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Introduction to Renal: Fuctional Anatomy and Processes, Hamra, 128/2013

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Question
Answer
Functions of the Kidney   Regulation of water/electrolyte balance, Excretion of metabolic waste, excretion of bioactive substances, regulations of arterial pressure, Regulation of red blood cell production, regulation of vit D production, Gluconeogenesis  
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Kidneys receive what percent of the cardiac output?   20%  
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ALl renal corpuscles are located in the   Cortex  
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3 types of nephrons   Superficial, mid-cortical, juxtamedullary  
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Three layers of the filtration barrier   Capillary endothelium, Glomerular basement membrane, Layer of epithelial podocytes  
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The capillary endothelium allows passage of everything except   Blood cells and platelets  
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Define filtration slits   Spaces between the pedicles  
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What bridges the slits between pedicles   Slit diaphragms  
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The filtration barrier is covered with glycoproteins with what type of charge?   Negative  
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Which is more easily filtered, negative or positively charged solutes   Positive because the barrier is negative and repels negative ions  
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The filtration barrier allows passage of large volumes of fluid but restricts filtration of   Large plasma proteins like albumin  
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Glomerular capillary loops are supported by a network of   Mesangial cells  
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When mesangial cells contract, what happens to the surface area of the capillary membrane?   Decreases  
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Specialized epithelial cells of the thick ascending limb where it contacts its glomerulus   Macula densa  
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Juxtaglomerular cells, or granular cells, are specialized smooth muscle cells that are located in   The wall of the afferent arteriole  
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What is the majority of innervation in the kidney   Sympathetics  
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Define freely filtered   Substance that is present in the filtrate at the same concentration as found in the plasma (aka NOT bound to proteins)  
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Glomerular filtrate is mostly like plasma except it contains very little   Protein  
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Units of GFR   Volume of filtrate formed per unit time  
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Role of the Loop of Henle   Reabsorbs 20% of filtered NaCl and 10% of water, therefor diluting the luminal fluid relative to normal plasma and the surrounding interstitium  
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Cortical connecting tubules and collection ducts are regulated by which two hormones   Aldosterone and ADH  
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With aldosterone present, do you have more sodium present in the final urine or less?   Less  
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With ADH present, is the final urine more concentrated or dilute   Concentrated  
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What is the role of cortisol?   Inhibits reabsorption of calcium  
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ANP causes you to do what?   Dump sodium and water  
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