Ch 10 - Homeostasis Flashcards

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1
Q

What are the main functions of the excretory system?

A

regulation of blood pressure, blood osmolarity, acid-base balance, and removal of nitrogenous waste

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2
Q

What do kidneys do?

A

produce urine

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3
Q

What is the pathway for urine?

A
  • made in kidneys
  • flows into the ureter at the renal pelvis
  • collected in the bladder until it is excreted through the urethra
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4
Q

What are the structures in the kidneys?

A
  • contain a cortex and a medulla

- each kidney has a hilum, which contains a renal artery, renal vein, and ureter

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5
Q

How does blood flow through kidneys?

A
  • kidneys have a portal system with 2 capillary beds in series
  • blood from the renal artery flows into afferent arterioles, which form glomerulus in Bowman’s capsule (the first capillary bed)
  • blood then flows through the efferent arterioles to the vasa recta (the second capillary bed), which surrounds the nephron, before leaving the kidney through the renal vein
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6
Q

What is the detrusor muscle?

A
  • muscular lining of the bladder

- under parasympathetic control

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7
Q

What is the difference between the internal and external urethral sphincter of the detrusor muscle?

A
  • in: consists of smooth muscle and is under involuntary (parasympathetic) control
  • ex: consists of skeletal muscle and is under voluntary control
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8
Q

What is filtration?

A
  • the movement of solutes from blood to filtrate at Bowman’s capsule
  • the direction and rate is determined by Starling forces, which account for the hydrostatic and oncotic pressure differentials between the glomerulus and Bowman’s space
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9
Q

What is secretion?

A

the movement of solutes from blood to filtrate anywhere other than Bowman’s capsule

  • blood to filtrate (remove HUNK)
  • increase protein intake = increase NH3, urea secretion
  • decreased blood pH = increase H+ secretion
  • excess waste too large for glomerulus
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10
Q

What is reabsorption?

A

the movement of solutes from filtrate to blood

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11
Q

What is the proximal convoluted tubule (PCT)?

A
  • the site of bulk reabsorption of glucose, amino acids, soluble vitamins, salt, and water (controls solute identity)
  • also the site of secretion for H ions, K ions, NH4+, and urea
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12
Q

What is the descending limb of the loop of Henle?

A
  • permeable to water but not salt; therefore, as the filtrate moves into the more osmotically concentrated renal medulla, water is reabsorbed from the filtrate
  • the vasa recta and nephron flow in opposite directions, creating a countercurrent multiplier system that allows maximal reabsorption of water
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13
Q

What is the ascending limb of the loop of Henle?

A
  • permeable to salt but not water; therefore, salt is reabsorbed both passively and actively
  • the diluting segment is in the outer medulla; because sault is actively reabsorbed in this site, the filtrate actually becomes hypotonic compared to the blood
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14
Q

What is the distal convoluted tubule (DCT)?

A

a responsive to aldosterone and is a site of salt reabsorption and waste produce excretion, like the PCT

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15
Q

What is the collecting duct?

A

responsive to both aldosterone and ADH and has variable permeability, which allows reabsorption of the right amount of water depending on the body’s needs

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16
Q

How are the kidneys under hormonal control?

A

when blood pressure (and volume) are low, 2 different hormonal systems are activated (aldosteron and ADH)

17
Q

What is aldosterone and how does it affect blood pressure and osmolarity?

A
  • a steroid hormone regulated by the renin-angiotensin-aldosterone system that increases sodium reabsorption in the DCT and collecting tube, thereby increasing water absorption
  • this results in an increased blood volume (and pressure), but no change in osmolarity
18
Q

What is ADH and how does it affect blood pressure and osmolarity?

A
  • peptide hormone synthesized by the hypothalamus and release by the posterior pituitary
  • its release is stimulated not only by low blood volume but also by high blood osmolarity
  • its increases the permeability of the collecting duct to water, increasing water reabsorption
  • this results in an increased blood volume (and pressure) and a decreased blood osmolarity
19
Q

How can the kidney regulate pH?

A

by selective reabsorption or secretion of bicarbonate or H ions

20
Q

What is the role of skin?

A

acts as a barrier protecting us from the elements and invasion of pathogens

21
Q

What are the 3 major layers of the skin?

A

hypodermis (subcutaneous layer), dermis, and epidermis

22
Q

What 5 layers compose the epidermis?

A

Come, Let’s Get Sun Burned

  • stratum basale/spinosum/granulosum/lucidum/corneum
  • stratum basale contains stem cells that proliferate to form keratinocytes
  • keratinocyte nuclei are lost in the stratum granulosum, and many thin layers form the stratum corneum
23
Q

What do melanocytes produce?

A

melanin, which protects the skin from DNA damage caused by UV radiation; melanin is passed to keratinocytes

24
Q

What are langerhans cells?

A

special macrophages that serve as antigen-presenting cells in the skin

25
Q

What layers compose the dermis?

A

papillary (loose connective tissue) and reticular layer (dense connective tissue)

26
Q

What sensory cells are in the dermis?

A
  • Merkel cells (deep pressure and texture)
  • Ruffini endings (stretch)
  • Pacinian corpuscles (deep pressure and vibration)
27
Q

What does the hypodermis contain and what does it connect?

A

fat and connective tissue and connects the skin to the rest of the body

28
Q

How does the skin use cooling mechanisms for thermoregulation?

A
  • sweating, which draws heat from the body through evaporation of water from sweat, and vasodilation
  • sweat glands are innervated by postganglionic cholinergic sympathetic neurons
29
Q

How does the skin using warming mechanisms for thermoregulation?

A
  • piloerection, in which arrector pili muscles contract, causing hairs to stand on end (trapping a layer of warmed air around the skin);
  • vasoconstriction
  • shivering
  • insulation provided by fat
30
Q

What can skin help prevent?

A

dehydration and salt loss from the body

31
Q

How does the glomerulus help in identifying health problem?

A
  • small molecules dissolved in the blood will pass through the tiny pores (such as glucose, which is later reabsorbed)
  • large molecules such as protein and blood cells will not pass through
  • if blood cells or proteins are found in the urine, indicates a health problem at the level of the glomerulus
32
Q

What are the major waste products excreted in the urine?

A

Dump the HUNK

H+, Urea, NH3, K+

33
Q

List structures in the excretory pathway, from where filtrate enters the nephron to the excretion of urine from the body.

A

Bowman’s space > proximal convoluted tubule > descending limb of the loop of Henle > ascending limb of the loop of Henle > distal convoluted tubule > collecting duct > renal pelvis > ureter > bladder > urethra

34
Q

List the vessels in the renal vascular pathway, starting from the renal artery and ending at the renal vein.

A

renal artery > afferent arteriole > glomerulus > efferent arteriole > vasa recta > renal vein

35
Q

What is Bowman’s capsule?

A

the site of filtration, through which water, ions, amino acids, vitamins, and glucose pass (essentially everything besides cells and proteins)

36
Q

What are the predominant cell types in the epidermis?

A

keratinocytes

37
Q

Which segments of the nephron is sodium not actively transported out of the nephron?

A
  • sodium is actively transported out of the nephron in the proximal and distal convoluted tubules, where the concentration of sodium outside the nephron is higher than inside, thus energy is required to transport sodium molecules against their concentration gradient
  • in the inner medulla, however, sodium and other ions diffuse passively down their concentration gradients at the thin ascending limb of the loop of Henle
38
Q

Which region of the kidney has the lowest solute concentrations under normal physiological conditions?

A
  • cortex, where the proximal convoluted tubule and a part of the DCT are found
  • the solute concentration increases as one descends into the medulla and concentrated urine can be found in the renal pelvis
39
Q

What should be excreted in large quantities if the pH of the blood is too high?

A

bicarbonate ions