BIOL 373 midterm #2 Flashcards

1
Q

Roles of the kidney

A

1) regulation of extracellular fluid volume and blood pressure

2) regulate plasma osmolarity (Na, Cl)

3) regulates ion balance

4) excretion of waste

5) regulates plasma pH

6) endocrine

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2
Q

Why not only filter the 1% of filtrate that needs to be excreted?

A

filtering all the liquid then excreting selected solutes is easier because there isn’t a need for specific transport mechanisms

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3
Q

What does the cortex contain

A

All Bowman’s capsules, proximal and distal tubes

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4
Q

What does the medulla contain

A

loops of Henle and collecting ducts

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5
Q

What are the tubular elements of the nephron in order?

A

1) Bowman’s capsule + glomerus (renal corpuscle)

2) proximal tubule

3) descending limb

4) loop of henle

5) ascending limb

6) distal tubule

7) collecting duct to bladder

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6
Q

Conventional circulation

A

artery -> arteriole -> capillary -> venule -> vein -> heart (nephron: two capillary beds glomerulus capillaries and pertitubular capillaries)

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7
Q

Venous portal system

A

artery -> arteriole -> capillary -> venule -> capillary -> venule -> vein -> heart

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8
Q

What is cortical nephron in renal circulation

A

abdominal aorta -> renal artery -> branches of smaller arteries -> … afferent arteriole -> glomerular capillaries -> efferent arteriole -> peritubular capillaries -> venules - > veins

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9
Q

What is the juxtamedullary nephron in renal circulation

A

afferent arteriole -> glomerular capillaries -> efferent arteriole -> peritubular capillaries / vasa recta -> venules -> veins

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10
Q

Overview of kidney function

A

kidneys process 180L plasma/ day

urine output is only 1.5 l/day

99% of fluid that passes through kidneys is reabsorbed

1) filtration
2) reabsorption
3) secretion

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11
Q

What is filtration?

A

movement of water/ solutes from blood into tubules

-only occurs in renal corpuscles
-once in tubules, filtrate will be excreted unless reabsorbed

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12
Q

What is reabsorption?

A

movement of water/ solutes from filtrate back into blood (peritubular capillaries)

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13
Q

What is secretion?

A

removing molecules from blood, adding them to filtrate

much more selective than filtration

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14
Q

Where does filtration occur?

A

Only in the glomerulus
-blood to lumen

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15
Q

Where does reabsorption occur?

A

Proximal tube, loop of Henle

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16
Q

Where does secretion occur?

A

proximal tubule, distal tube

17
Q

Where does excretion occur?

A

To bladder and external environment from distal tubule

18
Q

What does urinary excretion depend on?

A

Filtration, reabsoprtion, and secretion

amount filtered - amount reabsorbed + amount secreted = amount of solute excreted

19
Q

Nephron 1 - Filtration at renal corpuscle

A

1) afferent arteriole

2) glomerulus

3) efferent arteriole

4) peritubular capillaries

filtrate is almost identical to plasma in composition (minus blood cells and most of the protein)

20
Q

Nephron 2 - Reabsorption and secretion

A

~70% fluid and solute reabsorbed in proximal tubule (iso-osmotic reabsoprtion)

fluid leaving ascending loop of Henle is hypo-osmotic relative to plasma (at this point, 90% of original filtrate has been reabsorbed)

distal tubule and collecting duct are fine tuning of water/ salt balance it is in endocrine control

21
Q

What is in the liquid after filtration?

A

100% volume
300 mOsM
180L/day

22
Q

What is liquid at start of loop of Henle?

A

54L/ day
30% volume
300 mOsM

23
Q

What is liquid at end of loop of Henle?

A

18L/ day
10% volume
100 mOsM

24
Q

What is in liquid leaving collecting duct?

A

1.5L/ day
1% volume
50-1200 mOsM
aim for this because this is what we pee a day

25
Q

Filtration at the renal corpuscle

A

20% of the plasma moves out of glomerular capillaries into tubules (the rest exits in the efferent arteriole

26
Q

What is filtration fraction?

A

% of total plasma volume that filters into tubule

27
Q

What is the function of the macula densa?

A

modifies tubular epithelium
-macula densa cells release paracrine factors that act on smooth muscle of afferent arteriole

Monitors tubular salt concentrations and can release paracrine factors that affect afferent arteriole diameter

28
Q

What are barriers to filtration?

A

glomerular capillary endothelium

basement membrane

specialized epithelium around glomerulus

29
Q

What part of the nephron tubule is part of the juxtaglomerular apparatus?

A

It is part of ascending limb of the loop of Henle where it connects to the distal tubule

30
Q
A
31
Q
A
32
Q
A