Angiotensin II helps regulate blood pressure by all of the following mechanisms EXCEPT:
Stimulating thirst
Causing systemic vasoconstriction
Promoting Na+ excretion
Increasing ADH production
The Correct Answer is C
A. Stimulating thirst: Angiotensin II acts on the subfornical organ in the brain to trigger the sensation of thirst. This behavioral response encourages fluid intake to expand the extracellular fluid volume. It is a critical component of the body's long-term blood pressure regulation.
B. Causing systemic vasoconstriction: This hormone is a potent vasoconstrictor that increases total peripheral resistance by acting on vascular smooth muscle. This immediate mechanical effect results in a rapid elevation of systemic arterial blood pressure. It is a hallmark of the renin-angiotensin-aldosterone system.
C. Promoting Na+ excretion: Angiotensin II actually promotes sodium retention rather than excretion. It stimulates the adrenal cortex to release aldosterone and directly increases sodium-hydrogen exchange in the proximal tubule. This conserves sodium to maintain osmotic pressure and blood volume.
D. Increasing ADH production: Angiotensin II enhances the release of antidiuretic hormone from the posterior pituitary gland. This synergy increases water reabsorption in the collecting ducts to support blood volume expansion. It works in concert with other mechanisms to counteract hypotension effectively.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hormones reduce the need for filtration during low activity: The metabolic need to clear wastes and maintain electrolyte balance is continuous. While hormones like ANP or Angiotensin II can modulate GFR, they do not eliminate the baseline requirement for stable filtration. Stability is maintained by local mechanisms.
B. The liver compensates for changes in renal pressure: The liver is not involved in the autoregulation of renal blood flow or glomerular pressure. Renal autoregulation is an intrarenal process that occurs independently of other organ systems. The kidney manages its own perfusion through local vascular responses.
C. Blood volume stays constant regardless of physical activity: Physical activity causes significant shifts in blood volume due to sweating and fluid redistribution to muscles. Despite these systemic changes, the kidney utilizes autoregulation to protect the glomerulus from fluctuations. Stable volume is a result, not the cause.
D. Intrinsic controls like myogenic and tubuloglomerular feedback adjust afferent arteriole tone: Autoregulation allows the kidney to maintain a constant GFR across a wide range of systemic blood pressures (80-180 mmHg). The myogenic response and feedback from the macula densa adjust afferent resistance to keep glomerular pressure steady.
Correct Answer is B
Explanation
A. Podocytes: These are highly specialized epithelial cells that wrap around the glomerular capillaries to form the filtration slits. They are involved in the initial production of ultrafiltrate within Bowman's capsule. They do not reside in the collecting ducts or respond to antidiuretic hormone.
B. Principal cells: These are the primary cell types in the collecting ducts and distal tubules that regulate water and sodium balance. Under the influence of antidiuretic hormone, they translocation aquaporin-2 vesicles to the apical membrane. This mechanism allows for regulated water reabsorption and urine concentration.
C. Glomerular cells: This generic term refers to the various cell types found within the renal corpuscle, such as endothelial or mesangial cells. These cells facilitate filtration at the beginning of the nephron. They are not the targets for hormonal water regulation in the distal collecting system.
D. Intercalated cells: These cells are primarily responsible for maintaining acid-base homeostasis through the secretion of hydrogen or bicarbonate ions. While they are located in the collecting ducts alongside principal cells, they lack the receptors for antidiuretic hormone. They do not participate in aquaporin-mediated water transport.
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