Chapter 17 Urinary System Flashcards

1
Q

Where are the kidneys located.

A

retroperitoneally - behind the parietal peritoneum and against the deep muscles of the back. On either side of the vertebral column.

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2
Q

Describe kidney structure.

A

bean shaped

two distinct regions, inner medulla and outer cortex.

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3
Q

Name the kidney’s functional unit.

A

Nephrons

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4
Q

List the general functions of the kidneys.

A

Maintains homeostasis
secretes erythropoietin, which helps control the rate of red blood cell production.
Helps in activation of vitamin D
maintains blood volume and blood pressure by secreting the enzyme renin.

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5
Q

Trace the blood supply to the nephron.

A

abdominal aorta flow to the renal arteries, which enter through the hilum and branch into the interlobar arteries, which then pass between the renal pyramids. At the medulla/ cortex junction, the interloper arteries branch into the arcuate arteries, which branch to cortical radiate arteries, then they become afferent arterioles that lead to the nephrons.

Abdominal aorta - renal arteries - interloper arteries - arcuate arteries, cortical radiate arteries, afferent arterioles, nephrons.

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6
Q

Name the parts of the nephron.

A

renal corpuscle which is mad of a tangled cluster of blood capillaries called a glomerulus surrounded by a glomerular capsule.
and a renal tubule, which receives fluid from the glomerular capsule. Fluid flows through the tubule on its way out of the body.

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7
Q

Describe the system of blood vessels associated with a nephron.

A

complex and freely interconnecting network with low pressure.

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8
Q

Which structures form the juxtaglomerular apparatus?

A

smooth muscle cells called juxtaglomerular cells and cells of the macula dense.

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9
Q

What determines the amount of substances in urine?

A

amount filtered at glomerulus - amount reabsorbed by tubules + amount secreted by tubules. = amount excreted in urine.

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10
Q

Which processes form urine?

A

Glomerular filtration, tubular reabsorption, and tubular secretion.

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11
Q

Which forces affect net filtration pressure?

A

hydrostatic pressure of blood, colloid osmotic pressure of plasma in the glomerulus.

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12
Q

Which factors influence the rate of glomerular filtration?

A

glomerular hydrostatic pressure, glomerular plasma osmotic pressure, or hydrostatic pressure int the glomerular capsule.

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13
Q

What is the function of the macula densa?

A

Its main function is to regulate blood pressure and the filtration rate of the glomerulus.

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14
Q

How does renin help regulate filtration rate?

A

When the sodium chloride concentration in the tubular fluid decreases,the macula densa senses these changes and causes the juxtaglomerular cells to secrete renin. Secretion of renin triggers a series of reactions leading to the production of angiotensin II, which acts as a vasoconstrictor; this may, in turn, affect filtration rate. Presence of angiotensin II also increases the secretion of aldosterone, which stimulates reabsorption of sodium.

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15
Q

Which chemicals are normally present in the glomerular filtrate but not in urine?

A

Glucose and proteins.

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16
Q

Which mechanisms reabsorb solutes from the glomerular filtrate?

A

Active transport, passive transport….. Is this answer right?

17
Q

Which substances are actively secreted?

A

penicillin, creatinine, histamine, and hydrogen ions.

18
Q

How does sodium reabsorption affect potassium secretion?

A

Sodium ions are reabsorbed, leaving a net negative charge in the filtrate. K+ and H+ are attracted to the net negative charge and wind up being secreted.

19
Q

How does the hypothalamus regulate urine concentration and volume?

A

They hypothalamus produces ADH (antidiuretic hormone) in response to low water concentration in blood, or decreased blood volume.
ADH reaches the kidney, stimulating more water to be reabsorbed…. less urine, more blood water.

20
Q

Explain how urea and uric acid are excreted.

A

Urea enters the renal tubule by filtration, about 80% is reabsorbed.
Uric acid is normally reabsorbed from the glomerular filtrate, but a small amount is secreted into the renal tubule.

21
Q

List the normal constituents of urine.

A

95% water, urea, uric acid, amino acids, electrolytes.

22
Q

Which factors affect urine volume?

A

fluid intake, environment temperature, humidity, emotional state, respiratory rate, and body temperature.

23
Q

Describe the structure of a ureter.

A

25 cm long tube, with three layers. mucous coat (inner), muscular coat (middle, smooth muscle), and fibrous coat (outer connective tissue).

24
Q

What prevents urine from backing up from the urinary bladder into the ureters?

A

a flaplike fold of mucous membrane covers the opening through which urine enters the bladder. Acts like a valve.

25
Q

Describe the trigone of the urinary bladder?

A

a triangular area on the internal floor of the bladder with an opening at each angle. The two posterior ones are where the ureters drain in. the anterior one is where the pee drains out.

26
Q

Describe the structure of the bladder wall

A

four layers - mucous coat with several layers of transitional epithelial(inner), sub mucous coat (second Layer), Muscular coat, (third), serous coat (parietal peritoneum).

27
Q

What kind of nerve fibers supply the detrusor muscle?

A

parasympathetic nerve fibers.

28
Q

Describe micturition.

A

it literally is urination, like literally peeing… detrusor muscle contracts, as do muscles in the abdominal wall and pelvic floor, simultaneously, muscles in the thoracic wall and diaphragm do not contract, external sphincter relaxes…. and then you pee.

29
Q

How is it possible to consciously inhibit the micturition reflex?

A

External urethral sphincter is skeletal muscle…. voluntary.

30
Q

Describe the structure of the urethra.

A

tube from the bladder to the outside, lined with mucous, thick layer of smooth muscle. shit tons of mucous glands called urethral glands.