Substance Of Diuretics Quiz

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Questions and Answers
  • 1. 
    Which drug is the most commonly used loop diuretic
    • A. 

      Furosemide

    • B. 

      Torsemide

    • C. 

      Bumetadine

    • D. 

      Ethacrynic Acid

  • 2. 
    Which rug is potentially utilized by athletes to eliminate steroids from their body due the fact it is largely metabolized and fast acting?
    • A. 

      Furosemide

    • B. 

      Torsemide

    • C. 

      Bumetadine

    • D. 

      Erthracryic Acid

    • E. 

      Urea

    • F. 

      Mannitol

  • 3. 
    A 54 year old patient has a blood pressure of 185/110 and needs anti-hypertensive medication. The patient suffers from dermatitis and has a history of rashis following aminoglycoside treatment. Which of the following diuretics would be the best option for treating the high blood pressure?
    • A. 

      Bumetadine

    • B. 

      Furosemide

    • C. 

      Torsemide

    • D. 

      Ethracyric Acid

  • 4. 
    Which of the following would be most effective in preventing the hypokalemia caused by furosemide.
    • A. 

      A drug that blocks Na+ channels in the collecting ducts

    • B. 

      Increased aldosterone release

    • C. 

      Increased vasopressin reslease

    • D. 

      Administering flurosemide with metolazone

  • 5. 
    A 55 year old male with kidney stones has been placed on a diuretic. After af ew weeks he has a attack of gout. Which diuretic was he taking?
    • A. 

      Flurosemide

    • B. 

      Hydrocholorothiaizde

    • C. 

      Spironolactone

    • D. 

      Triameterne

  • 6. 
    Physiologically, which is the only area of the nephron where no salt reabsorption occurs
    • A. 

      PCT

    • B. 

      Thin Ascending Limb

    • C. 

      Thick Ascending Limb

    • D. 

      DCT

    • E. 

      Collecting Duct

  • 7. 
    Concerning renal physiology, which area is the Na / K / 2Cl transporter found
    • A. 

      PCT

    • B. 

      Thin Descending Limb

    • C. 

      Thick Ascending Limb

    • D. 

      DCT

    • E. 

      Collecting Ducts

  • 8. 
    Which drug would most likely to be used to treat a standard case of hypertension
    • A. 

      Hydrochlorothiazide

    • B. 

      Furosemdie

    • C. 

      Torsemide

    • D. 

      Bumetadine

  • 9. 
    A patient who has a poor kidney is also suffering from pulmonary edema. What drug do you give to treat them?
    • A. 

      Furosemide

    • B. 

      Torsemide

    • C. 

      Hydrochlorothiazide

    • D. 

      Metolazone

  • 10. 
    Which of the thiazides has the lowest oral bioavailability?
    • A. 

      Hydrochlorothiazide

    • B. 

      Chlorothiazide

    • C. 

      Chlorthalidone

    • D. 

      Metolazone

    • E. 

      Indapmide

  • 11. 
    Why do thiazides have the strongest efect in releiving blood pressure?
    • A. 

      Because of their secondary effect at the arterioles

    • B. 

      Because of their effect on decreasing calcium

    • C. 

      Because of the hypokalemia they sometimes induce

    • D. 

      Because of hyperglycemia

  • 12. 
    The pharmacological actions of what class of drugs are classified ONLY by a increase in sodium loss and a increase in water loss?
    • A. 

      Carbonic Anhydrase Inhibitors

    • B. 

      Osmotic Diuretics

    • C. 

      Loop Diuretics

    • D. 

      Thiazide Diuretics

    • E. 

      Na Channel Blockers

    • F. 

      Aldosteron Antagonists

  • 13. 
    The parmacological actions of what class of drugs are classified ONLY by a decrease in sodium, decrease in cl, decrease in water, decrease in calcium, decrease in magnesium, and decrease in K reabsorption?
    • A. 

      Osmotic Diuretics

    • B. 

      Loop Diuretics

    • C. 

      Carbonic Anhydrase inhibitors

    • D. 

      K Spairing Diuretics

  • 14. 
    For the best diuretic efficacy, you would utilize a drug which targets which area of the nephron?
    • A. 

      PCT

    • B. 

      Thin Descending Limb

    • C. 

      Thick Ascending Limb

    • D. 

      DCT

    • E. 

      Collecting Ducts

  • 15. 
    Aldosterone and ADH act at which area of the nephron?
    • A. 

      PCT

    • B. 

      Thin Descending Limb

    • C. 

      Thick Ascending Limb

    • D. 

      DCT

    • E. 

      Collecting Ducts

  • 16. 
    Which of the following statements concering Na+ reabsorption is incorrect?
    • A. 

      It can involve either active transport or passive diffusion mechanisms

    • B. 

      Passive transport is mediated by the same transport mechanism body wide

    • C. 

      Active transport is mediated by the Na / K transporter in the basolateral membrane

    • D. 

      Salt tastes good on your sandwhich

  • 17. 
    Which fo the following statements concerning diuretics is false?
    • A. 

      Aldosterone antagonists are synthetic steroids that can move from the blood to the lipid layer

    • B. 

      All diuretics work by either actively or passivly flowing from the tubular lumen to their respective site of action

    • C. 

      Loop diuretics have the highest efficacy in producing Na and water loss from the body

    • D. 

      Furosemide is the most commonly used loop diuretic

  • 18. 
    A patient who is suffering from renal failure comes into your office complaining that he cannot pee. Which of the following drugs should you prescribe him for maximal immediate efficacy
    • A. 

      Furosemide

    • B. 

      Torsemide

    • C. 

      Bumetadine

    • D. 

      Hydrochlorothiazide

    • E. 

      Chlorothiazide

  • 19. 
    Which of the following statements concering diuretics is TRUE?
    • A. 

      Thiazide diuretics are the most effective class in lowering blood pressure

    • B. 

      Co administration of thiazide diuretics and NSAIDs increase the overal efficacy of the drugs

    • C. 

      Chlorothiazide has the highest oral bioavailability of the thiazides

    • D. 

      Thiasides have a high efficacy and are very potent, they are thus indicated for short term treatment

    • E. 

      Thiazides cause smooth muscle relaxation, vasoconrstiction, and increased peripheral resistance

  • 20. 
    A patient comes into your office who has had chronic trouble urinating. He also suffers from mild hypertension. Which treatment would be the best long term solution for his problem?
    • A. 

      Indapamide

    • B. 

      Furosemide

    • C. 

      Torsemide

    • D. 

      Bumetadine

    • E. 

      Spironolactone

  • 21. 
    A Na / Ca exchanger is located on in what segment of the nephron on the apical side of the cell?
    • A. 

      PCT

    • B. 

      Thin Descending Limb

    • C. 

      Thick Ascending Limb

    • D. 

      DCT

    • E. 

      Collecting Ducts

  • 22. 
    When administered, which drug would lead to a increase in plasma calcium levels?
    • A. 

      Metolazone

    • B. 

      Ethracryinc Acid

    • C. 

      Bumetadine

    • D. 

      Torsemide

    • E. 

      Spironolactone

  • 23. 
    A common side effect of loop diuretics is hyponatremia. Which of the following compound would be given to best treat this?
    • A. 

      Amiloride

    • B. 

      Triametrene

    • C. 

      Tolvapatan

    • D. 

      Spironolactone

    • E. 

      Canreone

  • 24. 
    Which of the following statements concerning diuretics is FALSE?
    • A. 

      Canrenone is the active metabolite of spironolactone

    • B. 

      Eplerenome has a strong anti-androgen effect

    • C. 

      Potassium sparring drugs cause a decrease in Na channel expression, activity, and K channel expression

    • D. 

      Potassiu sparring drugs cause a decrease in Na reabsorption, increase in K reabsorption, and a decrease in water reabsorption

    • E. 

      Potassium sparring drugs are most commonly used in combination with a thiazide loop diuretic to prevent excess potassium loss

  • 25. 
    A patient walks into your office with a case of moderate hypertension. in order to most effectively treat him, what do you start him out on?
    • A. 

      Hydrochlorothiazide

    • B. 

      Hydrochlorothiazide + Eplerone

    • C. 

      Furosemide

    • D. 

      Furosemide + Spirolactone

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