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Urinary System
Class 2
60
Anatomy
Undergraduate 1
11/25/2008

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Cards

Term
What is the glomerular filtration rate
Definition
the amount of filtrate produce each minute
Term
How much filtrate is produced daily
Definition
about 150-180 Liters a day
Term
What percentage of filtrate is reabsorbed
Definition
about 99%
Term
How much urine is excreted daily
Definition
between one and two liters
Term
What can affect the glomerular filtration rate
Definition
changes in pressure
Term
What two processes regulate glomerular filtration rate
Definition
adjusting blood flow into and out of the glomerulus and adjusting the glomerular surface area available for filtration
Term
What are the three ways in which GFR can be regulated
Definition
through renal autoregulation, hormonal regulation, and neural regulation
Term
What are the two types of renal autoregulation of GFR
Definition
myogenic mechanism and tubuloglomerular feedback
Term
What does the myogenic mechanism accomplish
Definition
it counters changes in blood pressure by changing blood vessel diameter
Term
How does the myogenic complex deal with an increase in blood pressure
Definition
it causes constriction of afferent arterioles which allows less blood to flow through which decreases filtration
Term
How does the myogenic complex counter a decrease in blood pressure
Definition
it causes dilation of afferent arterioles which increases blood flow and increases filtration
Term
What is the general function of the myogenic mechanism
Definition
to stabalize the GFR even when there are changes in blood pressure
Term
What is the general function of tubuloglomerular feedback
Definition
its a way to ensure that filtration is not occuring too quickly
Term
What are macula densa
Definition
specialized cells in the distal convoluted tubule that detect elevated levels of solutes and water in the filtrate
Term
What do the macula densa do when they detect elevated levels of water and solutes in the filtrate
Definition
they send signals that stop nitric oxide release which causes afferent arterioles to contract which slows the flow of blood and slows filtration
Term
What division of the nervous system regulates GFR
Definition
sympathetic division of the autonomic nervous system
Term
What does activation of the sympathetic nervous sytem do
Definition
causes widespread vasoconstriction which decreases GFR
Term
What can happen as a result of extreme exertion or stress
Definition
The extended rerouting of blood flow can cause hypoxia, metabolic waste build up, proteinuria, hematuria, and renal failure
Term
Why would metabolic waste build up during times of extreme stress or exertion
Definition
blood flow is rerouted and vasoconstriction occurs due to sympathetic stimulation, this causes less filtration which means less removal of wastes through urine
Term
Why can proteinuria,hematuria,or renal failure occur as a result of extreme stress or exertion
Definition
redirected blood flow and vasoconstriction due to sympathetic stimulation can cause hypoxia of renal cells which causes damage to filtration membrane allowing substances that normally can not get through to enter the urine
Term
When is angiotensin II released
Definition
when blood pressure is low
Term
What does angiotensin II do
Definition
it causes vasoconstriction of afferent and efferent arterioles
Term
What hormones regulate glomerular filtration rate
Definition
angiotensin II and atrial natriuretic peptide
Term
How does angiotensin II regulate GFR and blood pressure
Definition
it causes vasoconstriction which decreases blood flow and decreases filtration. This means less water is lost from the kidneys which means an increase in blood volume and an increase in blood pressure
Term
When is atrial natriuretic peptide released
Definition
in response to high blood volume and high blood pressure
Term
What does atrial natriuretic peptide cause
Definition
caused dilation of glomerular capillaries and increases the surface area available for filtration
Term
what hormone increases the surface available for filtration
Definition
atrial natriuretic peptide
Term
How does atrial natriuretic peptide affect GFR
Definition
it increases it which causes more filtration more urine which means less blood volume and lower blood pressure
Term
What is transcellular reabsorption
Definition
filtrate flows through the tubalar cell to get to the capillaries
Term
What transport systems are used in tubular reabsorption and tubular secretion
Definition
active transport, secondary active transport, facultative water reabsorption, obligatory water reabsorption
Term
What is obligatory water reabsorption
Definition
water is obliged to follow its osmotic gradient towards a higher solute concentration
Term
What is facultative water reabsortion
Definition
need based reabsorptiom using water channels
Term
What is facultative water reabsorption regulated by
Definition
antidiuretic hormone which cause more reabsorption
Term
What is the transport maximum
Definition
the number of carrier proteins determines how much of a substance can be transported
Term
What is glycosuria
Definition
sugar in urine, normal after a carb rich meal, may be an indicator of diabetes mellitus
Term
What is aminoaciduria
Definition
amino acids in urine. Normal after a protein rich meal
Term
Which vitamins are excreted in the urine
Definition
excess b vitamins and vitamin c
Term
What part of a nephron reabsorbs the most filtrate
Definition
the proximal convoluted tubule
Term
What is reabsorbed in the proximal convoluted tubule
Definition
most organic compounds, water, and ions
Term
What is secreted in the proximal convoluted tubule
Definition
H+ ions in exchange for Na+ ions
Term
What does the secretion of H+ in the proximal convoluted tubule help to regulate
Definition
blood pH levels
Term
What is the descending limb of the loop of Henle permeable to
Definition
to water but not ions
Term
What is the ascending limb of the loop of Henle permeable to
Definition
to ions but not water
Term
What makes the descending limb of the loop of Henle permeable to water
Definition
the prescence of aquaporin I, a water channel
Term
What ions are actively transported out of the tubular fluid in the distal convoluted tubule
Definition
sodium and chloride ions
Term
What regulates the reabsorption of calcium in the distal convoluted tubule
Definition
parathyroid hormone
Term
Where do collecting ducts collect tubular fluid from
Definition
several nephrons
Term
Where do collectind ducts transport tubular fluid to
Definition
the renal pelvis
Term
What substances are reabsorbed in the collecting duct
Definition
water, sodium ions, bicarbonate ions, urea
Term
What controls the reabsorption of most substances in the collecting duct
Definition
ADH and aldosterone
Term
What substance is both reabsorbed and secreted in the collecting duct
Definition
potassium ions
Term
What substance is secreted in the collecting duct
Definition
Hydrogen ions
Term
How does aldosterone regulate the reabsorption of sodium in the collecting duct
Definition
it increases na+ reabsorption which increases bv and bp
Term
What hormones regulate tubular reabsorption and tubular secretion
Definition
angiotensin II, antidiuretic hormone, atrial natriuretic peptide
Term
What does angiotensin II stimulate
Definition
the reabsorption of sodium ions, chloride ions, and water as well as the release of aldosterone
Term
What does aldosterone stimulate
Definition
reabsorption of sodium ions and chloride ions as well as the secretion of potassium ions
Term
How does ADH cause increased retention of water
Definition
increases water permeability of collecting duct by opening water channels called aquaporin II
Term
How does the secretion of ADH affect urine concentration
Definition
it causes the urine to be more concentrated
Term
What hormones does atrial natriuretic peptide suppress
Definition
aldosterone and antidiuretic hormone
Term
How does atrial natriuretic peptide affect tubular secretion
Definition
it increases the secretion of sodium ions which leads to a decrease in blood volume and blood pressure
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