"filters essential substances and reabsorbs substances needed to maintain normal
composition" describes what organ? - the KIDNEY!
SATA: Which of the following mechanisms controls RBF?
a. intrinsic
b. autoregulation
c. extrinsic
d. protein & glucose
e. sympathetic controls - a, c, d
Intrinsic, extrinsic and protein and glucose
Of the intrinsic regulation of RBF, the juxtaglomerular complex contains _________
necessary to convert angiotensinogen to angiotensin I - Renin
What RBF intrinsic regulation mechanism has this function:
"plays essential feedback role in linking ABP and RBF to GFR" - Juxtaglomerular
complex
How does a sympathetic NS stimulating event like shock or trauma affect RBF? -
Afferent and Efferent arteriole constriction --> decreased RBF, GFR --> decreased UOP
What affect do blood borne hormones angiotensin II, ADH, endothelins have on RBF? -
vasoCONSTRICTION
What affect do blood borne hormones dopamine, nitric oxide, prostaglandinds have on
RBF? - vasoDILATION
[T/F]: NSAIDS INCREASE RBF - False!
NSAIDS inhibit prostaglandin synthesis --> decreased RBF and GFR
How does a decreased GFR affect Na + Cl? - increased Na + Cl reabsorption -->
decreased Na + Cl to the macula densa
What are the results of decreased Na + Cl to the macula densa? - 1. decreased
resistance in afferent arterioles --> increased GFR
2. increased renin release from JG cells
Describe how protein and glucose affects RBF - amino acids and Na absorbed together
--> decreased Na to macula densa --> JG cell activation --> increased RBF
,Where are the glomeruli and convoluted tubules located? - in the cortex
Renal pyramids, loop of henle, renal pelvis and collecting system are located ________
- in the medulla
Afferent arteriole is supplied by ________ - interlobar ARTERY
Efferent arteriole is supplied by ________ - interlobar VEIN
Where are most nephrons located? - 85% are cortical
(short distance)
The juxtamedullary nephrons are the primary site of __________ __________________
- urine concentration
[T/F]: the glomerulus is a low pressure capillary filtration system - FALSE - it is HIGH
pressure
due to the hydrostatic pressure
_________ is protein free plasma - Filtrate
[T/F]: blood flows IN the Afferent arteriole and OUT of the Efferent arteriole - TRUE
"A comes before E"
Efferent arteriole --> peritubular capillaries is a low pressure system adapted for
______________ - Reabsorption
[SATA]: Which of the following PASSIVELY diffuses in the nephron tubules?
a. sodium
b. glucose
c. water
d. potassium
e. chloride
f. urea
g. phosphate
h. calcium
i. amino acids - c, f
water and urea
[SATA]: Which of the following ACTIVELY diffuses in the nephron tubules?
a. sodium
b. glucose
c. water
d. potassium
e. chloride
f. urea
, g. phosphate
h. calcium
i. amino acids - a, b, d, e, g, h, i
sodium (Na+), glucose, potassium (K+), chloride (Cl-), phosphate (PO4+), calcium
(Ca2+), amino acids
Describe how normal UOP (60 mL urine/ hr) is calculated? - GFR = 125 mL/ min
Reabsorption of H2O = 124 mL/ min
Which of these drains the Bowman's capsule?
a. proximal convoluted tubule
b. ascending loop of henle
c. distal convoluted tubule
d. collecting tubule - a. proximal convoluted tubule
Where does 65% of glucose, amino acids and electrolytes get absorbed?
a. proximal convoluted tubule
b. ascending loop of henle
c. distal convoluted tubule
d. collecting tubule - a. proximal convoluted tubule
Define transport maximum - MAX amount of substance that the system can
REABSORB
Define renal threshold - Amount of substance filtered EXCEEDS transport maximum
- plasma level at which substance appears in urine
(ex: uncontrolled DM --> glucosuria)
The Loop of Henle ALWAYS absorbs more ____ + ______ than water - Na and Cl
Which Loop of Henle is called the "concentrating segment"?
a. thin descending limb
b. thin ascending limb
c. thick ascending limb - a. thin descending limb
{T/F}: The thin descending limb is NOT permeable to water? - False! The thin
descending limb is VERY permeable to water
Which way does water move through the thin descending limb? - Water moves OUT of
the filtrate into the interstitum
[T/F]: The thin ascending limb is VERY permeable to water - False! The thin ascending
limb is NOT very permeable to water
The "diluting segment" is another name for this part of the Loop of Henle
a. thin descending limb
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