> Signup and view all the answers

In differentiating Central Diabetes Insipidus (DI) from Nephrogenic DI, what happens to urine osmolality after administering desamino-d-arginine vasopressin (DDAVP) in patients with Central DI?

<p>Increase in urine osmolality (B)</p> Signup and view all the answers

Which of the following is a common cause of pathologic ADH excess leading to Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

<p>Leukemia (C)</p> Signup and view all the answers

What feature in the blood is typically observed in patients with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

<p>Hyponatremia (C)</p> Signup and view all the answers

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