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Barry 2013
patho 1 test 3 (renal)
66
Other
Graduate
04/23/2011

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Term
what are the components of the urinary system?
Definition
2 kidneys, 2 ureters, 1 bladder, and 1 urethra
Term
What is the function of the urinary system
Definition
to produce urine
Term
T/F. Most waste metabolic products of cells are eliminated in urine
Definition
TRUE
Term
T/F. Kidneys are contained within the peritoneal cavity
Definition
FALSE. They are retroperitoneal
Term
Can a surgery of the kidneys, technically be done laparoscopically?
Definition
No
Term
What is the function of the ureters?
Definition
ONLY to transport urine to the bladder
Term
Are the components of the urinary system the same for males and females?
Definition
The kidneys, ureters, and bladder are the same, but the Urethras are different. The male urethra is longer and narrower than the short and wide urethra that females have. Also, the male urethra is responsible for carrying semen out
Term
What is the trigone?
Definition
it is the triangular region of the internal urinary bladder formed by the two ureteral orifices and the internal urethral orifice
Term
What must you remove if you are to eat an animal kidney?
Definition
The renal capsule, otherwise it will taste like urine
Term
What is the renal capsule?
Definition
It is fibrous conn. tissue that serves as the serous membrane of the kidney much like the pericardium for the heart or perimysium for the muscle
Term
The kidney is divided into what two regions?
Definition
The cortex (outer) and the medulla (inner)
Term
T/F. All urine production happens in the adrenal cortex.
Definition
FALSE. All urine production happens in the RENAL cortex (that is where all nephrons are located)
Term
What is the functional unit of the kidney?
Definition
The nephron
Term
what separates (anatomically) the cortex from the medulla?
Definition
The arcuate vessels
Term
The medullary pyramids are separated by the ____________
Definition
renal columns
Term
the apex of the pyramids is also called the ___________.
Definition
papilla
Term
describe the flow of urine as it enters the collecting ducts.
Definition
From the collecting duct (connecting tubule) the urine flows thru the papilla into the minor calyx, 2-3 minor calyces join to form the major calyx, all the major calyces join to form the renal pelvis. Urine drains thru the renal pelvis into the ureter and down to bladder. The bladder will empty urine (when necessary) into the urethra where it is evacuated to the outside world
Term
describe the arterial flow of blood thru the kidney.
Definition
Renal artery--> 2-3 segmental arteries--> 2-3 lobar arteries--> several interlobar arteries (which go in b/w pyramids, dividing them)--> at the base of the pyramid the interlobar arteries curve to form the arcuate arteries--> interlobular arteries--> afferent arteriole
Term
venous drainage of the kidney happens by way of what vessel?
Definition
interlobular veins
Term
Starting with the interlobular veins, how does venous drainage thru the kiney occur?
Definition
interlobular veins--> arcuate veins--> interlobar veins--> renal vein
(No lobar or segmental vein)
Term
The blood that exits the glomerulus via the efferent arteriole will then go to the _________ and drain into the __________.
Definition
vasa recta (straight vessels), arcuate vein
Term
What 3 mechanisms regulate BP?
Definition
1. instantaneous- autonomic NS
2. mid-term: vessels (dilation/relaxation)
3. long-term: kidneys thru Renin-angiotensin-aldosterone system
Term
how does the renin-angiotensin-aldosterone system work?
Definition
renin is released (by JG apparatus) and converts angiotensinogen to angiotensin I. Angiotensin I is converted to Angiotensin II in the lungs by ACE. Angiotensin II is a potent vasoconstrictor, but also promotes the secretion of aldosterone from the renal cortex which functions to increase BP by reabsorption of Na+ and water
Term
What are the functions of the kidneys?
Definition
1. Urine formation
2. long term BP control
3. long term pH regulation
4. fluid and electrolyte balance
5. erythropoiesis
Term
are nephrons considered to be part of the cortex or medulla?
Definition
the cortex, even though they extend down into the medulla
Term
What are the two types of nephrons?
Definition
juxtamedullary nephron (most of L.O.H. in medulla) and cortical nephron (most of L.O.H. in cortex)
Term
A) T/F. Most nephrons are cortical nephrons

B) T/F. cortical nephrons are very important for concentration of urine
Definition
A) TRUE

B) FALSE. The juxtamedullary nephrons are important for concentration of urine
Term
T/F. All urine is formed in the cortex
Definition
TRUE
Term
What are the two parts of the nephron?
Definition
1. Renal corpuscle (which contains glomerulus and Bowman's capsule)
2. Tubular system
Term
T/F. The glomerulus receives arterial blood from afferent arteriole and drains arterial blood thru the efferent arteriole. This flow is intermittent.
Definition
FALSE. Everything is true except the flow is continuous and does not stop
Term
T/F. Everything that gets into the bowman's capsule will enter the PCT.
Definition
TRUE
Term
Once fluid enters PCT where does it go?
Definition
to the thin, descending limb of loop of Henle, then to the thick ascending limb of loop of Henle, then to the DCT and to the connecting tubule/collecting duct
Term
T/F. Each nephron will drain to only one specific collecting duct and each collecting duct is specific for one nephron.
Definition
FALSE. Each nephron will drain to one specific collecting duct, but one collecting duct receives urine from multiple nephrons
Term
There is a series of cells around the glomerulus known as the _________. What is the function of it?
Definition
juxtaglomerular apparatus; its function is to secrete erythropoietin and renin
Term
in conjunction with the juxtamedullary nephrons, what else is responsible for contentration of urine?
Definition
Vasa recta
Term
Is the collecting tubule/duct part of the nephron?
Definition
NO
Term
This structure has a lot of mitochondria within the epithelial tissue lining it and also has many microvilli. Why?
Definition
Proximal convoluted tubule. The mitochondria are necessary for active transport of solutes in and out and the microvilli increase surface area to enhance absorption
Term
T/F. The DCT contains a lot of villi
Definition
FALSE
Term
T/F. The DCT does not contain many mitochondria.
Definition
FALSE. They have many mitochondria because the DCT actively reabsorbs Na+, K=, and Cl-
Term
T/F. The efferent arterioles will eventually become peritubular capillaries.
What are peritubular capillaries?
Definition
TRUE;
peritubular capillaries take in the substances that are reabsorbed by the tubular system and carry it out to the body. They also secrete substances into the tubular system to be evacuated in urine
Term
What are the three processes by which urine formation occurs?
Definition
**These processes take place in the CORTEX**
1. filtration: happens at glomeruli. Everything filtered enters the Bowman's capsule and then the PCT
2. Reabsorption: some things are reabsorbed in the PCT into interstitial spaces and into peritubular capillaries
3. Secretion: substances move from peritubular capillaries to tubular system for urinary excretioin
Term
The fluid that gets into the Bowman's capsule is known as ____________
Definition
filtrate, NOT urine
Term
When does "filtrate" become "urine"?
Definition
When it gets into the collecting ducts
Term
What is glomerular filtration?
Definition
A PASSIVE process in which solvents and solutes cross thru the glomerular-capsular membrane into the Bowman's capsule in favor of the hydrostatic PRESSURE gradient.
Term
The glomerular hydrostatic pressure is opposed by what two pressures?
Definition
the capsular hydrostatic pressure and the plasmatic oncotic pressure (from the filtrate in the PCT)
Term
What mechanism makes possible the generation of a hydrostatic pressure greater than the sum of the two opposing pressures?
Definition
The afferent arteriole is larger than the efferent arteriole so more volume gets in than out PER TIME UNIT.**
Term
What is the normal GFR?
Definition
125 mL/min
Term
T/F. The normal GFR is 125mL/min per glomerulus.
Definition
FALSE. It is 125 mL/min for all glomeruli combined
Term
125 mL/min enters the PCT where __% is reabsorbed, leaving ___mL/min to enter the loop of Henle. The descending limb of the LOH is permeable to water and __ mL are reabsorbed here leaving ___ mL/min to enter the DCT. ___ mL are reabsorbed by the DCT leaving ___ mL to enter the collecting duct. ___ mL are reabsorbed in the collecting duct (in presence of ADH) leaving __mL to enter the minor calyx and eventually leave as urine
Definition
80; 25; 10; 15; 13; 2; 1
Term
how much filtrate will the nephron process in an entire day?
Definition
180 L
Term
Filtrate is very similar to blood, what is the difference?
Definition
It does not contain blood cells or large proteins
Term
A) T/F. Filtrate is hypertonic to plasma.

B) How much urine do we output in a day?
Definition
A) FALSE. It is isotonic to plasma

B) ~1.5 L
Term
T/F. Urine is hypertonic.
Definition
FALSE. It can be hypertonic or hypotonic based on fluid intake
Term
T/F. The GFR is regulated by the kidneys' intrinsic or autoregulatory system which will maintain a constant GFR despite changes in BP
Definition
TRUE
Term
Total blood volume is filtered every ___ min and the ECF is reworked in the kidneys more than ___ times a day.
Definition
45; 10
Term
__% of GFR is reabsorbed
Definition
~99
Term
What substances is the PCT capable of reabsorbing?
Definition
glucose, amino acids, vitamins, lactate, and most ions
Term
up to 80-85% of energy used in active transport is to reabsorb what ion?
Definition
Na+
Term
What is the transport maximum for glucose?
Definition
375 mg/min which corresponds to ~160 mg/dL. If our blood glucose exceeds this, glucose will be peed out
Term
T/F. Protein/amino acid reabsorption in the tubular system occurs via phagocytosis
Definition
FALSE. Pinocytosis (active transport)
Term
T/F. Active transport requires both energy (ATP) and a carrier
Definition
TRUE
Term
T/F. substances that are very important and that the body needs will have a high transport maximum and if it is something the body doesn't want the transport is very low.
Definition
TRUE
Term
T/F. 75-80% of glucose and amino acids that are reabsorbed occurs at the level of the PCT.
Definition
FALSE. it is 100%
Term
A) T/F. 75-80% of Na+ and water that will be reabsorbed will occur at the PCT.

B)Nearly all K+ and uric acid that will be reabsorbed occurs in the DCT
Definition
A) TRUE

B) FALSE. Happens in the PCT
Term
Can substances be reabsorbed and then later secreted?
Definition
YES
Term
The descending limb of the LOH is permeable to (water, sodium, both) and the ascending limb is permeable to (water, sodium, both)
Definition
water only, sodium only
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