Countercurrent Mechanism Flashcards

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1
Q

What is the countercurrent mechanism in the kidney?

A

A system in the kidney that generates a concentration gradient to concentrate urine and conserve water.

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2
Q

What are the main components of the countercurrent mechanism?

A

The loop of Henle, vasa recta, and collecting ducts.

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3
Q

How does the loop of Henle contribute to the countercurrent mechanism?

A

It establishes an osmotic gradient in the medulla, essential for water reabsorption.

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4
Q

What is the role of the descending limb of the loop of Henle in the countercurrent mechanism?

A

The descending limb is permeable to water but not to solutes, leading to an increase in filtrate osmolarity.

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5
Q

How does the ascending limb of the loop of Henle function in the countercurrent mechanism?

A

The ascending limb actively transports solutes out but is impermeable to water, decreasing filtrate osmolarity.

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6
Q

What is the significance of the thick ascending limb of the loop of Henle?

A

It actively transports sodium, potassium, and chloride out of the filtrate, creating a hyperosmotic medullary interstitium.

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7
Q

How is the osmolarity of the filtrate affected as it moves down the descending limb of the loop of Henle?

A

It increases as water is reabsorbed and solutes remain.

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8
Q

What happens to the osmolarity of the filtrate as it moves up the ascending limb of the loop of Henle?

A

It decreases as solutes are actively transported out.

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9
Q

What is the role of the countercurrent multiplier system in urine concentration?

A

It amplifies the osmotic gradient created by active transport of solutes in the ascending limb.

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10
Q

How does the countercurrent multiplier establish a concentration gradient in the medulla?

A

By continuously moving solutes from the filtrate into the medullary interstitium.

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11
Q

What is the role of urea recycling in the countercurrent mechanism?

A

It contributes to the high osmolarity of the medullary interstitium, enhancing water reabsorption.

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12
Q

How does the medullary interstitial osmolarity affect water reabsorption?

A

High medullary interstitial osmolarity draws water out of the collecting ducts.

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13
Q

What is the function of the vasa recta in the countercurrent mechanism?

A

It maintains the concentration gradient by countercurrent exchange, preventing washout.

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14
Q

How does the countercurrent exchange mechanism in the vasa recta preserve the medullary concentration gradient?

A

It allows for exchange of solutes and water between the blood and medullary interstitium without dissipating the gradient.

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15
Q

What is the significance of the slow blood flow in the vasa recta?

A

It prevents the washout of the medullary concentration gradient.

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16
Q

How does the structure of the vasa recta facilitate its function in the countercurrent mechanism?

A

Its hairpin structure allows for countercurrent exchange of solutes and water.

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17
Q

What role does the collecting duct play in the countercurrent mechanism?

A

It reabsorbs water and concentrates urine as it passes through the medulla.

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18
Q

How does antidiuretic hormone (ADH) influence the countercurrent mechanism?

A

ADH increases the permeability of the collecting ducts to water.

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19
Q

What is the effect of ADH on the collecting ducts in the kidney?

A

It makes the collecting ducts more permeable to water, allowing more water reabsorption.

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20
Q

How does the permeability of the collecting duct change in the presence of ADH?

A

The presence of ADH increases the number of aquaporins in the collecting duct membrane.

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21
Q

What is the maximum osmolarity that the human kidney can achieve in the medullary interstitium?

A

About 1200 mOsm/kg.

22
Q

How is the osmolarity of urine regulated?

A

By adjusting water and solute reabsorption in the collecting ducts.

23
Q

How does the length of the loop of Henle affect the concentration gradient?

A

Longer loops create a steeper concentration gradient.

24
Q

What is the role of the juxtamedullary nephrons in the countercurrent mechanism?

A

They have longer loops of Henle that extend deep into the medulla, crucial for generating a high osmotic gradient.

25
Q

How does the countercurrent multiplier differ from the countercurrent exchanger?

A

The multiplier creates the gradient, while the exchanger preserves it.

26
Q

What ions are actively transported in the thick ascending limb of the loop of Henle?

A

Sodium, potassium, and chloride.

27
Q

How does the countercurrent mechanism facilitate the excretion of concentrated urine?

A

By creating a high osmolarity in the medullary interstitium, which facilitates water reabsorption from the collecting ducts.

28
Q

What factors can disrupt the countercurrent mechanism?

A

Factors such as diuretics, damage to nephrons, or disrupted blood flow.

29
Q

How do loop diuretics affect the countercurrent mechanism?

A

They inhibit the Na-K-2Cl cotransporter in the thick ascending limb, reducing the medullary osmotic gradient.

30
Q

What is the role of the Na-K-2Cl cotransporter in the thick ascending limb of the loop of Henle?

A

It moves sodium, potassium, and chloride out of the filtrate, contributing to the osmotic gradient.

31
Q

How does the countercurrent mechanism help conserve water?

A

By concentrating urine, it minimizes water loss.

32
Q

What is the relationship between the countercurrent mechanism and renal medullary osmolarity?

A

The countercurrent mechanism creates a high osmolarity in the renal medulla, essential for water reabsorption.

33
Q

How does the kidney adapt to changes in hydration status using the countercurrent mechanism?

A

By adjusting the reabsorption of water and solutes based on hydration status.

34
Q

What is the significance of the countercurrent mechanism in maintaining body fluid balance?

A

It ensures efficient reabsorption of water and solutes, maintaining fluid balance.

35
Q

How does the countercurrent mechanism contribute to the regulation of blood pressure?

A

By regulating blood volume through water and sodium reabsorption.

36
Q

What is the impact of low ADH levels on the countercurrent mechanism?

A

Low ADH levels result in decreased water reabsorption, leading to dilute urine.

37
Q

How does the countercurrent mechanism interact with the renin-angiotensin-aldosterone system (RAAS)?

A

RAAS increases sodium and water reabsorption, enhancing the countercurrent mechanism.

38
Q

How does the countercurrent mechanism ensure efficient reabsorption of solutes?

A

By creating a steep osmotic gradient, it maximizes solute reabsorption.

39
Q

What is the effect of increased urea concentration in the medullary interstitium on the countercurrent mechanism?

A

It enhances the medullary osmotic gradient, promoting water reabsorption.

40
Q

How does the countercurrent mechanism enhance the kidney’s ability to concentrate urine?

A

By maintaining a high osmolarity in the medullary interstitium.

41
Q

What role does the thin ascending limb of the loop of Henle play in the countercurrent mechanism?

A

It is involved in the passive reabsorption of solutes.

42
Q

How does the osmotic gradient in the renal medulla affect the countercurrent mechanism?

A

It drives water reabsorption in the collecting ducts.

43
Q

What is the role of aquaporins in the countercurrent mechanism?

A

Aquaporins facilitate water reabsorption in the collecting ducts.

44
Q

How does the countercurrent mechanism respond to high protein diets?

A

Increased protein intake increases urea production, enhancing the medullary osmotic gradient.

45
Q

What happens to the countercurrent mechanism during dehydration?

A

It intensifies to maximize water reabsorption and concentrate urine.

46
Q

How does the countercurrent mechanism contribute to acid-base balance?

A

By regulating bicarbonate and hydrogen ion reabsorption and secretion.

47
Q

How does the countercurrent mechanism adapt to chronic kidney disease?

A

It may be impaired, reducing the ability to concentrate urine.

48
Q

What is the effect of aldosterone on the countercurrent mechanism?

A

Aldosterone increases sodium reabsorption, enhancing the countercurrent mechanism.

49
Q

How does the countercurrent mechanism facilitate the reabsorption of electrolytes?

A

By establishing a concentration gradient that promotes the reabsorption of electrolytes.

50
Q

What clinical conditions can impair the countercurrent mechanism?

A

Conditions like chronic kidney disease, use of certain diuretics, and reduced blood flow can impair the mechanism.