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Systems Exam III (L)
Urinary System
48
Medical
Graduate
04/09/2009

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Cards

Term
What are the functions of the urinary system?
Definition

Homeostasis

Regulation of fluid and electrolyte balance

Renin production

Erythropoietin production

Term
How much filtrate is formed per minute?
Definition
125 ml of filtrate (124 ml is reabsorbed)
Term
How much urine if formed in 24 hours?
Definition
1500 ml
Term
What is the general structural arrangement of the kidneys?
Definition

Renal Pelvis

Major Calyces

Minor Calyces

Hilum

Medulla

Cortex

Term
How many medullary pyramids are in each kidney?
Definition
10 - 18 medullary pyramids
Term
What is the orientation of medullary rays in the kidney?
Definition
They go from the base of the medullary pyramids and penetrate the cortex.
Term
What percentage of nephrons are Juxtamedullary?
Definition
1/7th of all nephrons
Term
Where are most of the nephrons located?
Definition
In the cortex
Term
What is each nephron composed of?
Definition

Renal Corpuscle

Proximal Convoluted Tubule

Thick and Thin Limbs of Henle's Loop

Distal Convoluted Tubules

Collecting Tubules and Ducts

Term
What is the renal corpuscle comprised of?
Definition
Glomerulus (tuft of capillaries) surrounded by a double layered capsule known as the "Bowman's Capsule"
Term
What layer of Bowman's capsule is the glomerulus surrounded by?
Definition
visceral layer
Term
What is the Urinary Space?
Definition
This is the space between the visceral and parietal layers of Bowman's Capsule.
Term

Where does the afferent arteriole enter the corpuscle?

Where does the efferent arteriole exit the corpuscle?

Definition
They both enter and exit, respectively, the corpuscle at the arterial pole.
Term
Where is the PCT connected to the corpuscle?
Definition
The PCT is connected to the corpuscle at the urinary pole.
Term
What are podocytes?
Definition
These are cells of the visceral layer of Bowman's Capsule that are responsible for production of pedicles and filtration slits.
Term

1. What type of epithelium is the parietal layer of Bowman's Capsule comprise of?

2. What does it switch to when it reaches the urinary pole and becomes the PCT?

Definition

1. Simple Squamous

2. Simple Columnar or Low Cuboidal

Term
Where do primary processes arise from?
Definition
They arise from the cell bodies of the podocytes
Term
Where do secondary processes (pedicles) arise from?
Definition
They arise from primary procesess and are in direct contact with the basement membrane surrounding the glomerular capillaries.
Term
What spans the filtration slits?
Definition
A diaphragm of 6 nm thickness
Term
What are the layers of the basement membrane?
Definition
Lamina Densa surrounded by two layer of Lamina Rara.
Term
What is the filtration barrier in the glomerulus?
Definition
Basement Membrane
Term
Patients with hereditary proteinuria syndrome have a defect in coding for what protein which is responsible for proper filtration barriers?
Definition
Nephrin
Term
What are mesangial cells?
Definition

Adhere to the glomerular capillaries.

Contractile cells, possess angiotensin II receptors, possess natriuretic factor receptors, synthesize extracellular matrix materials, provide structural support for glomerulus, clean the basement membrane via endocytosis, produce cytokine and prostaglandins

Term
T/F: Both PCT and DCT have numerous microvili which form a brush border on their luminal surface.
Definition
False. Only the PCT has the brush border.
Term
What are the portions of the Loop of Henle?
Definition

Thick and Thin Descending Limbs

Thick and Thin Ascending Limbs

Term
Which limbs of the Loop of Henle are similar to the PCT?
Definition
Thick Limbs
Term
What type of epithelium is are the thin limbs composed of?
Definition
Squamous Epithelium
Term
T/F: Cortical Nephrons have very long limbs that extend into the medulla of the kidney.
Definition
False. Juxtamedullary nephrons have long limbs. Cortical nephrons are in the cortex only.
Term
What type of cells is the DCT comprised of?
Definition
Simple Cubodial without Brush Border. Cells are smaller than the PCT.
Term
What is the Macula Densa?
Definition
These are specialized cells of the PCT in contact with the afferent arterioles at the vascular pole of the corpuscle. The nuclei are packed together and typically appear dark. They are a part of the Juxtaglomerular Apparatus. The macula densa cells are sensitive to ionic composition and volume of tubular fluid.
Term

1. What type of epithelium do smaller collecting tubules comprise of?

2. Larger collecting ducts?

Definition

1. Cuboidal Epithelium

2. Columnar Epithelium

 

Term
What is the Juxtaglomerular Apparatus?
Definition
These are a collection of modified cells of the macula densa and JG cells. The JG cells are modified smooth muscle cells that are located on the wall of the afferent arteriole.
Term
What substance is produced by the JG cells?
Definition
Renin - helps to play a role in maintenance of blood pressure
Term
Where do interlobar arteries arise from and where are they located?
Definition
They arise from the renal arteries and are located between the medullary pyramids.
Term
Where do arcuate arteries arise from and where are they located?
Definition
Arise from the interlobar arteries and move transversely through the corticomedullary junction.
Term
Where do Interlobular arteries arise from?
Definition
They arise from the arcuate arteries and ascend through the cortex.
Term
Where do afferent arterioles arise from?
Definition
Arise as branches of the interlobular arteries and enter the renal corpsule at the vascular pole
Term
Where do the Vasa Recta arise from?
Definition
These arise from the efferent arterioles that leave the renal corpuscle associated with juxtamedullary nephrons.
Term
Where does the Peritubular Capillary Network arise from?
Definition
These arise from branching of the efferent arteriole.
Term
Where do stellate veins emerge from?
Definition
Capillaries of the outer cortical region and from the renal capsule converge to from stellate veins which drain into the interlobular veins.
Term
All other named veins accompany the corresponding arteries.
Definition
Term
What type of epithelium lines the bladder, calyces, renal pelvis and ureters?
Definition
Transitional Epithelium that is 5-6 layers thick
Term
What is the arrangement of the smooth muscle in the calyces, renal pelvis, and ureters?
Definition
Helical
Term
Transitional Epithelium, when distended takes on what appearance?
Definition
Squamous appearance 3-4 layers thick
Term
Detrusor muscles fibers of the bladder run in which direction?
Definition
In all directions
Term
How do the ureters pass into the bladder wall?
Definition
Obliquely
Term

1. What type of epithelium is the Prostatic Urethra?

2. Membranous Urethra?

3. Pendulous and Bulbous portions of Male urethra?

4. Female Urethra?

Definition

1. Transitional Epithelium

2. Stratified or Pseudostratified Columnar

3. Pseudostratified Columnar Epithelium

4. Stratified Squamous Epithelium

 

Term
Where are Littre's Glands located?
Definition
Present along the entire length of the urethra but are most prevalent in the pendulous portion.
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