Lecture 22&23
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Questions and Answers

What is the primary mechanism of action of thiazide diuretics?

  • Inhibiting carbonic anhydrase in the proximal convoluted tubule
  • Inhibiting Na-Cl cotransporter in the early distal tubule (correct)
  • Inhibiting the Na+/K+ pump in the collecting duct
  • Stimulating the release of atrial natriuretic peptide
  • Which of the following is NOT a potassium-sparing diuretic?

  • Spironolactone
  • Furosemide (correct)
  • Amiloride
  • Triamterene
  • What is the main effect of diuretic drugs on the body?

  • Decreased blood pressure and increased heart rate
  • Reduced urine flow and increased extracellular fluid volume
  • Increased sodium reabsorption and water retention
  • Increased urine flow and removal of excess extracellular fluid and electrolytes (correct)
  • Which diuretic class acts by inhibiting carbonic anhydrase?

    <p>Carbonic anhydrase inhibitors</p> Signup and view all the answers

    What is the primary site of action of loop diuretics?

    <p>Thick ascending limb of the loop of Henle</p> Signup and view all the answers

    What is the primary consequence of diuretic action?

    <p>Increased urine flow and removal of excess extracellular fluid and electrolytes</p> Signup and view all the answers

    What is the primary effect of thiazide diuretics on the body's sodium levels?

    <p>Increased sodium excretion</p> Signup and view all the answers

    What is a common adverse effect of both thiazide and loop diuretics?

    <p>Hypokalemia</p> Signup and view all the answers

    What is the mechanism of action of loop diuretics?

    <p>Inhibition of the cotransport of Na+/K+/2Cl– in the luminal membrane</p> Signup and view all the answers

    Which of the following is a therapeutic use of thiazide diuretics?

    <p>Treatment of hypertension</p> Signup and view all the answers

    What is the effect of thiazide diuretics on urinary calcium excretion?

    <p>Decreased calcium excretion</p> Signup and view all the answers

    Which of the following is a unique adverse effect of loop diuretics?

    <p>Ototoxicity</p> Signup and view all the answers

    What is the primary mechanism of action of potassium-sparing diuretics?

    <p>Inhibiting Na+ reabsorption and K+ excretion in the collecting tubule</p> Signup and view all the answers

    What is the main therapeutic use of loop diuretics?

    <p>Reducing acute pulmonary edema of heart failure</p> Signup and view all the answers

    What is a common adverse effect of carbonic anhydrase inhibitors?

    <p>Hypokalemia</p> Signup and view all the answers

    What is the mechanism of action of osmotic diuretics?

    <p>Increasing fluid loss through osmotic activity</p> Signup and view all the answers

    What is a common adverse effect of potassium-sparing diuretics?

    <p>Hyperkalemia</p> Signup and view all the answers

    What is the primary therapeutic use of spironolactone?

    <p>Treatment of heart failure</p> Signup and view all the answers

    What is the primary site of action of thiazide diuretics in the nephron?

    <p>Early distal tubule</p> Signup and view all the answers

    Which of the following diuretics inhibits Na-Cl cotransporter in the early distal tubule?

    <p>Hydrochlorothiazide</p> Signup and view all the answers

    What is the effect of diuretics on the body's sodium levels?

    <p>Decreased</p> Signup and view all the answers

    Which of the following is a common property of all diuretics?

    <p>Increased urine flow</p> Signup and view all the answers

    Which of the following diuretics is not a potassium-sparing diuretic?

    <p>Hydrochlorothiazide</p> Signup and view all the answers

    What is the primary mechanism of action of diuretics in the nephron?

    <p>Inhibition of ion transport</p> Signup and view all the answers

    What is a unique adverse effect of thiazide diuretics?

    <p>Erectile dysfunction</p> Signup and view all the answers

    What is the effect of loop diuretics on sodium levels in the body?

    <p>Increased excretion of 15-25% of filtered sodium</p> Signup and view all the answers

    What is a common adverse effect of both thiazide and loop diuretics?

    <p>All of the above</p> Signup and view all the answers

    What is the mechanism of action of loop diuretics?

    <p>Inhibition of Na+/K+/2Cl– cotransport</p> Signup and view all the answers

    What is a therapeutic use of thiazide diuretics?

    <p>Treatment of hypertension</p> Signup and view all the answers

    What is a potential adverse effect of loop diuretics when used with aminoglycoside antibiotics?

    <p>Ototoxicity</p> Signup and view all the answers

    Which type of diuretics are used as adjunct therapy, usually with thiazide and loop diuretics?

    <p>Potassium-sparing diuretics</p> Signup and view all the answers

    What is the primary effect of osmotic diuretics on the body?

    <p>Increased fluid loss due to osmotically active diuretics</p> Signup and view all the answers

    What is a common adverse effect of carbonic anhydrase inhibitors?

    <p>Metabolic acidosis</p> Signup and view all the answers

    What is a therapeutic use of loop diuretics?

    <p>Treating acute pulmonary edema of heart failure</p> Signup and view all the answers

    What is a common adverse effect of potassium-sparing diuretics?

    <p>Hyperkalemia</p> Signup and view all the answers

    What is the mechanism of action of carbonic anhydrase inhibitors?

    <p>Inhibiting the enzyme carbonic anhydrase</p> Signup and view all the answers

    What is a therapeutic use of potassium-sparing diuretics?

    <p>Used in adjunct therapy</p> Signup and view all the answers

    What is a common adverse effect of loop diuretics?

    <p>Metabolic alkalosis</p> Signup and view all the answers

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