Don 3 Flashcards

1
Q

Renal reabsorption of water and sodium is regulated by what 3 things?

A

ADH
RAAS
Natriuretic peptides

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2
Q
A
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3
Q

What are the two major functions of the JG apparatus?

A

(to regulate blood pressure and filtration rate)
Afferant arteriolar constriction (high tubular)
Renin release (low tubular)

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4
Q

Actions of AT2

A

Vasoconstriction
Increase ADH
Increase aldosterone
Increase thirst

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5
Q

_____ maintain GFR during AT2 induced vasoconstriction

A

Prostaglandins

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6
Q

What stimulates aldosterone release?

A

Decreased Na, increased K
AT2

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7
Q

Aldosterone acts on the ____

A

DCT and collecting ducts

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8
Q

What is Conns syndrome?

A

Primary hyperaldosteronism from a tumor
Causes HTN, HOK, HYPNA

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9
Q

What increases ADH?

A

Increased plasma osmolarity
Decreased volume/ pressire
Nausea, hypoxia
Morphine, nicotine

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10
Q

What decreases ADH?

A

Decreased plasma osmolarity
Increased blood volume/ pressure
Alcohol
Clonidine
Haldol

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11
Q

In the absence of ____, the collecting duct is impermeable to water

A

ADH

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12
Q

What is required to concentrate urine?

A

High ADH
High osmolarity of the renal medullary interstitial fluid
Water movement via osmosis

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13
Q

____% of nephrons are JG nephrons

A

25

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14
Q

Urea is a byproduct of ____

A

amino acids

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15
Q

What is the role of the vasa recta?

A

Remove reabsorbed fluid from the IF
Minimize solute uptake from the medulla

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16
Q

Where are the osmoreceptors

A

hypothalamus structures, stalk, not exactly positive

17
Q

minimum obligatory urine

A

.5L/day

18
Q

What is responsble for osmolarity of the IF space

A

Active Na and Cl transport in the TAL

19
Q

What plays a major role in the medullary IF hypertonic IF

A

Urea 500-600 when ADH is present
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