Diuretics and Kidney Function

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18 Questions

What percentage of potassium from the glomerular filtrate is reabsorbed by the proximal convoluted tubules?

70%

What is the result of inhibiting carbonic anhydrase?

Decreased reabsorption of bicarbonate, sodium, and water

What is the primary site of action for osmotic diuretics?

Proximal convoluted tubules

What is the effect of increased H+ concentration on potassium ion secretion?

Exchanges H+ ions for sodium

Which type of diuretics act on the ascending limb of the loop of Henle?

Frusemide

What is the main function of obligatory water reabsorption in the proximal convoluted tubules?

To maintain osmotic balance

What is the primary reason for using diuretics in congestive cardiac failure?

To reduce edema

What is the primary mechanism of action of thiazide diuretics?

Inhibiting sodium reabsorption in the distal convoluted tubules

What is the approximate flow rate of the filtrate when it reaches the loop of Henle?

25 mL/min

What is the approximate specific gravity of urine with an osmolality of 1200 mosmol/kg?

1.032

Which type of diuretics inhibit sodium reabsorption and are also potassium-sparing?

Aldosterone antagonists

What is the primary purpose of urine analysis in clinical biochemistry?

To detect abnormal constituents in urine

What type of substances are completely reabsorbed and not excreted in urine at normal or low plasma levels?

Threshold substances

What is the primary mechanism of sodium reabsorption in the proximal convoluted tubules?

Co-transport mechanism

Which of the following inhibits the sodium-Pi co-transport system?

Parathyroid hormone

What is the net effect of sodium reabsorption in the proximal convoluted tubules?

Reabsorption of sodium chloride along with glucose and amino acids

What is the threshold value of glucose in plasma beyond which it is excreted in urine?

180 mg/dL

What is the purpose of the Na+ to H+ exchange system in the proximal convoluted tubules?

To reabsorb sodium and secrete hydrogen ions

This quiz covers the mechanism of different types of diuretics, including carbonic anhydrase inhibitors and thiazide group, and their effects on kidney function and electrolyte balance.

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