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Which enzyme is secreted by the juxtaglomerular cells of the kidney when circulating blood volume is reduced?


A) Angiotensin I
B) Angiotensin II
C) Aldosterone
D) Renin

E) B) and D)
F) B) and C)

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What is the action of natriuretic peptides?


A) They decrease blood pressure and increase sodium and water excretion.
B) They increase blood pressure and decrease sodium and water excretion.
C) They increase heart rate and decrease potassium excretion.
D) They decrease heart rate and increase potassium excretion.

E) A) and C)
F) A) and D)

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Loss of sodium and gain of water can cause hyponatremia.

A) True
B) False

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Chvostek sign and Trousseau sign indicate:


A) hypokalemia.
B) hyperkalemia.
C) hypocalcemia.
D) hypercalcemia.

E) A) and C)
F) C) and D)

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What causes the clinical manifestations of confusion, convulsions, cerebral hemorrhage, and coma in hypernatremia?


A) The high sodium in the blood vessels pulls water out of brain cells into the blood vessels, causing brain cells to shrink.
B) The high sodium in the brain cells pulls water out of blood vessels into the brain cells, causing them to swell.
C) The high sodium in the blood vessels pulls potassium out of brain cells, which slows the synapses within the brain.
D) The high sodium in the blood vessels draws chloride into the brain cells followed by water, causing brain cells to swell.

E) B) and C)
F) C) and D)

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The calcium and phosphate balance is influenced by which three substances?


A) Parathyroid hormone, vasopressin, and vitamin D
B) Parathyroid hormone, calcitonin, and vitamin D
C) Thyroid hormone, vasopressin, and vitamin A
D) Thyroid hormone, calcitonin, and vitamin A

E) B) and D)
F) A) and C)

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Which are causes of hypocalcemia?


A) Repeated blood administration or pancreatitis
B) Kidney stones and immobility
C) Decreased resorption of calcium and phosphate from bone
D) Hyperparathyroidism and bone metastasis

E) B) and D)
F) A) and D)

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Retention of sodium and water is a cause of edema because of an increase in which pressure?


A) Capillary hydrostatic pressure
B) Interstitial hydrostatic pressure
C) Capillary oncotic pressure
D) Interstitial oncotic pressure

E) None of the above
F) B) and D)

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Insulin and glucose can be given to correct hyperkalemia.

A) True
B) False

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Match each electrolyte imbalance with its clinical manifestations. -Confusion, irritability, depression, headache, seizures


A) Hyponatremia
B) Hypernatremia
C) Hypercalcemia
D) Hypokalemia
E) Hypomagnesemia

F) B) and C)
G) C) and D)

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