「SHolroydAtWeilCornellMedQatar/Endocrinology/VasopressinADH/EffectOfDecrease」の版間の差分

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{{QuizTitle}}
{{QuizTitle}}
<GIFT>


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
With the increase of the synthesis, secretion, and blood concentration of ADH, the number of water channels in the kidney {~=increases~decreases} .  
With the decrease of the synthesis, secretion, and blood concentration of ADH, the number of water channels in the kidney {~=increases~decreases} .  


//LEVEL:2  
//LEVEL:2  
//RAND  
//RAND  
With the increase of the synthesis, secretion, and blood concentration of ADH, water reabsorption by the kidney {~=increases~decreases}.
With the decrease of the synthesis, secretion, and blood concentration of ADH, water reabsorption by the kidney {increases~=decreases}.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
With the increase of the synthesis, secretion, and blood concentration of ADH, urine volume {increases~=decreases}.  
With the decrease of the synthesis, secretion, and blood concentration of ADH, urine volume {~=increases~decreases}.  


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
With the increase of the synthesis, secretion, and blood concentration of ADH, urine osmolarity {~=increases~decreases}.
With the decrease of the synthesis, secretion, and blood concentration of ADH, urine osmolarity {increases~=decreases}.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
With the increase of the synthesis, secretion, and blood concentration of ADH, plasma osmolarity {increases~=decreases}.
With the decrease of the synthesis, secretion, and blood concentration of ADH, plasma osmolarity {~=increases~decreases}.


//LEVEL:3
//LEVEL:3
//RAND
//RAND
The effect of increasing in ADH is {the contraction in female genital smooth muscle ~=the decreasing in plasma osmolarity }.
The effect of decreasing in ADH is {the contraction in female genital smooth muscle ~=the increasing in plasma osmolarity }.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
The effect of increasing in ADH is to {increase~=decrease} the plasma osmolarity .
The effect of decreasing in ADH is to {~=increase~decrease} the plasma osmolarity .
</GIFT>
</GIFT>

2019年8月21日 (水) 18:01時点における版

POINT!

narrated video explanation

video prior to the decrease in ADH
Prior to ADH decreasing (at baseline), we will make the assumption that the subject is in homeostasis with normal plasma and urine osmolarities (isotonic) and volumes.

ADHControlToWaterIntake1Eng.jpg

video just after the increase in ADH
Step 1: Suppose that the synthesis, secretion, and blood concentration of ADH decreases.
The water channel-increasing effect of ADH decreases, thereby decreasing the number of water channels. This decreases the reabsorption of water by the kidney.

ADHControlToWaterIntake3Eng.jpg

video showing the changes in plasma and urine after the increase in ADH
The ratio of Na+ to water entering the plasma due to reabsorption increases. This increases plasma osmolarity (hypertonic). Because a higher ratio of Na+ to water leaves the tubule due to reabsorption, the fluid remaining in the tubule has a lower osmolarity (hypotonic). Also, with a decrease in water reabsorption, there is more water remaining in the tubule. Overall, the urine becomes less concentrated (hypotonic) and higher in volume.

Challenge Quiz

1.

With the decrease of the synthesis, secretion, and blood concentration of ADH, the number of water channels in the kidney increases decreases .

2.

With the decrease of the synthesis, secretion, and blood concentration of ADH, water reabsorption by the kidney increases decreases .

3.

With the decrease of the synthesis, secretion, and blood concentration of ADH, urine volume increases decreases .

4.

With the decrease of the synthesis, secretion, and blood concentration of ADH, urine osmolarity increases decreases .

5.

With the decrease of the synthesis, secretion, and blood concentration of ADH, plasma osmolarity increases decreases .

6.

The effect of decreasing in ADH is the contraction in female genital smooth muscle the increasing in plasma osmolarity .

7.

The effect of decreasing in ADH is to increase decrease the plasma osmolarity .