Nursing Pharmacology Chapter 24: Vasoactive Peptides
Practice Questions
Click on the correct answer.
Controls rate of renin released by sensing changes in the rate of sodium or chloride delivery to the distal tubule:
- juxtaglomerular cells
- macula densa
- renal vascular receptor
- sympathetic nervous system
By classification an aspartyl protease enzyme which catalyzes conversion of angiotensin I from angiotensinogen:
- peptidyl dipeptidase (converting enzyme)
- renin
- trypsin
- angiotensinase
- none of the above
Renin secretion: effects of renal denervation --
- increased renin secretion
- decreased renin secretion
Effect on renin secretion following decreased delivery of NaCl to macula densa:
- increased secretion
- decrease secretion
Effect of angiotensin II on renin secretion:
- inhibition
- stimulation
Drug least likely to provoke an increase in renin release:
- nitroprusside
- minoxidil
- phenylephrine
- isoproterenol
- prazosin
Angiotensin II action(s) on blood pressure:
- promotes contraction of arteriolar smooth muscle
- no central sites of action
- no effects on the autonomic nervous system
- promotes reflex bradycardia
- A & D
Physiological effects of angiotensin II:
- increases aldosterone biosynthesis
- increases glucocorticoid synthesis
- mitogenic for vascular and cardiac muscle cells
- A & B
- A, B & C
Transduction pathway for AT1 (angiotensin receptor type I):
- ion channel
- inositol triphosphate/diacylglycerol
- cyclic AMP
- prostaglandin
- thromboxane
High affinity for losartin:
- AT1 receptors
- AT2 receptors
- both
- neither
Blockade of renin secretion:
- norepinephrine
- hydralazine
- isoproterenol
- clonidine
- none of the above
Inhibit renin secretion:
- clonidine
- methyldopa
- propranolol
- A & C
- A, B & C
Associated with ACE inhibitor action:
- blockade of substance P degradation
- angioedema
- cough
- reduced renal vascular injury particularly in diabetic patients
- all the above
Converting enzyme inhibitor(s):
- remikiren
- captopril
- enalapril
- B & C
- A, B & C
Potent, competitive antagonist at angiotensin AT1 receptor sites:
- captopril
- enalapril
- losartin
- remikiren
- none of the above
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