Regulation of Serum Osmolality
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Questions and Answers

What is the primary goal of normonatremia?

  • To regulate sodium gain
  • To increase cellular volume
  • To stimulate thirst
  • To maintain a stable serum osmolality (correct)

Which of the following triggers the release of antidiuretic hormone (ADH) in response to hypernatremia?

  • Decrease in sodium levels
  • Increase in blood volume
  • Decrease in mean arterial pressure
  • Increase in Posm (correct)

What is the primary mechanism by which the body defends against hypernatremia?

  • Increased ADH release
  • Renal conservation of water and endogenous thirst stimulus (correct)
  • Renal conservation of sodium
  • Endogenous thirst stimulus

What is the consequence of inadequate water intake in the maintenance phase of hypernatremia?

<p>Sustained state of hypernatremia (B)</p> Signup and view all the answers

Which hormone plays a crucial role in regulating water metabolism?

<p>Arginine vasopressin (AVP) or ADH (C)</p> Signup and view all the answers

What is the location of the production and storage of antidiuretic hormone (ADH)?

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

In the setting of hypernatremia, what is the primary stimulus for the release of ADH?

<p>Osmoreceptors located in the hypothalamus (B)</p> Signup and view all the answers

What is the primary role of the kidney in hypernatremia?

<p>To concentrate the urine maximally (B)</p> Signup and view all the answers

What is the minimum urine output requirement if the kidney can only concentrate urine to 100 mOsm/kg?

<p>7 L (A)</p> Signup and view all the answers

What is the independent mechanism of defense against hypertonicity?

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

What is the function of aquaporin-2 channels in the collecting duct?

<p>To insert water channels into the apical membrane (B)</p> Signup and view all the answers

What determines the obligatory renal water loss?

<p>Solute excretion and urinary concentrating ability (A)</p> Signup and view all the answers

What is the primary function of an increase in ADH activity in collecting tubules in response to hypernatremia?

<p>To decrease ongoing water losses (C)</p> Signup and view all the answers

What is the immediate response of the brain to an increase in serum [Na+]?

<p>Water movement from intracellular to extracellular space (A)</p> Signup and view all the answers

What is the purpose of the brain's production of osmolytes in response to hypernatremia?

<p>To draw water back into the cells (C)</p> Signup and view all the answers

What is the net effect of the brain's defense mechanisms against hypernatremia?

<p>Increased intracellular osmolality and increased intracellular volume (C)</p> Signup and view all the answers

What is the primary mechanism by which the brain protects itself against cellular dehydration?

<p>Combination of ADH-dependent and ADH-independent mechanisms (A)</p> Signup and view all the answers

What happens to serum electrolytes (primarily Na+ and K+) in response to hypernatremia?

<p>They increase in the intracellular space (B)</p> Signup and view all the answers

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