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urinary

QuestionAnswer
The kidneys filter blood of wastes and excrete them into a fluid called? Urine
What is the scientific study of the anatomy, physiology, and pathology of the kidneys? Nephrology
The branch of medicine that deals with the male and female urinary systems and the male reproductive system is called? Urology
What do kidneys do? regulate blood volume and composition; help regulate blood pressure, pH, and glucose levels; produce two hormones (calcitriol and erythropoietin); and excrete wastes in urine.
What do ureters do? transport urine from kidneys to urinary bladder.
What does urinary bladder do? stores urine and expels it into urethra.
What does the urethra do? discharges urine from body.
Some wastes excreted in urine result from metabolic reactions
What nitrogenous wastes are waste products because they contain nitrogen? Urea, ammonia, creatinine, uric acid, and urobilin
How do the kidneys adjust blood volume? By conserving or eliminating water in the urine.
The kidneys also help regulate blood pressure by secreting which enzyme? renin
Increased renin causes: increased blood pressure
The kidneys produce which two hormones? calcitrol and erythropoietin
What is it called where the ureter emerges from the kidney along with blood vessels, lymphatic vessels, and nerves? renal hilum
What is a floating kidney, is an inferior displacement or dropping of the kidney called? Nephroptosis
What serves as a barrier against trauma and helps maintain the shape of the kidney? renal capsule
What also protects the kidney from trauma and holds it firmly in place within the abdominal cavity.? adipose capsule
Together, the renal cortex and renal pyramids of the renal medulla constitute the functional portion of the kidney called? parenchyma
What are the 1 million microscopic structures in the kidney? nephrons
Each nephron receives one afferent arteriole, which divides into a tangled, ball-shaped capillary network called? glomerulus
What carries blood out of the glomerulus? efferent arteriole
the glomeruli are considered part of which two systems? the cardiovascular and the urinary
The efferent arterioles divide to form what capillaries? the peritubular capillaries
What supply tubular portions of the nephron in the renal medulla? vasa recta
Blood leaves the kidney through which vein, that exits at the renal hilum and carries venous blood to the inferior vena cava? renal vein
Renal nerves are part of which system? the sympathetic division of the autonomic nervous system.
Nephron consists of which two parts? renal corpuscle and renal tubule
The two components of a renal corpuscle are glomerulus and glomerular capsule
What does convoluted mean? the tubule is tightly coiled rather than straight.
The distal convoluted tubules of several nephrons empty into what? a single collecting duct
What connects the proximal and distal convoluted tubules? nephron loop
What makes up about 80-85% nephrons? cortical nephrons
The glomerular (Bowman’s) capsule consists of which layers? visceral and parietal layers
What helps regulate blood pressure within the kidneys? juxtaglomerular apparatus (JGA)
What cells have receptors for both antidiuretic hormone (ADH) and aldosterone, two hormones that regulate their functions.? principal cells
What cells play a role in the homeostasis of blood pH? Intercalated cells
Any increase in kidney size is due solely to what? the growth of individual nephrons.
nephrons and collecting ducts perform three basic processes such as: glomerular filtration, tubular reabsorption, and tubular secretion
What process removes a substance from the blood? tubular secretion
The fluid that enters the capsular space is called? glomerular filtrate
The fraction of blood plasma in the afferent arterioles of the kidneys that becomes glomerular filtrate is called? filtration fraction.
What sandwichlike assembly permits filtration of water and small solutes but prevents filtration of most plasma proteins and blood cells? filtration membrane
Glomerular endothelial cells are quite leaky because they have what? large fenestrations
What contractile cells help regulate glomerular filtration? mesangial cells
What layer of acellular material between the endothelium and the podocytes, consists of minute collagen fibers and negatively charged glycoproteins.? basement membrane
What extends across each filtration slit and permits the passage of molecules having a diameter smaller than 0.006–0.007? slit membrane
What is the use of pressure to force fluids and solutes through a membrane? filtration
Glomerular filtration depends on what three main pressures? Glomerular blood hydrostatic pressure (GBHP), Capsular hydrostatic pressure (CHP), Blood colloid osmotic pressure (BCOP),
What is the total pressure that promotes filtration? net filtration pressure NFP
The amount of filtrate formed in all renal corpuscles of both kidneys each minute is called? glomerular filtration rate (GFR)
The mechanisms that regulate glomerular filtration rate operate in two main ways: by adjusting blood flow into and out of the glomerulus and (2) by altering the glomerular capillary surface area available for filtration
What three mechanisms control GFR? renal autoregulation, neural regulation, and hormonal regulation.
Renal autoregulation and consists of what two mechanisms? the myogenic mechanism and tubuloglomerular feedback.
What occurs when stretching triggers contraction of smooth muscle cells in the walls of afferent arterioles? myogenic mechanism
Norepinephrine causes vasoconstriction through the activation of what? a1 receptors
α1 receptors are particularly plentiful in the smooth muscle fibers of what arterioles? afferent arterioles
This lowering of renal blood flow has two consequences: (1) It reduces urine output (2) It permits greater blood flow to other body tissues.
What reduces GFR? Angiotensin II
What increases GFR? atrial natriuretic peptide (ANP)
Apical membrane contacts which fluid? tubular fluid
Basolateral membrane contacts which fluid? interstitual fluid
Fluid can leak between the cells in a passive process known as? paracellular reabsorption
What membrane proteins that move two or more substances in the same direction across a membrane? symporters
WHat is it that moves two or more substances in opposite directions across a membrane? antiporters
Water reabsorbed with solutes in tubular fluid is termed ? obligatory water reabsorption
Facultative water reabsorption is regulated by antidiuretic hormone and occurs mainly in the what? collective ducts
When the blood concentration of glucose is above 200 mg/mL, the renal symporters cannot work fast enough to reabsorb all the glucose that enters the glomerular filtrate. As a result, some glucose remains in the urine, a condition called ? glucosuria
The fluid that drains from papillary ducts into the renal pelvis is called? urine
The largest amount of solute and water reabsorption from filtered fluid occurs in the ? proximal convoluted tubules
Most solute reabsorption in the proximal convoluted tubule (PCT) involves ? Na+
Na+ symporters are located where? apical membrane.
What do PCT cells produce that's needed to keep the antiporters running ? H+
The nephron loop thus sets the stage for independent regulation of both what? volume and osmolarity of body fluids.
The movement of positively charged K+ into the tubular fluid through the apical membrane channels leaves the interstitial fluid and blood with what charges? negative
Reabsorption of Na+ and Cl− occurs by means of ? Na+–Cl− symporters
The principal cells reabsorb___ and secrete ___ Na+ and K+
What 5 hormones affect the extent of Na+, Ca2+, and water reabsorption as well as K+ secretion by the renal tubules? angiotensin II, aldosterone, antidiuretic hormone, atrial natriuretic peptide, and parathyroid hormone.
Juxtaglomerular cells secrete which enzyme when blood volume and blood pressure decrease, the walls of the afferent arterioles are stretched less? renin
Angiotensin II affects renal physiology in what three main ways: It decreases the glomerular filtration, It enhances reabsorption of Na+, It stimulates the adrenal cortex to release aldosterone
Within principal cells are tiny vesicles containing many copies of a water channel protein known as : aquaporin-2
What system involving ADH regulates facultative water reabsorption ? negeative feedback system
When the body is dehydrated, the concentration of ADH in the blood ____ increases
When the body is overhydrated (too much water intake), the concentration of ADH in the blood _______ decreases
ANP also suppresses the secretion of _____ and _____ aldosterone and ADH.
a lower than normal level of Ca2+ in the blood stimulates the parathyroid glands to release_________ parathyroid hormone (PTH)
What controls whether dilute urine or concentrated urine is formed? ADH
The ability of ADH to cause excretion of concentrated urine depends on the presence of an _________ of solutes in the interstitial fluid of the renal medulla. osmostic gradient
What are the three major solutes that contribute to this high osmolarity? Na+, Cl−, and urea.
What is the flow of fluid in opposite directions called? countercurrent
Two types of countercurrent mechanisms exist in the kidneys: countercurrent multiplication and countercurrent exchange.
What are substances that slow renal reabsorption of water and thereby cause diuresis, an elevated urine flow rate, which in turn reduces blood volume? diuretics
What is an analysis of the volume and physical, chemical, and microscopic properties of urine called? urinalysis
What makes the color of urine? urochrome (pigment produced from breakdown of bile) and urobilin (from breakdown of hemoglobin)
Typical solutes normally present in urine include filtered and secreted electrolytes that are not reabsorbed called: urea, creatinine , uric acid , urobilinogen , and small quantities of other substances, such as fatty acids, pigments, enzymes, and hormones.
What test measures the blood nitrogen that is part of the urea resulting from catabolism and deamination of amino acids? blood urea nitrogen (BUN) test
what results from catabolism of creatine phosphate in skeletal muscle? plasma creatinine
What is the volume of blood that is “cleaned” or cleared of a substance per unit of time? renal plasma clearnace
What is the separation of large solutes from smaller ones by diffusion through a selectively permeable membrane? dialysis
When directly filtering the patient’s blood by removing wastes and excess electrolytes and fluid and then returning the cleansed blood to the patient is called? hemodialysis
What dialysis uses the peritoneum of the abdominal cavity as the dialysis membrane to filter the blood? peritoneal dialysis
What transports urine from the renal pelvis of one kidney to the urinary bladder? ureters
What pushes urine toward the urinary bladder, but hydrostatic pressure and gravity also contribute? peristaltic contractions
What layer of areolar connective tissue contains blood vessels, lymphatic vessels, and nerves that serve the muscularis and mucosa? adventitia
The prostatic urethra contains: the openings of (1) ducts that transport secretions from the prostate and (2) the seminal vesicles and ductus (vas) deferens,
What gland empties into the spongy urethra? bulbourethral glands or Cowper’s glands
What is a lack of voluntary control over micturition called? urinary incontinence
What is the most common type of incontinence in young and middle-aged females, and results from weakness of the deep muscles of the pelvic floor? Stress incontinence
What is the most common type of incontinence in older people and is characterized by an abrupt and intense urge to urinate followed by an involuntary loss of urine? Urge incontinence
What incontinence refers to the involuntary leakage of small amounts of urine caused by some type of blockage or weak contractions of the musculature of the urinary bladder? overflow incontinence
What incontinence is caused by urine loss resulting from the inability to get to a toilet facility in time as a result of conditions such as stroke, severe arthritis, or Alzheimer’s disease? functional incontinence
Three pairs of kidneys form within the intermediate mesoderm in succession: the pronephros, the mesonephros, and the metanephros
During development, The first kidney to form and is the most superior of the three and has an associated pronephric duct is called? the pronephros
The second kidney during development that replaces the pronephros is called? the mesonephros
What is the condition called when only one kidney develops (usually the right) due to the absence of a ureteric bud? unilateral renal agenesis
What is it called when the crystals of salts present in urine occasionally precipitate and solidify into insoluble stones ? renal calculi or kidney stones
What is the procedure that uses high-energy shock waves to disintegrate kidney stones and offers an alternative to surgical removal? Shock-wave lithotripsy
What is an inflammation of the kidney that involves the glomeruli? Glomerulonephritis
What is a decrease or cessation of glomerular filtration called? Renal failure
What is the procedure for direct examination of the mucosa of the urethra and urinary bladder and prostate in males called? cystoscopy
Created by: rscott3
 

 



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