7- The Urinary System Flashcards

1
Q

3 general kidney functions

A
  1. Regulate various properties of blood
  2. Produce hormones
  3. Excrete waste and foreign substances
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2
Q

kidneys regulate which properties of blood

A
  • ionic composition
  • blood pH
  • volume
  • blood pressure (renin)
  • glucose level
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3
Q

Which hormones do kidneys produce

A

Calcitriol-form of vitamin d

Erythropoietin-stimulate RBC production

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4
Q

Name the 2 parts of the nephron, the functional unit of the kidney

A
  1. Renal corpuscle - where blood plasma is filtered (Cortex)

2. Renal tubule (cortex and medulla)

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5
Q

Describe components of renal corpuscle of nephron

A

Glomerulus and glomerular capsule

-blood filtered from capillary network (glomerulus = ball of capillaries) into capsule => proximal convoluted tubule

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6
Q

Describe components of renal tubule of nephron

A
  • proximal convoluted tubule (cortex)
  • loop of Henle (extends into the deeper renal medulla)
  • distal convoluted tubule (cortex)
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7
Q

Difference bw cortical and juxtamedullary nephrons

A

Cortical - renal corpuscle (glomerulus) in outer cortex with short loop of Henle
Juxtamedullary - renal corpuscle deep in cortex with long loop of Henle
Only 20% are juxtamedullary nephrons

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8
Q

In the – – step of urine formation, water and solutes are pushed from blood plasma in glomerulus into glomerular capsule

A

Glomerular (capillary network) filtration

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9
Q

Name the 3 pressures regulating glomerular filtration

A
  1. Glomerular blood hydrostatic pressure - blood pressure in glomerulus PROMOTES
  2. Capsular hydrostatic pressure - pressure in capsule against filtration membrane OPPOSES
  3. Blood colloid osmotic pressure - presence of proteins in blood draws water BACK into blood plasma OPPOsES
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10
Q

Tubular reabsorption vs secretion

A
Reabsorption = return to blood stream
Secretion = return from blood to glomerular filtrate (secreted out of body)
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11
Q

First step in renin-angiOtensin-aldOsterone pathway

A

Decrease in blood pressure -> decreased blood flow to kidneys caused by loss if sodium and water ==> increased renin secretion

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12
Q

What angiotensin does in raas pathway

A

AngiOtensin - tensing up, so decreases glomerular filtration
O means round from water, Na, cl reabsorption
Stimulates adrenal cortex to secrete aldosterone

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13
Q

What aldosterone does

A

O means round from water reabsorption

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14
Q

Anti diuretic hormone

A

Produced by pituitary gland

Diuretic makes you pee, so the ANTI-diuretic hormone conserves pee

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15
Q

What atrial natiuretic hormone does (think heart)

A

Released by heart in response to hear failure and blood volume increases
*increases urine output = decrease blood volume = decrease arterial pressure

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16
Q

Parathyroid hormone

A

Opposite effect of calcitonin (decrease amount of Ca2+) by stimulating cells in distal convoluted tubule to REABSORB Ca

17
Q

3 major solutes contributing to concentrated urine gradient

A

Na+, cl-, urea

18
Q

Flow in Descending limb of loop of Henle

A

Loss of water = tubular fluid becomes more concentrated

19
Q

Flow in ascending limb of loop of Henle

A

Loss of Na and cl (ions reabsorbed into body) => tubular fluid becomes more dilute as it flows back up to renal cortex

20
Q

More water reabsorbed with increasing – –

A

Osmotic gradient (difference in concentration bw 2 solutions on either side of a permeable membrane)

21
Q

Kidneys help maintain homeostasis via 3 steps

A
  1. Filtration: filtering blood plasma
  2. Reabsorption: returning water and useful solutes to blood stream
  3. Secretion: selectively eliminating unneeded substances