Library/Health Professions and Related Programs/Guyton and Hall Textbook of Medical Physiology, 14th Edition/Renal Regulation of Potassium, Calcium, Phosphate, and Magnesium; Integration of Renal Mechanisms for Control of Blood Volume and Extracellular Fluid Volume

Renal Regulation of Potassium, Calcium, Phosphate, and Magnesium; Integration of Renal Mechanisms for Control of Blood Volume and Extracellular Fluid Volume

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Questions

Question 1

What is the normal concentration of potassium in the extracellular fluid, and what is the typical range of fluctuation around this value?

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Question 2

What percentage of the total body potassium is contained within the cells, as opposed to the extracellular fluid?

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Question 3

Which hormone is crucial for increasing the uptake of potassium into cells after a meal by stimulating the sodium-potassium ATPase pump?

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Question 4

What is the primary effect of metabolic acidosis on the distribution of potassium between intracellular and extracellular fluids?

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Question 5

What is the calculated normal rate of potassium filtration by the glomerular capillaries, given a GFR of 180 L/day and a plasma potassium concentration of 4.2 mEq/L?

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Question 6

In which specific parts of the renal nephron does most of the daily regulation of potassium excretion occur?

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Question 7

What is the primary function of the principal cells located in the late distal and cortical collecting tubules regarding potassium homeostasis?

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Question 8

Based on the data presented in Figure 30-4, which factor demonstrates a more significant impact on urinary potassium excretion when its concentration is increased from normal to five times normal?

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Question 9

What is one of the mechanisms by which increased extracellular fluid potassium concentration directly stimulates potassium secretion in the principal cells?

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Question 10

An increase in plasma potassium concentration of approximately 3 mEq/L can elevate the plasma aldosterone concentration from nearly zero to what level?

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Question 11

What is the primary mechanism by which acute acidosis decreases potassium secretion?

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Question 12

What percentage of the body's total calcium is found stored in the bones?

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Question 13

What is the normal concentration of ionized calcium in the extracellular fluid?

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Question 14

Which of the following is NOT one of the three main effects through which parathyroid hormone (PTH) regulates plasma calcium concentration?

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Question 15

Under normal conditions, what percentage of the calcium that is filtered at the glomerulus is reabsorbed by the renal tubules?

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Question 16

What is the principal pathway for the reabsorption of calcium in the proximal tubule?

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Question 17

Which of the following conditions would lead to a decrease in renal calcium excretion?

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Question 18

What is the approximate normal transport maximum for reabsorbing phosphate by the renal tubules?

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Question 19

What is the effect of increased plasma parathyroid hormone (PTH) on the renal handling of phosphate?

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Question 20

What is the primary site for the reabsorption of magnesium in the renal tubules, accounting for about 65 percent of the filtered load?

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Question 21

How does β-adrenergic stimulation affect the distribution of potassium in the body?

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Question 22

What percentage of filtered potassium is reabsorbed in the proximal tubule under normal conditions?

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Question 23

What is the primary function of type A intercalated cells in the late distal and collecting tubules in circumstances of severe potassium depletion?

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Question 24

What happens to potassium excretion when there is a high sodium intake, and why does it change little from normal?

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Question 25

What percentage of the total calcium in the plasma is bound to plasma proteins?

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Question 26

How does alkalosis affect the binding of calcium to plasma proteins and the susceptibility to hypocalcemic tetany?

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Question 27

What percentage of filtered calcium is reabsorbed in the proximal tubule?

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Question 28

What is the primary mechanism that controls phosphate excretion by the kidneys?

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Question 29

How does an increase in plasma phosphate concentration affect renal calcium excretion?

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Question 30

What is the normal total plasma magnesium concentration?

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Question 31

What is pressure natriuresis?

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Question 32

According to the renal-body fluid feedback mechanism for regulating arterial pressure, what is the direct consequence of an increased cardiac output?

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Question 33

What are the principal factors that can cause accumulation of fluid in the interstitial spaces (edema)?

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Question 34

How does the renin-angiotensin system respond to elevated sodium intake, and what is the effect on sodium excretion?

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Question 35

In patients with excessive aldosterone formation (Conn syndrome), why do the kidneys eventually 'escape' from sodium and water retention?

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Question 36

What is the major stimulus for the release of atrial natriuretic peptide (ANP) from cardiac atrial muscle fibers?

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Question 37

In congestive heart failure, blood volume can increase by what percentage?

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Question 38

What is the primary cause of renal sodium retention in nephrotic syndrome?

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Question 39

Which factor, when deficient, leads to clinically significant hyperkalemia due to accumulation in the extracellular space and renal retention?

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Question 40

What is the primary mechanism through which strenuous exercise can cause hyperkalemia?

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Question 41

What percentage of filtered potassium is reabsorbed in the loop of Henle?

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Question 42

What are the two types of special potassium channels in the luminal membrane of principal cells that allow for rapid potassium secretion?

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Question 43

What is the quantitative effect of a sevenfold increase in potassium intake on plasma potassium concentration when the aldosterone feedback system is blocked, according to the experiment shown in Figure 30-8?

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Question 44

Which dietary pattern is associated with a lower risk for hypertension and cardiovascular diseases?

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Question 45

What is the typical rate of dietary calcium intake, and how much is usually excreted in the feces?

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Question 46

In the thick ascending limb of the loop of Henle, what percentage of calcium reabsorption occurs through the paracellular route?

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Question 47

What is the primary role of type B intercalated cells in the late distal and collecting tubules when there is excess potassium in the body?

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Question 48

What is the primary physiological consequence of a severe decrease in GFR on potassium balance?

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Question 49

In a patient with primary aldosteronism (excess aldosterone), what is the typical effect on plasma sodium concentration?

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Question 50

What are the primary stimuli that increase salt appetite?

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