Pharmacology Exam 3 Questions

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21. Variant angina is best treated with what types of medication? A. calcium channel blockers B. beta-blockers C. nitrates D. only calcium channel blockers and nitrates E. all of these

calcium channel blockers

47. Variant angina is best treated with what types of medication?

calcium channel blockers

63. The mechanism of drug action by which erectile dysfunction is treated

inhibition of phosphodiesterase 5

35. All of the following make cholesterol so important for the body EXCEPT

inhibits formation of nerve covering

12. Select the ion movement that is associated with depolarization of ventricular cardiac muscle.

Na ions move into the cell

15. Select the ion that enters the cardiac cell during phase 2 of the cardiac cycle.

Ca

30. Select the ion that enters the cardiac cell during phase 2 of the cardiac cycle. A. Cl B. Ca C. Na D. K E. Li

Ca

6. Which of the following is an indicator of glycemic control in type 2 DM patients? A. hourly blood glucose values B. HbA1c level C. RBC hematocrit D. blood insulin of 50 IU/dl E. miglitol secretion

HbA1c level

13. According to Vaughn-Williams, procainamide is classified as Class

IA

27. According to Vaughn-Williams, procainamide is classified as Class A. IA B. IB C. IC D. II E. IV

IA

34. All of the following are correct EXCEPT

LDL pulls cholesterol out of plaque and returns it to the liver

8. All of the following are correct EXCEPT A. LDL pulls cholesterol out of plaque and returns it to the liver B. VLDL transports triglycerides C. apolipoproteins B and E contain a cholesterol core to form LDL and HDL, respectively D. foam cells are cholesterol-rich macrophages E. cholesterol is essential for production of myelin sheaths and bile salts

LDL pulls cholesterol out of plaque and returns it to the liver

13. Select the long-acting insulin preparation. A. Apidra B. Novolog C. Lantus D. Symlin E. Afrezza

Lantus

26. Select the ion movement that is associated with depolarization of ventricular muscle. A. Na ions move out of the cell B. K ions move out of the cell C. Na ions move into the cell D. Ca ions move into the cell E. K ions move into the cell

Na ions move into the cell

21. The release of renin causes which of the following? A. activation of RNA mechanism B. vasodilation C. water excretion D. decreased blood pressure E. activation of angiotensin I

activation of angiotensin I

25. The release of renin causes which of the following?

activation of angiotensin I

28. The antiarrhythmic drug with the shortest duration of action that is administered IV in the emergency treatment of supraventricular tachycardia is A. lidocaine B. adenosine C. propranolol D. amiodarone E. verapamil

adenosine

1. The therapeutic actions of angiotensin-converting enzyme (ACE) inhibitors include A. arterial dilation B. elimination of sodium C. venous dilation D. increased bradykinin (a peptide cause blood vessel to dilate)

all of these

14. The pharmacologic effects of verapamil may include

all of these

15. The therapeutic actions of propranolol to prevent anginal attacks include A. decreased heart rate B. reduced force of myocardial contraction C. decreased oxygen consumption D. decreased cardiac work E. all of these

all of these

20. Propranolol works by doing which of the following? A. decreasing heart rate B. decreasing cardiac work C. decreasing force of contractions D. decreasing oxygen consumption E. all of these

all of these

21. The desired antihypertensive effects of adrenergic beta-blocking drugs include

all of these

29. The pharmacologic effects of verapamil may include A. decreased heart rate B. decreased force of myocardial contraction C. slowed AV conduction D. vasodilation E. all of these

all of these

3. The actions of digoxin (Lanoxin) include A. decreased heart rate (yes) B. inhibition of Na/K ATPase C. increased calcium inside heart muscle D. increase formation of actinomyosin E. all of these

all of these

41. The therapeutic actions of propranolol to prevent anginal attacks include

all of these

46. Propranolol works by doing which of the following?

all of these

5. The causes of heart failure include A. untreated hypertension B. weakening of contractile force C. myocardial infarction D. valvular defects E. all of these

all of these

53. Select the cells involved in the immune response.

all of these

56. Which of the following are uses for interferons?

all of these

6. Select the cells involved in the immune response.

all of these

7. The therapeutic actions of angiotensin-converting enzyme (ACE) inhibitors include

all of these

9. The actions of digoxin (Lanoxin) include

all of these

9. Which of the following are uses for interferons?

all of these

18. A decrease in the formation of angiotensin II and an increase in the concentration of bradykinin explains the vasodilator action of A. alpha-blockers B. beta-blockers C. angiotensin-converting enzyme inhibitors D. angiotensin receptor blockers E. renin inhibitors

angiotensin-converting enzyme inhibitors

23. A decrease in the formation of angiotensin II and an increase in the concentration of bradykinin explains the vasodilator action of

angiotensin-converting enzyme inhibitors

12. Vasodilators decrease afterload by affecting

arteries

5. Vasodilators decrease afterload by affecting A. veins B. arteries C. the SA node D. myocardial contraction E. venous return

arteries

33. The greatest reduction in circulating LDL is associated with which hypolipidemic drug?

atorvastatin (Lipitor)

7. The greatest reduction in circulating LDL is associated with which hypolipidemic drug? A. gemfibrozil (Lopid) B. nicotinic acid (Niacor) C. atorvastatin (Lipitor) D. colesevelam (Welchol) E. clopidogrel (Plavix)

atorvastatin (Lipitor)

11. Select the causes of type 1 diabetes.

autoantibody destruction of beta cells

14. Select the causes of type 1 diabetes. A. autoantibody destruction of beta cells B. malformed beta cells C. failure of target tissue to respond to insulin D. hyperinsulinemia E. increase in the secretion of incretins

autoantibody destruction of beta cells

14. The primary site of action of thiazide diuretics in the nephron is

the distal convoluted tubule

57. Water-soluble hormones work by

binding receptors on the cell membranes

2. The mechanism of action of triamterene (Dyrenium) is to A. block aldosterone receptors B. increase sodium excretion at loop of Henle C. block sodium channels (ENaC) at nephron collecting ducts D. increase the release of aldosterone E. decrease the release of ADH

block sodium channels (ENaC) at nephron collecting ducts

8. The mechanism of action of triamterene (Dyrenium) is to

block sodium channels (ENaC) at nephron collecting ducts

5. Which is NOT a mechanism of action of an oral antidiabetic drug?

direct stimulation of insulin receptors in skeletal muscle

7. Which of these is NOT true with regard to loop diuretics? A. can cause hyperuricemia B. can cause hyperglycemia C. can be used to reduce ascites due to malignancy D. can cause metabolic acidosis E. the diuresis is not refractory

can cause metabolic acidosis

11. Which medication reduces edema by blocking the reabsorption of sodium in the distal tubules?

chlorothiazide

4. Which medication reduces edema by blocking the reabsorption of sodium in the distal tubules? A. eplerenone B. torsemide C. triamterene D. chlorothiazide E. lasix

chlorothiazide

31. All of the following are correct about cholesterol or these hypolipidemic drugs EXCEPT

cholesterol is lowered by a diet rich in saturated fats

4. All of the following are correct about cholesterol or these hypolipidemic drugs EXCEPT A. cholesterol is lowered by a diet rich in saturated fats B. cholesterol is elevated in people with primary hypercholesterolemia C. nicotinic acid is used to treat hyper cholesterolemia D. fenofibrate primarily affects VLDL and triglycerides E. macrophages consume LDL to form cholesterol-rich foam cells

cholesterol is lowered by a diet rich in saturated fats

20. The antihypertensive drug that decreases sympathetic activity by an action on the vasomotor center in the medulla oblongata is A. hydralazine B. clonidine C. diltiazem D. losartan E. captopril

clonidine

24. Verapamil would be useful to treat hypertension in individuals who also suffer from A. coronary artery disease B. CHF C. supraventricular arrhythmias D. coronary artery disease and supraventricular arrhythmias E. all of these

coronary artery disease and supraventricular arrhythmias

28. Verapamil would be useful to treat hypertension in individuals who also suffer from

coronary artery disease and supraventricular arrhythmias

3. The immunosuppressive drug that forms a toxic metabolite and that can cause hemorrhagic cystis is

cyclophosphamide and azathioprine

50. The immunosuppressive drug that forms a toxic metabolite and that can cause hemorrhagic cystis is

cyclophosphamide and azathioprine

2. The immunosuppressive drug that inhibits the production of interleukin-2 is

cyclosporine

49. The immunosuppressive drug that inhibits the production of interleukin-2 is

cyclosporine

55. Select the drug that is non cytotoxic.

cyclosporine

8. Select the drug that is non cytotoxic.

cyclosporine

11. The mechanism by which tacrolimus inhibits interleukin-2 (IL-2) production in activated T cells most closely resembles the pharmacodynamic action of

cyclosporine.

17. Select the actions of beta-blockers.

decrease heart rate and decrease automaticity of ventricular muscle

61. Which of the following is not true of mineralocorticoids like fludrocortisone?

decrease inflammation

32. Select the actions of beta-blockers. A. decrease heart rate B. increase AV conduction C. decrease automaticity of ventricular muscle D. decrease heart rate and decrease automaticity of ventricular muscle E. all of these

decreased heart rate and decrease automaticity of ventricular muscle

23. Clonidine works to reduce blood pressure by which of the following actions? A. decreasing sympathetic nerve activity B. stimulating inhibitory alpha-2 receptors C. decreasing release of renin D. decreasing sympathetic nerve activity and decreasing release of renin E. all of these

decreasing sympathetic nerve activity and stimulating inhibitory alpha-2 receptors

25. Select the medication administered IV that is primarily indicated for the treatment of malignant hypertension. A. guanabenz B. diazoxide C. carvedilol D. terazosin E. chlorothiazide

diazoxide

7. Which is NOT a mechanism of action of an oral antidiabetic drug? A. increased insulin sensitivity in target tissues B. inhibit or delay the breakdown of carbohydrates in the intestine C. direct action on the beta cell membrane-bound receptors D. direct stimulation of insulin receptors in skeletal muscle E. inhibit renal glucose transport proteins

direct stimulation of insulin receptors in skeletal muscle

15. When a diuretic is refractory, it does which of the following? A. produces a decreased response to a decreased amount of drug B. produces an increased response to an increased amount of drug C. doesn't produce a greater response to an increased amount of drug D. doesn't produce any response to a decrease in the amount of drug E. inhibits the secretion of antidiuretic hormone

doesn't produce a greater response to an increased amount of drug

6. All of the following are correct about the statin drugs EXCEPT A. all drugs in this class have the same mechanism of action B. dosing is recommended for the evening because the patient won't experience adverse effects while sleeping C. these are systemic drugs meaning they have to be absorbed into the blood D. they are used as adjunct treatment to diet adjustment E. they may cause mental confusion and memory loss

dosing is recommended for the evening because the patient won't experience adverse effects while sleeping

10. Which of the following are not risk factors for atherosclerosis? A. male over the age of 45 B. smoker C. hypothyroidism D. low HDL levels E. elevated HDL levels

elevated HDL levels

36. Which of the following are not risk factors for atherosclerosis?

elevated HDL levels

7. Which of the following is correct about polyuria in types 1 and 2 DM?

excess glucose spills into the urine and osmotically attracts water into the renal tubule

9. Which of the following is correct about polyuria in types 1 and 2 DM? A. excess glucose spills into the urine and osmotically attracts water into the renal tubule B. antidiuretic hormone is no longer secreted in DM C. GLUT2 receptors move glucose from the blood into the renal tubule D. sulfonylurea drugs interact with their receptors in the kidney to increase urine flow E. glucose transport proteins in the renal tubules are blocked

excess glucose spills into the urine and osmotically attracts water into the renal tubule

9. All of the following make cholesterol so important for the body EXCEPT A. building block for glucocorticoids B. essential for building cell membranes C. needed to help form myelin sheath D. helps in digestion of dietary fats E. inhibits formation of nerve covering

inhibits formation of nerve covering

10. The most effective drug to relieve edema and congestion in acute heart failure would be

furosemide (Lasix)

3. The most effective drug to relieve edema and congestion in acute heart failure would be A. hydralazine (Apresoline) B. furosemide (Lasix) C. metoprolol (Lopressor) D. hydrochlorothiazide (HyroDIURIL) E. digoxin (Lanoxin)

furosemide (Lasix)

3. Which of the following oral agents is categorized as a secretagogue?

glipizide

4. Which of the following oral agents is categorized as a secretagogue? A. metformin B. glipizide C. sitagliptin D. miglitol E. dapagliflozin

glipizide

4. Which of the following hormones would be elevated during a fast?

glucagon

5. Which of the following hormones would be elevated during a fast? A. insulin B. glucagon C. humulin D. GnRH

glucagon

10. Loop diuretics increase the excretion of all of the following EXCEPT A. sodium B. uric acid C. water D. potassium E. glucose

glucose

15. Loop diuretics increase the excretion of all of the following EXCEPT

glucose

10. Which of the following when used together have complementary actions that increase insulin secretion? A. regular human insulin and insulin glargine B. DPP-4 inhibitor sitagliptin and metformin C. amylin and glucagon D. glyburide and incretin mimetics E. SGLT2 inhibitor canagliflozin and metformin

glyburide and incretin mimetics

8. Which of the following when used together have complementary actions that increase insulin secretion?

glyburide and incretin mimetics

48. The immune cell that when activated stimulates the activity of killer T-cells and B-cells is

helper T-cell

1. The immune cell that when activated stimulates the activity of killer T-cells and B-cells is

helper t-cell

10. Which of the following is correct?

hypoglycemia is the most common adverse effect of many antidiabetic drugs

12. Which of the following is correct? A. lipodystropy is exacerbated by alpha glucosidase inhibitors miglitol and acarbose B. insulin is the preferred treatment in type 2 DM because there are no drug interactions C. oral antidiabetic drugs include pramlintide D. hypoglycemia is the most common adverse effect of many antidiabetic drugs E. metformin is the drug of choice in patients with metabolic acidosis

hypoglycemia is the most common adverse effect of many antidiabetic drugs

12. HMG-CoA reductase inhibitors (statins) work by doing which of the following? A. blocking the intestinal absorption of cholesterol B. inhibiting triglyceride lipase C. inhibiting the production of mevalonic acid D. decreasing hepatic VLDL-triglyceride synthesis E. blocking the reabsorption of cholesterol in the kidney

inhibiting the production of mevalonic acid

62. Which of these effects is not associated with long-term steroidal hormone therapy?

increased muscle strength

4. The monoclonal antibody that inhibits tumor necrosis factor-alpha in the treatment of Crohn's disease is

infliximab

51. The monoclonal antibody that inhibits tumor necrosis factor-alpha in the treatment of Crohn's disease is

infliximab

12. A 15-year-old female has severe inflammatory bowel disease. She has been treated with mesalamine. Recently, frequent flares of her disease have increased the need for oral prednisone and antibiotics. Her gastroenterologist considers treatment with an anti-tumor necrosis factor alpha (anti-TNF-) antibody. Refer to the case above. This drug is most likely to be

infliximab.

38. HMG-CoA reductase inhibitors (statins) work by doing which of the following?

inhibiting the production of mevalonic acid

10. A 52-year-old male heart transplant recipient is on an immunosuppressant regimen with cyclosporine, prednisolone, and azathioprine. Cyclosporine binds to cyclophilin. The resulting complex

inhibits the phosphatase activity of calcineurin, a cell-signaling protein that mediates T-cell activation.

11. Beta cells secrete the following substances: A. insulin and amylin B. glucagon C. incretins D. acetate E. GLP1 and GIP

insulin and amylin

9. Beta cells secrete the following substances:

insulin and amylin

1. Which of the following insulins would provide a patient diagnosed with type 1 diabetes mellitus a constant release of insulin over a 24-hour period?

insulin glargine

2. Which of the following insulins would provide a patient diagnosed with type 1 diabetes mellitus a constant release of insulin over a 24-hour period? A. regular insulin B. insulin aspart C. insulin glargine D. insulin lispro E. aerosolized insulin powder

insulin glargine

6. Which of the following is correct about type 2 DM?

insulin is secreted by the beta cells and insulin resistance is present

8. Which of the following is correct about type 2 DM? A. insulin is secreted by the beta cells and insulin resistance is present B. insulin cannot be used in type 2 DM C. patients are only prone to persistent infections in type 1 DM D. oral antidiabetic drugs cannot be combined to achieve glycemic control E. oral antidiabetic drugs are ineffective

insulin is secreted by the beta cells and insulin resistance is present

1. Which of the following is correct: 75 to 80 percent of total cholesterol in the body A. is synthesized in the liver B. enters the body as dietary cholesterol C. is transported as chylomicrons in the blood D. is transported as HDL E. causes hyperlipidemia

is synthesized in the liver

29. Which of the following is correct: 75 to 80 percent of total cholesterol in the body

is synthesized in the liver

18. The drug that is best described as a venodilator that decreases preload (venous return) in the treatment of angina is A. propranolol B. verapamil C. nifedipine D. isosorbide dinitrate E. amlodipine

isosorbide dinitrate

44. The drug that is best described as a venodilator that decreases preload (venous return) in the treatment of angina is

isosorbide dinitrate

9. Which drugs are NOT routinely used in the clinical management of hypertension? A. thiazide diuretics B. chlorthalidone C. isosorbide mononitrate D. triamterene E. metolazone

isosorbide mononitrate

2. All of the following are correct about "bad" cholesterol EXCEPT A. it is a high-density lipoprotein B. high levels of LDL contribute to atherosclerosis C. it is a lipoprotein D. it contains more fat and less protein than "good cholesterol" E. the liver produces more LDL to transport cholesterol as the cholesterol level rises

it is a high-density lipoprotein

30. All of the following are correct about "bad" cholesterol EXCEPT

it is a high-density lipoprotein

64. Choose the correct action of antidiuretic hormone on the body.

it regulates water balance

1. Which of the following parameters would help to differentiate between type 1 and type 2 diabetes? A. blood glucose level B. hemoglobin A1c level C. ketoacidosis D. cholesterol level E. glucagon levels

ketoacidosis

5. Which of the following mechanisms of action is correct? A. ezetimibe (Zetia) acts in the intestinal lumen to bind and trap cholesterol B. fibric acid derivatives act at the brush border of the intestine wall C. nicotinamide stimulates lipoprotein lipase to lower triglycerides D. lovastatin (Mevacor) inhibits an enzyme in the cholesterol synthetic pathway E. niacin interrupts the cholesterol synthetic pathway

lovastatin (Mevacor) inhibits an enzyme in the cholesterol synthetic pathway

32. Which of the following mechanisms of action is correct?

lovastatin inhibits an enzyme in the cholesterol synthetic pathway

16. A class IB antiarrhythmic drug, like lidocaine, does which of the following?

mildly decrease in Phase 0 depolarization

31. A class IB antiarrhythmic drug, like lidocaine, does which of the following? A. mildly decrease in Phase 0 depolarization B. prolongation of ventricular repolarization C. decrease in AV conduction D. increase in PR interval E. decrease Phase 4 automaticity

mildly decrease in phase 0 depolarization

59. A patient taking prednisone long term (chronically) might develop which of the following adverse effects?

moon face or buffalo hump

17. In the treatment of variant angina, the drug that is an arterial dilator without direct effects on the heart is A. nitroglycerin B. metoprolol C. nifedipine D. verapamil E. diltiazem

nifedipine

43. In the treatment of variant angina, the drug that is an arterial dilator without direct effects on the heart is

nifedipine

16. The desired antihypertensive effects of adrenergic beta-blocking drugs include A. decrease in heart rate B. decrease in release of renin C. decrease in cardiac output D. only decrease in heart rate and decrease in cardiac output E. all of these

only decrease in heart rate and decrease in cardiac output

16. The pharmacologic actions of verapamil include A. decreased AV conduction B. increased myocardial contraction C. decreased heart rate D. only decreased AV conduction and decreased heart rate E. all of these

only decreased AV conduction and decreased heart rate

42. The pharmacologic actions of verapamil include

only decreased AV conduction and decreased heart rate

22. Thiazide diuretics help treat hypertension by A. decreasing peripheral resistance B. increasing cardiac output C. increasing excretion of sodium D. only decreasing peripheral resistance and increasing excretion of sodium E. all of these

only decreasing peripheral resistance and increasing excretion of sodium

26. Thiazide diuretics help treat hypertension by

only decreasing peripheral resistance and increasing excretion of sodium

3. Chronically elevated blood lipid levels may cause A. pancreatitis when cholesterol is 80 to 100 mg/dL B. plaque when HMG-CoA reductase is 80 to 100 mg/dL C. plaque when LDL cholesterol exceeds 160 mg/dL D. arthritis and edema E. hematomas

plaque when LDL cholesterol exceeds 160 mg/dL

52. Which of the following are roles of macrophages?

process and present foreign antigens

12. All potassium-sparing diuretics A. produce a mild diuresis without acid/base disturbance B. inhibit aldosterone receptors C. produce hypokalemia D. produce similar adverse effects to thiazide diuretics E. increase the excretion of potassium ions

produce a mild diuresis without acid/base disturbance

17. All potassium-sparing diuretics

produce a mild diuresis without acid/base disturbance

19. Select the areas of the kidneys where water is reabsorbed.

proximal convoluted tubule and collecting ducts

54. Corticosteroids work by doing which of the following?

reduce the number of T- and B-cells and inhibit synthesis of inflammatory mediators

7. Corticosteroids work by doing which of the following?

reduce the number of T- and B-cells and inhibit synthesis of inflammatory mediators

13. The main therapeutic effects of the statins include A. reducing LDL and CRP levels B. reducing HDL levels C. reducing hepatic CYP3A4 levels D. reducing acetyl CoA levels E. reducing triglyceride secretion at the intestine's brush border

reducing LDL and CRP levels

39. The main therapeutic effects of the statins include

reducing LDL and CRP levels

17. The antihypertensive action of hydrochlorothiazide (thiazide class) includes A. reduction of blood volume B. blockade of alpha adrenergic receptors C. relaxation of vascular smooth muscle D. only reduction of blood volume and relaxation of vascular smooth muscle E. all of these

reduction in blood volume

22. The antihypertensive action of hydrochlorothiazide (thiazide class) includes

reduction of blood volume

19. The main mechanisms of action of nitrates include A. increasing the venous return to the heart B. reducing atherosclerosis in the arteries C. increasing cardiac work D. relaxation of systemic veins and arteries E. increasing oxygen consumption

relaxation of systemic veins and arteries

45. The main mechanisms of action of nitrates include

relaxation of systemic veins and arteries

5. Which of the following are roles of macrophages?

release interleukins and recognize foreign antigens

60. Which of the following is not a function of secreted glucocorticoids?

retention of sodium

2. Which of the following oral antidiabetic agents increases the incretin's duration of action?

sitagliptin

3. Which of the following oral antidiabetic agents increases the incretin's duration of action? A. sitagliptin B. acarbose C. nateglinide D. tolbutamide E. exenatide

sitagliptin

13. The main effects of beta blockers include

slowing the heart rate

6. The main effects of beta blockers include A. slowing the heart rate B. increasing the release of renin C. increasing ADH D. increasing aldosterone E. increasing sodium retention

slowing the heart rate

27. Clonidine works to reduce blood pressure by which of the following actions?

stimulating inhibitory alpha-2 receptors

8. The primary site of action of thiazide diuretics in the nephron is A. the proximal tubule B. the loop of Henle C. the distal tubule D. the capsule area of glomerular filtration E. the osmotic urea channel

the distal tubule

58. Which of the following is correct about mineralocorticoids?

their principal action is to reduce blood pressure

11. Which of these medications is NOT used to treat hyperlipidemia? A. statins B. thiazides C. nicotinic acid D. fibric acid derivatives E. gemfibrozil (Lopid) and fenofibrate (Tricor)

thiazides

37. Which of these medications is NOT used to treat hyperlipidemia?

thiazides

14. The nitroglycerin dosage form providing the longest duration of action is A. sublingual nitroglycerin tablets B. nitroglycerin ointment C. transdermal nitroglycerin D. IV nitroglycerin (bolus injection) E. sublingual spray

transdermal nitroglycerin

40. The nitroglycerin dosage form providing the longest duration of action is

transdermal nitroglycerin

13. Tubular reabsorption involves which of the following? A. movement of small molecules into the glomerulus B. nephron production of calcium carbonate C. transport of ions into the blood D. movement of sodium ions into circulation E. increased glucose concentration in the urine

transport of ions into the blood

18. Tubular reabsorption involves which of the following?

transport of ions into the blood

11. All of the following are true EXCEPT A. anuria is a state where no urine is formed B. the major tubular secretory function of the nephron involves hydrogen and potassium ions C. uremia is an accumulation of nitrogen waste products D. tubular reabsorption of water is diuresis E. diuretics are a significant drug therapy for hypertension

tubular reabsorption of water is diuresis

16. All of the following are true EXCEPT

tubular reabsorption of water is diuresis

14. Kidneys maintain acid balance in the body by which of the following actions? A. tubular secretion of hydrogen ions B. increasing the pH of the urine C. neutralizing cell waste products D. decreasing the production of bicarbonate ions E. excreting excess silenium ions

tubular secretion of hydrogen ions

20. Kidneys maintain acid balance in the body by which of the following actions?

tubular secretion of hydrogen ions

19. The drug that is classified as an arterial vasodilator and that also has a direct effect to decrease heart rate and cardiac contractility is A. verapamil B. propranolol C. prazosin D. captopril E. nifedipine

verapamil

24. The drug that is classified as an arterial vasodilator and that also has a direct effect to decrease heart rate and cardiac contractility is

verapamil


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