ALL CHAPTERS REVIEW Flashcards
Which ligament stretches from the sacrum to the ischial tuberosity to create the lesser sciatic foramen?
sacrotuberous ligament
Which ligament stretches from the sacrum to the ischial spine to create the greater sciatic foramen?
sacrospinous ligament
Which vessels run through the Ischiorectal fossa (aka pudendal canal?)
Through which other foramen do they travel?
1) Pudendal A,V, & N.
2) G.S & L.S foramen
Which segmental levels innervate the urogenital and pelvic diaphragm?
S2-4 (somatic not parasympathetic)
What does the Umbilical Arteries become in an adult? what mesentary is this derived from?
1) medial umbilical fold/ligament
2) Ventral mesentary
Do the kidneys/intermediate mesoderm begin as trans-segmental or segmental?
segmental
List the 3 stages of kidney development in order of their induction, including any ducts involved. Which one develops differently than the others?
Pronephros → Mesonephros & mesonephric duct → Metanephros, the metanephros
The ureteric bud begins as an outgrowth off the _______ duct but migrates where?
Once in place, in which direction does it grow to the metanephric blastema (embryonic kidney)?
1) mesonephric
2) Bladder
3) caudal to cranial
When the kidneys “ascended” up the aorta, what “ladder” did they climb?
What evidence remains of their ascent?
Did this affect their sympathetic innervation?
1) Segmental/mesonephric arteries
2) multiple renal arteries
3) Yes, little bits of everything
Are the kidneys symmetrically positioned? Why?
1) no,
2) R lower than left because of liver being in the way
What is the function and components of renal parenchyma?
For this reason, where does drainage really begin?
1) Filtering; cortex and medulla.
2) @ the minor calyx
Name the 4 attachments to the bladder.
2 ureters, urachus, urethra
What did the urachus attach to in the embryo?
What does it become in the adult?
1) Allantois
2) median umbilical ligament
The Bladder is lined by _________ epithelium and is stretchy, whereas the _______ __ ___ _________ is not.
1) transitional
2) trigone of the bladder
Is the Ureter attached to the bladder at a right angle or oblique angle?
How does this prevent the back-flow of urine to the kidneys?
1) oblique angle
2) Full bladder expands against each ureter pinching them off
What does the renal corpuscle consist of?
1) Glomerulus and Bowman’s capsule
Trace H2O as it travels from the descending aorta to its specific (most likely) point of absorption in the nephron?
D. aorta, renal a., segmental a., interlobar a., (cortical radiate a., afferent arterioles,) glomerulus, Bowman’s capsule, PCT, descending limb of loop of Henle.
What drives water out of the descending limb and into the renal medulla?
Na+ pumped out of the thick ascending limb increases the osmotic concentration slightly in the medulla, causing water to osmose out.
How is the concentration gradient set up in the interstitial space?
By sodium and chlorine ion transport out of the thick ascending limb of the loop of Henle
True or False. There is one proximal convoluted tubule for every collecting duct
False. Many.
How is water permeability controlled at the collecting duct?
By ADH
How does ADH regulate water osmosis?
Targets the PCT and collecting duct.
Increased ADH –> increased water permeability –> water reabsorption –> increased urine concentration
Water follows sodium. Explain this statement in relation to countercurrent exchange in the nephron
Na+ is actively pumped out of the thick ascending limb, increasing solute conc in the interstitial space. Since water is permeable
What effect does a diuretic have on the nephron?
Does it serve the same function as ADH?
Decreases permeability of water at collecting duct, lose more water, get more dilute urine. No
Will increased ADH lead to an increase/decrease of blood pressure? How?
Increased ADH → increased water permeability → increased blood volume → increases BP
What capillary systems do renal arteries eventually give rise to?
Glomeruli
T/F: Renal veins dump into the hepatic portal system
False. Dump into the IVC because are body wall structures
The sympathetic innervation of the kidney is scattered due to the __1__ of the kidneys and include segments 2 which enter the __3__ plexus.
- ascent
- T5-T9 & T10-T11
- renal
The paired vasculature of the bladder are branches off of which major vessels?
Internal Iliac A & V
What is the route for sympathetic innervation of the bladder?
T12 via the least splanchnic n.
The pelvic nerve parasympathetically innervates the _1___ sphincter, the conscious aspect controls the __2___ sphincter?
- internal
2. external