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R7A
Control of Sodium and Water Excretion
19
Physiology
Professional
02/24/2013

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Term
Are ADH receptors intracellular or extracellular?
Definition
extracellular
Term
Are aldosterone receptors intracellular or extracellular?
Definition
intracellular -- inside collecting duct
Term
What does short-term regulation of ABP (seconds) involve?
Definition
Baroreceptors, ANS effectors
Term
What does intermediate-term regulation of ABP (minutes to hours) involve?
Definition
Renin-angiotensin system
Term
What does long-term regulation of ABP (hours to days) involve?
Definition
The release of aldosterone from adrenal cortex which induces synthesis of new Na/K ATPase pumps and Na/H exchangers along the collecting duct. This actively reabsorbs sodium and water follows.
Term
When is renin released from the JG apparatus?
Definition
When the kidneys are hypoperfused or if there is an increase in plasma osmolarity
Term
Where is the brainstem vasomotor center?
Definition
medulla
Term
Are cardiopulmonary receptors high or low pressure receptors?
Definition
low pressure
Term
Do arterial or cardiopulmonary receptors stimulate release of ADH from hypothalamus?
Definition
cardiopulmonary
Term
Where do arterial baroreceptors sense pressures?
Definition
Aorta and carotid arteries
Term
Where do cardiopulmonary baroreceptors sense pressure?
Definition
Cardiac atria and pulmonary arteries
Term
What happens to macula densa cells in the presence of a high osmotic concentration in the distal tubule?
Definition
They swell and release adenosine that constricts afferent arterioles and inhibits renin release
Term
What happens when macula densa cells shrink?
Definition
Renin release from granular cells
Term
What are the “intrarenal baroreceptors”?
Definition
Granular cells that respond to changes in pressure within afferent arterioles
Term
What type of receptor on granular cells stimulates the release of renin by sympathetic nerve input?
Definition
Beta-1
Term
What fraction of body fluid is intracellular vs extracellular?
Definition
2/3 is intracellular; 1/3 is extracellular
Term
What does pressure natriuresis and diuresis result in?
Definition
Increased hydrostatic pressure in both glomerular and peritubular capillaries. The percentage of fluid reabsorption in the proximal tubule decreases and salt and water are excreted which decreases BP
Term
What is GT balance?
Definition
Glomerulotubular balance = a constant fraction of filtered load gets reabsorbed in proximal tubule tempering the absolute load presented to the rest of the nephron
Term
What center in the medulla regulates blood pressure on a moment-to-moment basis via the baroreceptor reflex?
Definition
Medullary vasomotor center
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