Ch 21 pp 358-375
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Questions and Answers

Which category of pharmacologic modulators includes agents that interrupt the renin-angiotensin axis?

  • Agents that alter circulating levels of natriuretic peptides
  • Classes of diuretics
  • Agents that act directly on the nephron segments
  • Agents that modify neurohormonal volume regulators (correct)
  • Which type of agents directly target renal ion transporter or channel function to increase renal Na+ excretion?

  • Angiotensin receptor antagonists
  • Inhibitors of the Renin-Angiotensin System
  • ACE inhibitors
  • Classes of diuretics (correct)
  • Which pharmacologic strategy prevents the generation of angiotensin I?

  • ACE inhibitors
  • Angiotensin receptor antagonists
  • Antagonists of the mineralocorticoid receptor
  • Inhibition of the enzymatic activity of renin (correct)
  • Which agents are competitive antagonists at the AT1 receptor and inhibit the target-organ effects of angiotensin II?

    <p>Angiotensin receptor antagonists</p> Signup and view all the answers

    Which pharmacologic modulators act directly on Na+ reabsorption through mechanisms less well understood than those of the diuretics?

    <p>Agents that modify neurohormonal volume regulators</p> Signup and view all the answers

    Which category of pharmacologic modulators includes agents that alter circulating levels of natriuretic peptides?

    <p>Agents that modify neurohormonal volume regulators</p> Signup and view all the answers

    Which pharmacologic modulators directly target renal ion transporter or channel function to increase renal Na+ excretion?

    <p>Agents that modify neurohormonal volume regulators</p> Signup and view all the answers

    What is the primary mechanism of action of aliskiren?

    <p>Inhibiting the enzymatic activity of renin</p> Signup and view all the answers

    In which condition is aliskiren approved for use?

    <p>Hypertension with renal insufficiency</p> Signup and view all the answers

    What is the recommended combination therapy with aliskiren?

    <p>Thiazide diuretics</p> Signup and view all the answers

    Why should aliskiren not be combined with ACE inhibitors or ARBs in certain patients?

    <p>Increased risk of hyperkalemia</p> Signup and view all the answers

    What is the impact of aliskiren on heart failure progression?

    <p>It may help in slowing the progression of heart failure</p> Signup and view all the answers

    Which step of the RAAS cascade is primarily targeted by aliskiren?

    <p>Conversion of angiotensinogen to angiotensin I</p> Signup and view all the answers

    In which patients should aliskiren not be combined with ACE inhibitors or ARBs?

    <p>Patients with diabetes or chronic kidney disease of stage 3</p> Signup and view all the answers

    Which enzyme does aliskiren primarily inhibit?

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

    In which condition is aliskiren approved for use?

    <p>Hypertension with renal insufficiency</p> Signup and view all the answers

    What is the recommended combination therapy with aliskiren?

    <p>Thiazide diuretics</p> Signup and view all the answers

    Why should aliskiren not be combined with ACE inhibitors or ARBs in patients with diabetes or chronic kidney disease of stage 3?

    <p>Potential for hyperkalemia</p> Signup and view all the answers

    Which pharmacologic modulator directly targets the enzymatic activity of renin to prevent the generation of angiotensin I?

    <p>ACE inhibitors</p> Signup and view all the answers

    Which pharmacologic modulator acts as a competitive antagonist at the AT1 receptor to inhibit the target-organ effects of angiotensin II?

    <p>ACE inhibitors</p> Signup and view all the answers

    Which category of pharmacologic modulators directly targets renal ion transporter or channel function to increase renal Na+ excretion?

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

    Which pharmacologic modulator directly blocks aldosterone action at the nephron collecting duct?

    <p>Aldosterone receptor antagonists</p> Signup and view all the answers

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