ADH FA Flashcards

1
Q

how is called ADH?

A

vasopresin

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2
Q

what neurophysin for ADH?

A

Neurophysin II.

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3
Q

what neurophysin for oxytocin?

A

neurophysin I

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4
Q

what nucleus for ADH?

A

supraoptic

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5
Q

what nucleus for oxytocin?

A

paraventricular

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6
Q

posterior pituitary origin?

A

neuroectoderm

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7
Q

where are supraoptic and paraventricular nuclei?

A

hypothalamus

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8
Q

ADH regulates what?2

A

serum osmolality (V2) and blood pressure (V1)

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9
Q

what is primary ADH function?

A

osmolality regulation

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10
Q

osmolality receptor?

A

V2

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11
Q

blood pressure receptor?

A

V1

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12
Q

ADH on serum and urine osmolality?

A

decr. serum osmol., incr. urine osmol

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13
Q

osmol. regulation is based on what?

A

aquapotin channel insertion in principal cells of collecting duct

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14
Q

what renal cells for ADH?

A

principal cells of collecting duct

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15
Q

ADH in central DI?

A

decreased (decr. production)

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16
Q

ADH in Nephr DI?

A

normal or increased (nera atsako inkstuose, bet production is in tact)

17
Q

ADH analog?

A

desmopressin

18
Q

use of desmopressin?

A

central DI or noctunal enuresis

19
Q

why may be nephr DI?

A

drugs (pvz litis); can be caused due to mutation in V2 receptors.

20
Q

ADH: osmolality vs hypovolemia?

A

osmolality more important

21
Q

Through which secondary messenger(s) does the ADH-bound V2 receptor propagate its signal?

A

cAMP

22
Q

cAMP what receptor?

A

ADH-bound V2 receptor

23
Q

How does ADH increase H2O permeability of the principal cells of the late distal tubule and collecting duct?

A

Increased aquaporin 2 (AQP2) channels via increased cAMP

24
Q

Through which secondary messenger(s) does the ADH-bound V1 receptor propagate its signal?

A

IP3/Ca2+

25
Q

IP3/Ca2+

A

ADH-bound V1 receptor

26
Q

What receptors sense a decrease in plasma volume, providing stimuli to increase ADH secretion?

A

Baroreceptor

27
Q

baroreceptor in hypovolemia and ADH?

A

receptors sense a decrease in plasma volume, providing stimuli to increase ADH secretion

28
Q

incr. serum osmolality is sensed where?

A

sensed by osmoreceptors in the anterior hypothalamus

29
Q

incr. osmolality - what receptors?

A

osmoreceptors

30
Q

decr. volume - what recetors?

A

baroreceptors

31
Q

hypovolemia -> baroreceptors -> further signal send where and via what?

A

information transmitted through the vagus nerve to the hypothalamus

32
Q

What effect does pain, nausea, hypoglycemia, and opiates have on ADH secretion?

A

increase ADH

33
Q

low volume AND low osmolarity, what ADH?

A

volume > osmol, and ADH is secreted

34
Q

high volume AND high osmolarity, what ADH?

A

volume > osmol, and ADH is NOT secreted

35
Q

What effect does alcohol, atrial natriuretic peptide, and α-adrenergic agonists have on ADH secretion?

A

inhibits ADH

36
Q

Nephrogenic diabetes insipidus is treated with thiazide diuretics. results in decreased Na+ reabsorption and water excretion & increased water reabsorption. Cia mazdaug gaunasi realityvi hipovolemia, todel skatinama vandens reabsorbcija

A

.