During sympathetic stimulation, which hormone contributes to vasoconstriction of the kidney's afferent arterioles?
Acetylcholine
Insulin
Cortisol
Epinephrine
The Correct Answer is D
A. Acetylcholine: This neurotransmitter is primarily associated with the parasympathetic nervous system and cholinergic transmission. In the vasculature, it often promotes vasodilation through nitric oxide release rather than vasoconstriction. It does not mediate the renal sympathetic stress response.
B. Insulin: This anabolic hormone regulates glucose uptake and lipid metabolism in peripheral tissues. While it has some minor hemodynamic effects, it is not a mediator of the acute sympathetic fight-or-flight response. It does not cause significant afferent arteriolar constriction.
C. Cortisol: As a glucocorticoid, cortisol assists in long-term stress adaptation and blood pressure maintenance by upregulating adrenergic receptors. However, it is not the primary catecholamine responsible for immediate, acute vasoconstriction during sympathetic activation. Its effects are primarily genomic and slower.
D. Epinephrine: Secreted by the adrenal medulla during sympathetic stimulation, this catecholamine binds to alpha-1 adrenergic receptors on vascular smooth muscle. This induces profound vasoconstriction of the afferent arterioles to divert blood toward vital organs. This reduces GFR during systemic stress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Elastin: This protein provides elasticity to tissues like the lungs and large arteries but is not a primary component of the glomerular basement membrane. The filtration barrier requires structural integrity and a negative charge rather than significant elastic recoil. It is not the dominant structural protein in this location.
B. Phospholipids: These molecules are the primary constituents of cellular plasma membranes and lipid bilayers. While present in the cells of the podocytes and endothelium, they do not form the extracellular matrix of the basement membrane. The basement membrane is an acellular meshwork of fibrous proteins.
C. Collagen fibers: Specifically, Type 4 collagen forms the structural backbone of the glomerular basement membrane. This collagenous meshwork, combined with heparan sulfate proteoglycans, creates the size-selective and charge-selective barrier necessary for renal filtration. It provides the mechanical strength required to withstand high hydrostatic pressures.
D. Myosin: This is a contractile protein found within muscle cells and the cytoskeleton of some specialized cells like mesangial cells. It is not an extracellular structural component of the basement membrane. The basement membrane functions as a passive physical filter rather than a contractile structure.
Correct Answer is C
Explanation
A. Because the filtration membrane is impermeable to water: The glomerular filtration membrane is highly permeable to water to allow for the production of 180 L of filtrate daily. Impermeability would prevent renal function entirely. Its high hydraulic conductivity is essential for the rapid movement of fluid and solutes.
B. Because osmolarity affects smooth muscle contraction: While ions affect excitability, the sensitivity of filtration to osmolarity is primarily a function of Starling forces. Direct smooth muscle effects do not explain the precise sensitivity of the filtration rate. The primary mechanism involves the balance of pressures in the capillaries.
C. Because of the low net filtration pressure across the filtration membrane: Net filtration pressure (NFP) is approximately 10 mmHg, representing the slim margin between hydrostatic and oncotic forces. Small changes in blood osmolarity alter the colloid osmotic pressure. Because the NFP is so low, these shifts significantly impact the total GFR.
D. Because osmolarity regulates aldosterone secretion: Aldosterone is primarily regulated by the renin-angiotensin system and serum potassium levels, not small fluctuations in blood osmolarity. Osmolarity primarily triggers ADH release. Furthermore, aldosterone affects tubular reabsorption, not the initial filtration rate at the glomerular tuft.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
