How do the kidneys regulate blood volume and blood? |
By regulating water output |
Which of the following describes the location of the kidneys? |
Retroperitoneal at the level of T12 to L3 |
What is the order of urine-collecting structures found within the kidney? |
Minor calyx, major calyx, renal pelvis, ureter |
Which blood vessel carries blood into a glomerulus? |
Afferent arteriole |
When there is a drop in blood pressure, the juxtaglomerular cells respond by secreting which of the following? |
Renin |
In the kidney, tubular reabsorption refers to the movement of fluid and solutes where? |
From the tubular fluid into the blood |
What is tubular secretion? |
The movement of water and solutes from the blood into the tubular fluid |
The primary function of the nephron loop is to generate a medullary ECF osmotic gradient that allows for what? |
The concentration of urine |
Filtration is a ________________ process that depends on a ___________________ gradient. |
passive; pressure |
When systemic blood pressure decreases, the result is that the ___________ arterioles change diameter by undergoing ______________. |
afferent; vasodilation |
If both the glomerular and capsular hydrostatic pressures remain unchanged, an increase in the blood colloid osmotic pressure results in a(n) _____________ in the net filtration pressure. |
decrease |
Which of the following forces oppose glomerular filtration? |
capsular hydrostatic pressure (HPc) and blood colloid osmotic pressure (OPg) |
Glomerulosclerosis results in a ____________________ of the basement membrane |
thickening |
Proteinuria occurs when the filtration membrane becomes leaky, allowing proteins to cross. This impacts the blood colloid osmotic pressure by ____________________ the osmolarity gradient between the blood and filtrate, thereby ________________ the strength of this pressure. |
decreasing; reducing |
An increase in the NFP would result in a(n) _______________ in the GFR. |
increase |
Renin is released in response to ________________________ stimulation. |
sympathetic |
Angiotensin II triggers the __________________________ of the intraglomerular mesangial cells which results in a(an) _______________________________ of the filtration surface area. |
contraction; decrease |
ACE inhibitors are prescribed to control blood pressure. These drugs work by reducing _____________________. |
the conversion of angiotensin I to angiontensin II |
Tubular reabsorption and tubular secretion differ in that __________________________. |
tubular secretion adds materials to the tubular filtrate while tubular reabsorption removes materials from the tubular filtrate |
Which of the following substances utilizes paracellular transport in order to cross the basolateral membrane of the tubule cell during the process of reabsorption? |
potassium |
The majority of sodium reabsorption occurs at the proximal convoluted tubule. During this process sodium enters the tubule cells at the ___________________ and exits the tubule cells at the ____________________. |
luminal membrane by facilitated diffusion; basolateral membrane through the sodium potassium pump |
Glucose that is reabsorbed into tubular cells travels __________ its concentration gradient through sodium-glucose symport channels at the luminal membrane. Glucose in tubular cells exits the basolateral membrane into interstitial fluid through the process of ______________________. |
against; facilitated diffusion |
Under normal conditions the majority of uric acid reabsorption occurs at the _______________________. |
proximal convoluted tubule |
Treatment with Probenecid® results in _________________ levels of uric acid in the urine and __________________ levels of uric acid in the blood. |
increased; decreased |
The interstitial fluid within the medulla has a __________________ osmolarity than the interstitial fluid within the cortex. |
higher |
Individuals with Bartter syndrome have a defective gene coding for Na+/K+/2Cl- symport (NKCC2) that disables it from functioning. These individuals are expected to have ___________ than normal blood potassium levels. This response is the ___________ what is expected from individuals taking prescribed loop diuretics. |
lower; same as |
The nephron loop is responsible for approximately 25% of the reabsorption of sodium. Loop diuretics cause an overall __________________ in the reabsorption of sodium in this region resulting in a(n) ________________________ in the osmolarity of the tubular filtrate. |
decrease; increase |
Decreased Na+ and water reaborption due to the use of loop diuretics and thiazides __________ the concentration gradient of the interstitial fluid, thereby _____________ the osmotic force at the collecting tubule and duct. |
lowers; reducing |
Aldosterone enhances the reabsorption of sodium through the upregulation of the sodium-potassium pump found at the ________________. |
basolateral membrane |
In addition to enhancing the reabsorption of sodium, aldosterone also enhances the __________________ of potassium. |
secretion |
Antidiuretic hormone enhances water ______________ by _______________ the number of aquaporins at the tubular cell membrane. |
reabsorption; increasing |
Pendrin is found in __________ intercalated cells where it allows for the ________________ of bicarbonate |
type B; secretion |
The expected response to metabolic alkalosis is the ___________________ of Pendrin. Type _____________ also assist in buffering the alkaline blood through its transport of H+. |
upregulation; B |
Inactivating the sodium-glucose symport SGLT2 inhibits the reabsorption of glucose by ____________________________. |
preventing glucose from entering the tubular cells |
Inhibiting the sodium-glucose symport SGLT2 is expected to cause a(n) __________________________ in the osmolarity of the tubular filtrate, and would thus _____________________ the risk of dehydration. |
increase; increase |
Match each nitrogenous waste with the substance from whose catabolism it results. 1. Urea A. Proteins |
Urea – Proteins Uric Acid – Nucleic Acids Creatinine – Creatine Phosphate |
The process of separating wastes from the body fluids and eliminating them is called __________. |
excretion |
If a patient presents with a Streptococcus viridans infection, his doctor may prescribe oral penicillin taken four times daily. Why does he have to take the penicillin so often? |
The renal tubules extract penicillin from the blood and secrete it into the urine. |
Aldosterone Effect on water excretion. |
Stimulates sodium ion retention |
Natriuretic Peptides Effect on water excretion. |
Inhibits NaCl reabsorption by the collecting duct |
Antidiuretic hormone Effect on water excretion. |
Causes water to reenter the bloodstream via the collecting duct |
Parathyroid hormone Effect on water excretion. |
Decreases hydrostatic pressure in the peritubular capillaries |
This urinary system organ removes waste products from the body and helps regulate blood pressure: a. liver |
c. kidney |
This is the basic histological and functional unit of the kidney: a. glomerulus |
c. nephron |
The major calyces of the kidney converge to form this enlarged channel: a. renal fascia |
b. renal pelvis |
The juxtaglomerular cells of the _____________ and the macula densa cells of the _____________ form the juxtaglomerular apparatus. a. afferent arteriole, distal tubule |
a. afferent arteriole, distal tubule |
Arrange the parts in order as fluid flows from the filtration membrane through the nephron. Given these parts of a nephron: 1. renal corpuscle
a. 1,5,3,4,2 |
a. 1,5,3,4,2 |
This process of urine production is the active transport of solutes across the walls of the nephron into the filtrate: a. filtration |
c. tubular secretion |
These substances normally cannot pass through the filtration membrane: a. hemoglobin |
a. hemoglobin |
By the time the filtrate reaches this, the glucose is usually completely reabsorbed: a. the end of the proximal tubule |
a. the end of the proximal tubule |
A decrease in systemic blood pressure results in dilation of the afferent arterioles which prevents a decrease in renal blood flow and filtration pressure. True/False |
True |
Drinking a large amount of beer results in this: a. increased aldosterone secretion |
e. both c and d |
AnswerThis hormone secreted by the kidney triggers a cascade that regulates blood Na+ and blood pressure: a. erythropoietin |
c. renin |
This effect is caused by increased aldosterone levels: a. increased reabsorption of Na+ |
a. increased reabsorption of Na+ |
Diuretics affect the urine in this manner: a. decrease the urine flow |
b. increase the urine flow |
This statement best describes principal cells in the distal tubules and collecting duct: a. secrete renin |
b. respond to ADH and aldosterone |
Putting a patient with hypertension on a low-sodium diet would have this effect: a. reduces the osmolality of blood |
e. all of these |
This small tube leads from the floor of the urinary bladder to the exterior of the body: a. renal pelvis |
c. urethra |
This is the principal function of the ureter: a. transport blood to the efferent arterioles |
b. transport urine from the renal pelvis into the urinary bladder |
The urinary bladder can contain 1 L of urine, but discomfort becomes noticeable when the volume exceeds 500mL. True/False |
True |
The urinary bladder is lined with this tissue: a. simple cuboidal epithelium |
d. transitional epithelium |
This triangular area of the urinary bladder is between the two ureters posteriorly and the urethra anteriorly: a. external urinary sphincter |
e. trigone |
Blood vessels, lymphatic vessels and nerves enter and exit the kidney through this: a. renal hilus |
a. renal hilus |
The cortex of the kidney contains this: a. hilus |
b. glomeruli |
Water leaves the nephron by this mechanism: a. active transport |
c. osmosis |
This condition reduces filtration pressure in the glomerulus: a. elevated blood pressure |
b. constriction of the afferent arterioles |
Arrange the vessels in the order in which a drop of blood from the interlobular artery passes through them. Given these vessels: 1. arcuate vein a. 1,2,4,5,3 |
b. 2,3,5,4,1 |
Prednisone is a steroid that reduces inflammation and is used to treat autoimmune diseases. It has some aldosterone-like effects on the kidney and has this effect on the body: a. increases Na+ absorption |
e. all of these |
Parathyroid hormone increases phosphate excretion by the proximal convoluted tubule as well as promotes synthesis of calcitriol. True/ False |
True |
The ureters pass anterior to the bladder and enter it from below. True/ False |
False |
Glomerular capillaries suffer little damage from hypertension because of the protective influence of the afferent arterioles. True/ False |
False |
Which is not a function of the kidneys? a. They regulate osmolarity of the body fluids. |
d. They release waste into the bloodstream. |
Angiotensin-converting enzyme is found only in the kidneys and converts angiotensinogen to angiotensin I. True/ False |
False |
The countercurrent multiplier mechanism for water conservation was discovered by limiting studies to humans and thus hypothesizing how form determines function. True/ False |
False |
Albuminuria is a common sign of diabetes mellitus. True/ False |
False |
Human urine can have as much as __________ times the osmolarity of the blood plasma, which is why it is called hypertonic. a. 1.5 |
4.0 |
The most toxic of our metabolic wastes are nitrogenous wastes. True/ False |
True |
Cells in the cleft between the afferent and efferent arterioles and among capillaries of the glomerulus are known as mesangial cells. True/ False |
True |
Diseases that affect the descending corticospinal tracts may limit inhibition of the sacral somatic motor neurons and thus could result in urinary incontinence True/ False |
True |
Ethyl (drinking) alcohol stimulates the secretion of ADH, thereby reducing reabsorption by the collecting duct. True/ False |
False |
The thick segment of the nephron loop is impermeable to water. True/ False |
True |
Glomerular filtration occurs because glomerular oncotic pressure overrides glomerular blood pressure. True/ False |
False |
The fenestrated endothelium of the capillary has pores small enough to exclude blood cells from the filtrate. True/ False |
True |
In life-threatening starvation, the kidneys synthesize glucose by a. secreting erythropoietin. |
c. deaminating amino acids |
This byproduct of protein catabolism constitutes approximately one-half of all nitrogenous waste. a. urea |
a. urea |
Which organ system does not excrete waste? a. the urinary system |
b. the cardiovascular system |
Which of the following is not an organ of the urinary system? a. urethra |
e. collecting duct |
A patient enters a hospital after a motorcycle accident. He complains of mid-back pain. X-rays reveal both rib and pelvic fractures. His emergency room examination includes urinalysis. Which of the following findings from the urinalysis would most likely suggest trauma to the kidneys from the accident, but not to the urinary bladder? a. pyuria |
c. albuminuria |
The innermost connective tissue layer protecting the kidney and assisting in staving off infection is known as a. the renal fascia. |
c. the fibrous capsule. |
A single lobe of a kidney is comprised of a. two calyces and a renal pelvis. |
b. one pyramid and the overlying cortex. |
A renal pyramid voids urine into: a. the minor calyx. |
a. the minor calyx. |
Which of these correctly traces blood flow from the renal artery into the renal cortex? a. arcuate a. → interlobar a. → afferent arteriole → interlobular a. |
c. segmental a. → interlobar a. → arcuate a. → interlobular a. |
The transition from an afferent arteriole to an efferent arteriole occurs in the a. glomerulus. |
a. glomerulus. |
The average person has approximately _______ nephrons per kidney. a. 1.2 million |
a. 1.2 million |
Which of these correctly traces blood flow from the renal cortex to the renal vein? a. interlobular v. → interlobar v. → segmental v. → renal v. |
e. interlobular v. → arcuate v. → interlobar v. → renal v. |
Blood plasma is filtered in: a. the renal tubule. |
b. the renal corpuscle |
Which of these form the inner layer of the glomerular capsule and wrap around the capillaries of the glomerulus? a. macula densa cells |
d. podocytes |
All of the following are composed of cuboidal epithelium with the exception of: a. the thin segment of the nephron loop. |
a. the thin segment of the nephron loop. |
Which are primarily responsible for maintaining the salinity gradient of the renal medulla? a. cortical nephrons |
b. juxtamedullary nephrons |
In the nephron, the fluid that immediately precedes urine is known as: a. plasma. |
c. tubular fluid. |
Glucose and amino acids are reabsorbed from the glomerular filtrate by: a. the renal corpuscle. |
b. the proximal convoluted tubule. |
In a healthy kidney, very little ___ is filtered by the glomerulus. a. amino acids |
e. protein |
Which of the following would reduce the glomerular filtration rate? a. vasoconstriction of the efferent arteriole |
a. vasoconstriction of the afferent arteriole |
The mechanism of stabilizing the GFR based on the tendency of smooth muscle to contract when stretched is known as what? a. renal autoregulation |
b. the myogenic mechanism |
In response to a drop in overall blood pressure, ___ stimulates constriction of the glomerular inlet and even greater constriction of the outlet. a. azotemia |
e. angiotensin II |
Assuming all other values are normal, calculate the net filtration pressure in a patient with a drop in capsular hydrostatic pressure to 8 mmHg. a. 10 mm Hg out |
b. 20 mm Hg out |
Renin hydrolyzes angiotensinogen released from the ________ to form angiotensin I. a. lungs |
c. liver |
Because of the great deal of active transport that occurs here, the _________ of all the nephrons collectively account for about 6% of one’s daily resting ATP and caloric consumption. a. proximal convoluted tubules |
a. proximal convoluted tubules |
PCTs are responsible for reabsorbing all of the following except: a. potassium. |
c. hydrogen ions. |
Total saturation of protein transporters for a given solute in the renal tubules would result in: a. reabsorption of all the solute. |
d. appearance of that solute in the urine. |
Which of the following is a direct result of antidiuretic hormones? a. decreased urine volume |
a. decreased urine volume |
Aldosterone acts on: a. the proximal convoluted tubule. |
d. the distal convoluted tubule |
Atrial natriuretic peptide reduces blood volume and pressure by all of the following means except a. increasing glomerular filtration rate. |
e. preventing sodium loss in the urine. |
Hypocalcemia stimulates: a. a decrease in aldosterone production. |
b. secretion of parathyroid hormone. |
Which renal structure is responsible for producing hypertonic urine by reabsorbing water while allowing metabolic wastes and NaCl to pass through? a. glomerulus |
d. collecting duct |
The urine is most likely to be hypotonic when: a. the body’s water volume is high. |
a. the body’s water volume is high. |
Which of the following does not contribute to water conservation? a. the collecting duct |
d. diuretics |
The countercurrent multiplier recaptures ______ and is based on fluid flowing in ______ direction in two adjacent tubules. a. potassium; the same |
d. sodium; the opposite |
The overall purpose of the countercurrent exchange system is: a. to supply salt and urea to the renal medulla. |
c. to supply nutrients and oxygen to the renal medulla. |
Which of these induces renin secretion, constricts afferent arterioles, and reduces GFR and urine volume? a. aldosterone |
d. norepinephrine |
Normal urine from a healthy person can be expected to contain all of the following except: a. creatinine |
c. glucose |
What is the term for the pigment responsible for the color of urine? a. monochrome |
b. urochrome |
The minimum daily output of urine to meet the definition of polyuria is: a. 0.5 L. |
d. 2.0 L. |
Prior to chemical tests for glycosuria, clinicians checked for sweetness of the urine as a sign of: a. diabetes insipidus. |
c. diabetes mellitus. |
Loop diuretics reduce body water content by acting on a. the countercurrent multiplier system. |
a. the countercurrent multiplier system. |
A hospital patient produces 4 mL/min of urine with a urea concentration of 8 mg/mL. Venous blood draw reveals urea concentration of .4 mg/mL. What is the percentage of cleared urea from glomerular filtrate? a. 40% |
c. 64% |
Which two substances are most useful for determining a patient’s glomerular filtration rate? a. insulin and glucose |
b. insulin and creatinine |
Creatinine has a renal clearance of 140 mL/min due to the fact that: a. it is absorbed by the loop of Henle. |
d. it is secreted by the renal tubules. |
Which of the following is not found in the ureter? a. adventitia |
e. skeletal muscle |
A renal calculus can be up to 2 cm wide, but even then, it would not obstruct: a. the major calyx. |
d. the urinary bladder. |
Which muscle is located in the bladder? a. detrusor |
a. detrusor |
Which is not a portion of the urethra? a. external urethral orifice |
b. internal urethral sphincter |
Micturition is another term for: a. the production of nitrogenous wastes. |
e. the elimination of urine. |
Which of the following urinary tract disorders seems most likely to occur in someone who frequently participates in marathon runs? a. osmotic diuresis |
d. hematuria |
Lithotripsy is a medical procedure used to treat: a. acute glomerulonephritis. |
c. renal calculi |
What is the most common urinary symptom of diabetes mellitus? a. pyuria |
b. glycosuria |
Removal of the posterior pituitary will immediately cause: a. a decrease in urine volume. |
a. a decrease in urine volume. |
Which of the following events would increase filtration pressure? a. increase in capsular pressure |
a. increase in capsular pressure |
Trace the path of a red blood cell from the renal artery to the glomerulus: (1) interlobar artery a. 1, 2, 3, 4, 5 |
a. 1, 2, 3, 4, 5 (1) interlobar artery (2) interlobular artery (3) segmental artery (4) arcuate artery (5) afferent arteriole |
Choose the one that does not belong. a. loop of Henle |
b. glomerulus |
If the following hypothetical conditions exist in the nephron, calculate the net filtration pressure. glomerular capillary pressure = 80 mmHg a. 110 mmHg |
c. 50 mmHg |
In which of the following locations is filtrate osmolality highest? a. end of proximal convoluted tubule |
b. tip of the loop of Henle |
Decreased blood pressure in the afferent arterioles results in: a. increased renin secretion. |
a. increased renin secretion |
Put the following in the correct order after the blood pressure increases. (1) decreased sympathetic stimulation a. 1, 3, 5, 2, 4 |
d. 3, 1, 5, 2, 4 (3) increase in arterial blood pressure (1) decreased sympathetic stimulation (5) afferent arterioles dilate (2) increase in glomerulus filtration rate (4) increase in urine production |
Which of the following is NOT an effect of aging on the kidneys? a. decrease in kidney size |
d. a marked decrease in the ability to maintain homeostasis |
Arrange the following in the sequence in which filtrate moves through them. (1) loop of Henle a. 1, 2, 3, 4 |
c. 2, 4, 3, 1 (2) Bowman’s capsule (4) proximal convoluted tubule (3) distal convoluted tubule (1) loop of Henle |
When macula densa cells experience increased Na+ concentration in the filtrate, they respond by: a. increasing afferent arteriole constriction. |
c. decreasing renin secretion. |
Starting from the collecting duct, indicate the order in which urea molecules move to (1) ascending limb a. 2, 5, 1, 4, 3 |
e. 4, 3, 5, 1, 2 (4) collecting duct (3) interstitial fluid (5) descending limb (1) ascending limb (2) distal convoluted tubule |
Why is the external urinary sphincter under conscious control? a. It is made of smooth muscle. |
c. It is made of skeletal muscle |
The organs that function to remove metabolic waste material by filtering the blood plasma are the: |
kidneys |
Starting at the renal papilla, place the structures to which urine will follow in order. Renal Pelvis |
Minor Calyx Major Calyx Renal Pelvis Ureter |
Which solids are reabsorbed by the nephron loop? Sodium ions |
Sodium ions Potassium ions Chloride |
Which nephrons have long nephron loops that extend deep into the medulla? Juxtamedullary |
Juxtamedullary |
The kidneys play a major role in which of the following? Acid-base balance |
Acid-base balance Electrolytes |
Smooth muscle cells within wall of afferent arteriole. |
Juxtaglomerular cells |
Epithelial cells at the end of a nephron loop. |
Macula dense cells |
Cells between the arterioles and amongst the glomerular capillaries. |
Mesangial cells |
Which variables affect the filtration coefficient? Permeability of the filtration membrane |
Permeability of the filtration membrane The surface area available for filtration |
Which describes the urethra? It conveys urine from the renal papillae tot he renal pelvis. |
It conveys urine from the bladder out of the body. |
Place in order, from the blood side to the capsular space, the structures through which any filtered substance must pass in glomerular filtration. Filtration slit |
Fenestrated endothelium Basement membrane Filtration slit |
The kidney parenchyma consists of two regions: an outer ________ and an inner _______. |
cortex medulla |
What are two examples of nitrogenous wastes that are excreted by the kidneys? Bicarbonate |
Creatinine Urea |
Renal Autoregulation Dilate/ constrict arterioles; release renin |
Juxtaglomerular cells |
Renal Autoregulation Dilate/ constrict glomerular capillaries |
Mesangial cells |
Renal Autoregulation Monitor tubular fluid |
Macula densa |
What is the amount of filtrate formed per minute by the two kidneys called? Minute urine volume |
Glomerular filtration rate |
Aspirin, penicillin and other drugs are cleared from the blood via the kidneys by which of the following processes? Tubular excretion |
Tubular secretion |
Which can pass through the glomerular filtration membrane? Select all that apply. Blood cells |
Electrolytes Glucose Water |
The renal pyramids make up the layer of the kidney called the renal ________. |
medulla |
Name the plasma protein that is converted by renin to angiotensin I. |
angiotensinogen |
From deepest to most superficial, list the layers of connective tissue that surround the kidney. Fibrous capsule |
Fibrous capsule Perirenal fat capsule Renal fascia |
How does activation of the angiotensin mechanism affect blood pressure? |
it increases the blood pressure. |
Running from the glomerular capsule to the tip of the medullary pyramid is a series of ducts that, together, are referred to as what? Glomerulus |
Renal tubule |
In glomerular filtration , blood is filtered to form glomerular __________. |
filtrate |
The filtration pressure in the glomerulus is determined by the balance in which two pressures? |
Colloid Osmotic Blood Hydrostatic |
The glomerulus is surrounded by _______________________. |
Glomerular capsule |
Starting from the renal artery, place the arteries carrying blood in to the renal cortex in order. Cortical radiate artery/ Interlobular artery |
Renal artery Segmental artery Interlobar artery Arcuate artery Cortical radiate artery/ Interlobular artery |
Glomerular filtrate is similar to blood plasma except that it contains little or no proteins. True/ False |
True Other than plasma proteins, small substances can pass through the filtration membrane. |
The renal pelvis of each kidney funnels urine into a tube called a ___________. |
Ureter |
What are the two components of the renal corpuscle? Nephron loop |
Glomerular capsule Glomerulus |
A nephron consists of what two parts? |
Renal corpuscle Renal tubule |
Plasma angiotensin II levels would be higher when mean arterial blood pressure is _____________. |
decreased. |
Name the steroid hormone secreted in response to decreased blood sodium or increased blood potassium. It alters tubular handling of these electrolytes. |
aldosterone |
Renal clearance is the net effect of which of the following? Dietary intake |
Glomerular filtration Tubular reabsorption Tubular secretion |
The collecting duct receives fluid from the _______________________. |
Distal convoluted tubule |
Which of the following is true of the collecting ducts? They drain the glomerular capsule. |
… |
The _________________ of the nephron acts as a countercurrent multiplier. |
nephron loop |
Which hormones regulate the amount of water and salt reabsorbed by the DCT and collecting duct? Epinephrine |
Atrial natriuretic peptide Antidiuretic hormone Aldosterone |
What are the three protective layers of the kidney? Perirenal fat capsule |
Perirenal fat capsule Renal fascia Fibrous capsule |
Name the hormone that makes the collecting duct more permeable to water thus increasing its reabsorption. |
ADH – Antidiuretic hormone |
Which leads to an increased secretion of natriuretic peptides? Decreased blood pressure |
Increased blood pressure. |
What is the source of the salts that contribute to the high osmolarity of the medullary ECF? |
The active transport of Na+, K+, Cl- from the ascending limb of the nephron loop. |
Water is reabsorbed through specialized water channels called? |
aquaporins |
The color of urine is due to the presence of a pigment called __________, produced during the breakdown of hemoglobin. |
urochrome |
What are the three segments of the male urethra? Internal urethra |
Prostatic urethra Spongy urethra Membranous urethra |
Which segment of the nephron loop actively transports salts? |
Thick |
What wastes are removed from the blood by tubular secretion? |
Urea Ammonia Bile |
What is the normal range for the pH of urine? |
4.5 – 8.2 |
The __________ nervous system causes vasoconstriction of the afferent arterioles, reducing glomerular blood flow and the GFR. |
sympathetic |
As the urethra passes through the pelvic floor, it is encircled by which urethral sphincter? |
Internal urethral sphincter |
When the transporters within the proximal convoluted tubule are saturated and no additional solute can be reabsorbed, what has been reached? |
Transport maximum |
Hormones can alter the amount of water reabsorbed during urine production, allowing the production of either concentrated or dilute urine. This is the role of the _____________ duct. |
collecting |
Angiotensin II stimulates the anterior pituitary gland to secrete ____________________ hormone. |
ADH – Antidiuretic |
What is a nephron? |
functional unit of a kidney |
Which can pass through glomerular filtration? Glucose |
Glucose Electrolytes Water |
Fluid intake, diabetes and some medications can increase urine output, a condition called diuresis or _____________________. |
Polyuria |
The ______________ capillaries pick up fluid and solutes that are reabsorbed in the proximal convoluted tubule. |
peritubular |
The ability of the nephrons to adjust their own blood flow and GFR without nervous or hormonal control is called renal ________________. |
autoregulation |
Which result from activation of the renin-angiotensin system? Select all that apply. Vasodilation of afferent arteriole |
Increased secretion of aldosterone Stimulated thirst Increased release of ADH |
Which structure is composed of a proximal convoluted tubule, nephron loop, distal convoluted tubule and collecting duct? Renal tubule |
renal tubule |
The kidneys play a role in calcium homeostasis by participating in the synthesis of which hormone? |
Calcitriol |
Which structure acts as a countercurrent exchanger? Nephron loop |
Vasa recta |
Within the renal corpuscle, the colloid osmotic pressure (COP) is a pressure drawing fluid into what? Renal capsule |
Glomerular capillaries |
The blunt tip of a renal pyramid from which urine is collected is a renal _________________. |
papilla |
Which renal tubule segments are influenced by aldosterone? Select all that apply. Descending limb of the nephron loop |
Ascending limb of the nephron loop Collecting duct Distal convoluted tubule |
Within the renal corpuscle, blood __________ pressure is the pressure forcing fluid into the glomerular capsular space. |
hydrostatic |
The process of urination, or voiding urine is called __________________. |
micturition |
Which result from the activation of the renin-angiotensin system? Select all that apply. Increased water retention |
Increased water retention Increased blood pressure Vasoconstriction |
Which region of the nephron is adapted for reabsorption, as seen in its length and prominent microvilli? |
proximal convoluted tubule |
What is the overall pressure found at the glomerulus that determines the amount of filtration called? |
Net filtration pressure |
The hormone _____________ causes increased reabsorption of sodium (and the water that follows) and secretion of potassium from the later segments of the renal tubule. |
aldosterone |
What are the leaky junctions between epithelial cells in the proximal convoluted tubule that allow water to move through called? |
Tight junctions |
If the glomerular filtration rate is too _________, fluid flows through the renal tubules too slowly, urine output will decrease and azotemia may occur. |
low |
Constriction of the efferent arteriole by angiotensin II lowers blood pressure in the ___________________ capillaries and enhances the reabsorption of sodium and water. |
peritubular |
The glomerulus is composed of ____________________ capillaries. |
fenestrated |
Which symptoms are seen with diabetes mellitus? Anuria |
Polyuria Dehydration Glycosuria |
The kidneys help regulate acid-base balance through the tubular secretion of which molecules? Sodium & Potassium ions |
Hydrogen & bicarbonate ions |
The mechanism by which the glomerulus receives feedback on the status of downstream tubular fluid is called ____________ feedback. |
tubuloglomerular |
The vasa recta is a network of blood vessels located mostly within? |
the medulla |
What is the importance of the medullary ECF osmolarity gradient? It allows for the production of very concentrated urine. |
It allows for the production of very concentrated urine. |
The osmotic and electrical gradients that drive the reabsorption of water and solutes is created by reabsorption of the solute _____________. |
Na – Sodium |
The micturition center is located in the ____________ of the brain stem. |
pons |
What is a minor calyx? A cuplike structure that collects urine. |
A cuplike structure that collects urine. |
A decreased GFR results in a(n) ___________ urine volume and ________ blood volume. |
decreased; increased |
The enzyme __________ converts angiotensinogen to angiotensin I. |
renin |
During reabsorption from the PCT, water can carry dissolved substances by which process? |
solvent drag |
The salts in the medullary ECF were transported from which limb of the nephron loop? |
Ascending |
If the glomerular filtration rate is too _______, fluid flows thought the renal tubules too rapidly. Urine output will increase and electrolyte depletion may occur. |
high |
The ___________ duct receives fluid draining from several nephrons and carries it through the medulla to the papilla. |
collecting |
The tubuloglomerular feedback mechanism of GFR regulation relies not the monitoring of tubular fluid by a renal structure called the ___________________________ apparatus. |
Juxtaglomerular |
Which structures increase the absorptive area of proximal convoluted tubule cells? |
microvilli |
Fluid and solutes reabsorbed in the PCT are picked up by which capillary bed? |
peritubular capillaries |
Antidiuretic hormone is secreted in response to ___________________. |
dehydration |
Within the renal corpuscle colloid osmotic pressure forces fluid _______ the glomerular capillaries. |
into |
Urine is drained from the renal pyramid into which structure? Renal column |
Minor calyx |
Within the filtration membrane, filtration slits are gaps between which of the following? Microvilli |
Pedicels |
Name the condition that develops when blood levels of nitrogenous wastes reach toxic levels. Symptoms include diarrhea, vomiting, dyspnea, and cardiac arrhythmia. |
Uremia |
What is the action of parathyroid hormone on the kidneys? Decreases calcium reabsorption & increases phosphate reabsorption. |
Decreases phosphate reabsorption & increases calcium reabsorption. |
The wall of the proximal convoluted tubule is comprised of ________________ ___________________ epithelium. |
simple cuboidal |
The nerves and ganglia serving the kidney make up the renal _______________. |
Plexus |
How does the ascending limb of the nephron loop shift sodium, potassium and chloride into the ECF? Active transport |
Active transport |
Sodium is transported into the cells of the PCT by a protein that simultaneously moves it and another solute in the same direction. This type of transport protein is called a __________________. |
Symport |
How does antidiuretic hormone affect the permeability of the collecting ducts to water? It increases their permeability. |
It increases their permeability. |
What are the mechanisms of peritubular capillary absorption? Osmosis and solvent drag |
Osmosis and solvent drag |
What effects do fibers from the micturition center in the brain have on the sympathetic neurons that control the internal urethral sphincter?
inhibit |
they inhibit them. |
The ratio of the density of a substance to the density of water is called its __________________ ___________________. |
specific gravity |
Gestational diabetes, diabetes insipidus, and diabetes mellitus all are characterized by glycosuria. True/ False |
False. Glycosuria is present in gestation and mellitus, but not insipidus. |
A chemical that enhances urine volume is called a __________________. |
diurectic |
Within the glomerular capsule, podocytes form the________ (inner) layer of the capsule and simple squamous epithelium forms the _______ (outer) layer. |
visceral; parietal |
Compared to capillary beds in the rest of the body, the hydrostatic pressure within the glomerular capillary bed is: lower |
higher |
The kidneys receive about 21% of the cardiac output. This value is called the renal ________. |
fraction |
What enters at the vascular pole of the renal corpuscle and brings blood to the glomerulus? |
afferent arteriole |
How does hypertension lead to kidney damage? It can damage renal tubular walls. |
It can rupture glomerular capillaries. |
Regarding nitrogenous wastes, the PCT reabsorbs most of the _________, but none of the __________. |
uric acid; creatinine. |
The presence of which structures in the proximal convoluted tubule cause the lining to be referred to as a brush border? |
Microvilli |
Patients with poorly controlled diabetes mellitus may have urine with the odor of? |
Acetone |
Normally very little glucose is reabsorbed from the tubular fluid and is therefore lost in the urine. True/ False. |
False (All the glucose is reabsorbed, unless levels are really high) |
To measure glomerular filtration rate, a substance that is neither secreted, reabsorbed or metabolized is needed. The compound ______ is an example of a substance used to measure GFR. |
inulin |
What is azotemia? An increased level of blood sodium. |
An increased level of blood urea nitrogen. |
The accumulation of reabsorbed fluid not the basal side of the epithelial cells creates a high tissue fluid pressure that drives water ____ the peritubular capillaries. |
into |
The motor fibers of the renal plexus are branches of which nervous system? |
Sympathetic |
As urine stands, it develops a pungent odor due to the degradation of what?
Creatinine to urea |
Urea to ammonia |
How can hypertension damage the glomerular capillaries? |
It can scar them. |
Clinically what is the level of nitrogenous waste in the blood typically expressed as? Blood urea nitrogen |
Blood urea nitrogen |
In clinical practice, glomerular filtration rate is estimated by measuring excretion of the compound ____________. Ammonia |
Creatinine |
Podocytes form which of the following? Parietal layer of the glomerular capsule. |
Visceral layer of the glomerular capsule. |
The nephron reabsorbs about how much urea from the tubular fluid? All |
About half |
The renal fraction is approximately what percent of the cardiac output? 1 |
21 |
A & P 2 – Chapter 23 – The Urinary System
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