Exam 4 PPT Notes - Ch. 26 Flashcards
(organs of the urinary system) …: produces …
kidney; urine
(organs of the urinary system) …: transports urine toward the …
ureter; urinary bladder
(organs of the urinary system) …: temporarily stores urine prior to …
urinary bladder;
urination
(organs of the urinary system) …: conducts urine to …; in males, also transports ….
urethra;
exterior;
semen
(urinary system functions) three functions of the urinary system:
- …: removal of organic wastes from body fluids
- …: discharge of waste products
- …: of blood plasma volume and solute concentration
excretion;
elimination;
homeostatic regulation
(urinary system functions) functions of the urinary system:
…: organs that produce urine
…: organs that eliminate urine
kidneys;
urinary tract
(urinary system functions) functions of the urinary system: urinary tract consists of: ... (paired tubes) ... (muscular sac) ... (exit tube)
ureters;
urinary bladder;
urethra
(urinary system functions) functions of the urinary system:
… or … - process of eliminating urine
… of muscular urinary bladder forces urine through …, and out of body
urination; micturition;
contraction;
urethra
(urinary system functions) homeostatic functions of the urinary system:
regulates … and …
by adjusting … lost in urine
releasing … and …
blood volume; blood pressure;
volume of water;
erythropoietin; renin
(urinary system functions) homeostatic functions of the urinary system:
regulates … concentrations
…, …, and … ions (by controlling quantities lost in urine)
plasma ion;
sodium;
potassium;
chloride
(urinary system functions) homeostatic functions of the urinary system:
regulates plasma ion concs.:
… ion levels (through synthesis of …, active version of …, made by the …)
calcium;
calcitriol;
vit. D;
kidneys
(urinary system functions) homeostatic functions of urinary system:
helps stabilize … - by controlling loss of … ions and … ions in urine
blood pH;
hydrogen;
bicarbonate
(urinary system functions) homeostatic functions of urinary system:
conserves … –> by preventing … while excreting …
valuable nutrients;
excretion;
organic waste products
(urinary system functions) homeostatic functions of urinary system:
assists … in …
liver; detoxifying poisons
(the kidneys) typical adult kidney:
about … cm long, … cm wide, and … cm thick (… in * … in * … in)
10; 5.5; 3; 4; 2.2; 1.2
(the kidneys) typical adult kidney:
weighs about … g (… oz)
150; 5.25
(the kidneys) hilum: point of entry for … and …
point of exit for … and …
renal artery; renal nerves;
renal vein; ureter
filtration occurs exclusively in the …, across the filtration membrane
water reabsorption occurs primarily along the … and the … of the nephron loop, but also to a variable degree in the … and … system
renal corpuscle; PCT; descending limb; DCT; collecting
variable water reabsorption occurs in the … and …
DCT;
collecting system
solute reabsorption occurs along the …, the … of the nephron loop, the …, and the …
PCT; ascending limb;
DCT;
collecting system
variable solute reabsorption or secretion occurs at the …, the …, and the …
PCT;
DCT;
collecting system
(the kidneys) blood supply to the kidneys:
kidneys receive …-… percent of total cardiac output
20; 25
(the kidneys) blood supply to the kidneys:
… mL of blood flows through kidneys each minute - … L per day so all blood plasma is filtered about … times per day
1200;
180;
60
(the kidneys) Blood supply to the kidneys:
kidney receives blood through …
renal artery
(the kidneys) The nephron: consists of … and …
renal tubule; renal corpuscle
(the kidneys) the nephron:
renal tubule:
long … passageway
begins at ….
tubular;
renal corpuscle
(the kidneys) the nephron: renal corpuscle: spherical structure consisting of: .... (....) ...-shaped chamber ... (...)
glomerular capsule; Bowman’s capsule;
cup;
capillary network; glomerulus
(the kidneys) glomerulus: consists of ... intertwining capillaries blood delivered via ... blood leaves in ....
50;
afferent arteriole;
efferent arteriole
(the kidneys) glomerulus:
blood leaves in efferent arteriole:
flows into …., which drains into … and return blood to venous system
peritubular;
small venules
(the kidneys) each nephron:
empties into the … –> a series of tubes that carries tubular fluid away from nephron
collecting system
(the kidneys) each nephron:
collecting ducts:
receive … from …
fluid; many nephrons
(the kidneys) each nephron: each collecting duct: begins in .... descends into ... carries fluid to .... that drains into a ...
cortex;
medulla;
papillary duct;
minor calyx
(the kidneys) cortical nephrons:
… % of all nephrons
located mostly within … of kidney
85;
superficial cortex
(the kidneys) cortical nephrons: nephron loop (...) is relatively ... efferent arteriole delivers blood to a network of ...
loop of Henle;
short;
peritubular capillaries
(the kidneys) juxtamedullary nephrons:
… percent of nephrons;
nephron loops extend ….
peritubular capillaries connect to …
15;
deep into medulla;
vasa recta
(the kidneys) the renal corpuscle:
each renal corpuscle is …-… micrometers in diameter
150; 250
(the kidneys) the renal corpuscle: glomerular capsule: is connected to initial segment of ... forms outer wall of ... encapsulates ....
renal tubule;
renal corpuscle;
glomerular capillaries
(the kidneys) the renal corpuscle:
…: knot of capillaries
glomerulus
(the kidneys) the visceral epithelium:
consists of large cells (…):
with complex processes or “feet” (…) that wrap around specialized dense layer of …
podocytes;
pedicels;
glomerular capillaries
(the kidneys) ….: narrow gaps between adjacent pedicels
filtration slits
(the kidneys) filtration slits:
materials passing out of blood at glomerulus - must be small enough to pass between ….
filtration slits
(the kidneys) the glomerular capillaries:
are … capillaries - contains …-diameter pores
fenestrated;
large
(the kidneys) blood flow control:
special supporting cells (… cells):
between …
control … and rate of …
mesangial;
adjacent capillaries;
diameter;
capillary blood flow
(the kidneys) filtration:
blood pressure –> forces … and … across membrane into …
water;
small solutes;
capsular space
(the kidneys) filtration:
blood pressure:
… solutes, such as …, are excluded
larger;
plasma proteins
(the kidneys) filtration at renal corpuscle:
is …
solutes enter … –> … and excess …
passive;
capsular space;
metabolic wastes;
ions
(the kidneys) filtration at renal corpuscle:
solutes enter capsular space:
…, free …, …, and …
glucose;
free fatty acids;
amino acids;
vitamins
(the kidneys) reabsorption:
useful materials are … before filtration leaves kidneys
reabsorption occurs in …
recaptured;
proximal convoluted tubule
(the kidneys) the proximal convoluted tubule:
the first segment of …
entrance to PCT lies opposite point of connection of … and … with …
renal tubule;
afferent and efferent arterioles;
glomerulus
(the kidneys) the proximal convoluted tubule (PCT):
functions in …
… substances into lumen
reabsorption;
secretes
(the kidneys) the proximal convoluted tubule (PCT):
absorb …, …, …, and … from tubular fluid
organic nutrients;
ions;
water;
plasma proteins
(the kidneys) the proximal convoluted tubule:
release them into … (interstitial fluid around ….)
peritubular fluid;
renal tubule
(the kidneys) the nephron loop (loop of Henle):
renal tubule turns toward …
descending limb: fluid flows toward ….
renal medulla;
renal pelvis
(the kidneys) the nephron loop:
ascending limb:
fluid flows toward …
create … in peritubular fluid
renal cortex;
high solute concentrations
(the kidneys) each limb contains:
thick segment - pumps … and … ions out of tubular fluid
thin segment - are freely permeable to …, not to …
sodium; chloride;
water;
solutes
(the kidneys) each limb contains:
thin segment - water movement helps …
concentrate tubular fluid
(the kidneys) the distal convoluted tubule:
the … segment of the renal tubule
initial portion passes between … and …
third;
afferent and efferent arterioles
(the kidneys) the distal convoluted tubule:
has a smaller diameter than … cells lack …
PCT;
microvilli
(the kidneys) three processes at the DCT:
1. active secretion of …, …, …, and …
ions;
acids;
drugs;
toxins
(the kidneys) three processes at the DCT:
- selective reabsorption of … and … from tubular fluid
- selective reabsorption of … – … tubular fluid
sodium and calcium ions;
water;
concentrates
(the kidneys) the collecting system:
the distal convoluted tubule opens into the …
individual nephrons drain into a nearby …
collecting system;
collecting duct
(the kidneys) the collecting system:
several collecting ducts:
converge into a larger …
which empties into a …
papillary duct;
minor calyx
(the kidneys) the collecting system:
transports tubular fluid from nephron to …
adjusts ….
determines final … and … of urine
renal pelvis;
fluid composition;
osmotic concentration;
volume
(renal physiology) the goal of urine production:
is to maintain homeostasis by regulating … and … of blood
including …. of … products
volume;
composition;
excretion;
metabolic waste
(renal physiology) three organic waste products:
- …
- …
- …
urea;
creatinine;
uric acid
(renal physiology) organic waste products:
are … in bloodstream
are eliminated only while …
removal is accompanied by …
dissolved;
dissolved in urine;
water loss
(renal physiology) basic processes of urine formation:
- …
- …
- …
filtration;
reabsorption;
secretion
(renal physiology) transport maximum (Tm) and the renal threshold:
if nutrient concs. rise in tubular fluid - … rates increase until …. are saturated
reabsorption;
carrier proteins
(renal physiology) transport maximum and the renal threshold:
concentration higher than transport maximum:
exceeds … abilities of nephron
some material will remain in the … and appear in the …
reabsorptive;
tubular fluid;
urine
(renal physiology) concentration higher than transport maximum:
determines the … a specific compound or ion begins to appear in urine
renal threshold
(renal physiology) renal threshold for glucose:
is approximately … mg/dL
180
(renal physiology) renal threshold for glucose:
if plasma glucose is greater than 180 mg/dL:
… of tubular cells is exceeded
… appears in urine
…
Tm;
glucose;
glycosuria
(renal physiology) renal threshold for amino acids: is lower than glucose (... mg/dL) amino acids commonly appear in urine: after a ... ....
65;
protein-rich meal;
aminoaciduria
(renal physiology) insertion of … into collecting ducts concentrates urine
aquaporins
(reabsorption and secretion) the hypothalamus:
continuously secretes low levels of … –> … and … are always permeable to water
ADH;
DCT;
collecting system
(reabsorption and secretion) the hypothalamus:
at normal ADH levels- collecting system reabsorbs … L/day (…. percent of filtrate)
- 8;
9. 3
(reabsorption and secretion) urine production:
a healthy adult produces … mL per day (… percent of filtrate)
1200;
0.6
(reabsorption and secretion) …: the elimination of urine, typically indicates production of … volumes of urine
diuresis
large
(reabsorption and secretion) diuretics: drugs that promote ... in urine diuretic therapy reduces: ... ... ...
water loss;
blood volume;
blood pressure;
extracellular fluid volume
(reabsorption and secretion)
the function of the vasa recta:
to return … and … reabsorbed in … to general circulation without disrupting the …
solutes; water; medulla; conc. gradient
(reabsorption and secretion) the function of the vasa recta:
some solutes absorbed in … portion do not diffuse out in … portion
descending;
ascending
(reabsorption and secretion) the function of the vasa recta:
more water moves into … portion than is moved out of … portion
ascending;
descending
(reabsorption and secretion) the vasa recta:
carries … and … out of medulla
balances … and .. in medulla
water; solutes;
solute reabsorption;
osmosis
(reabsorption and secretion) the composition of normal urine:
results from …, …, and … activities of nephrons
filtration;
absorption;
secretion
(reabsorption and secretion) the composition of normal urine: some compounds (such as ...) are neither excreted nor reabsorbed ... are completely reabsorbed -- other compounds missed by filtration process (e.g. ...) are actively secreted into ...
urea;
organic nutrients;
creatinine;
tubular fluid
(reabsorption and secretion) the composition of normal urine:
is a …, … solution
yellow color (pigment …) –> generated in kidneys from …
clear; sterile;
urobilin;
urobilinogens
(reabsorption and secretion) the composition of normal urine:
…, the analysis of a urine sample, is an important diagnostic tool
urinalysis
(summary of renal function) seven steps of renal function:
step 1 glomerulus - filtrate produced at … has the same composition as … (minus …)
renal corpuscle;
blood plasma;
plasma proteins
(summary of renal function) seven steps of renal function:
step 2 proximal convoluted tubule (PCT)-
active removal of … and …
produces … out of tubular fluid
… volume of filtrate
keeps solution inside and outside tubule …
ions; organic substrates;
osmotic water flow;
reduces;
isotonic
(summary of renal function) seven steps of renal function:
step 3 PCT and Descending Limb:
water moves into …, leaving highly … tubular fluid
reduction in volume occurs by obligatory …
peritubular fluids;
concentrated;
water reabsorption
(summary of renal function) seven steps of renal function:
step 4 thick ascending limb:
tubular cells actively transport … and … out of tubule
…. accounts for higher proportion of total osmotic concentration
Na+; Cl-;
urea
(summary of renal function) seven steps of renal function:
step 5 DCT and collecting ducts:
final adjustments in … of tubular fluid
osmotic concentration is adjusted through … (… or …)
composition;
active transport; reabsorption; secretion
(summary of renal function) seven steps of renal function:
step 6 DCT and collecting ducts:
final adjustments in … and … of tubular fluid
exposure to … determines final urine concentration
volume;
osmotic concentration;
ADH
(summary of renal function) seven steps of renal function:
Step 7 Vasa Recta:
absorbs … and … reabsorbed by nephron loop and the ducts
maintains … of medulla
solutes;
water;
concentration gradient
(summary of renal function) seven steps of renal function:
Step 7 Vasa Recta:
urine production:
ends when … enters the …
fluid;
renal pelvis
(urine transport, storage, and elimination) urine transport, storage, and elimination: take place in the urinary tract: ... ... ...
ureters;
urinary bladder;
urethra
(urine transport, storage, and elimination) structures:
minor and major …, …, …, …, and … portion of …
that undergoes cycles of … and …
calyces; renal pelvis; ureters; urinary bladder; proximal; urethra;
distention;
contraction
(urine transport, storage, and elimination) the ureters: are a pair of muscular tubes extend from kidneys to ... begin at ... pass over ... muscles
urinary bladder;
renal pelvis;
psoas major
(urine transport, storage, and elimination) the ureters:
are …, attached to … abdominal wall
penetrate … wall of the ….
retroperitoneal;
posterior;
posterior wall;
urinary bladder
(urine transport, storage, and elimination) the ureters:
… are slit-like rather than rounded
shape helps prevent … of urine when urinary bladder contracts
ureteral openings;
backflow
(urine transport, storage, and elimination) peristaltic contractions: begin at ... sweep along ... force urine toward ... every ... seconds
renal pelvis;
ureter;
urinary bladder;
30
(urine transport, storage, and elimination) the urinary bladder:
is a …, … organ
functions as a temporary reservoir for …
full bladder can contain … of urine
hollow; muscular;
urine storage;
1 L
(urine transport, storage, and elimination) the Urethra:
extends from … of urinary bladder
to the … of the body
neck;
exterior
(urine transport, storage, and elimination) the external urethral sphincter:
in both sexes-
is a … band of …
where urethra passes through …
circular; skeletal muscle;
urogenital diaphragm
(urine transport, storage, and elimination) the external urethral sphincter:
acts as a …
is under … control
valve;
voluntary
(urine transport, storage, and elimination) the external urethral sphincter:
has ….
voluntary relaxation permits …
resting muscle tone;
micturition
(urine transport, storage, and elimination) the micturition reflex and urination:
as the bladder fills with urine-
… in urinary bladder stimulate … in … nerve
stretch receptors;
sensory fibers;
pelvic
(urine transport, storage, and elimination) the micturition reflex and urination:
as the bladder fills with urine:
stimulus travels from … fibers in … nerves to …
afferent;
pelvic;
sacral spinal cord
(urine transport, storage, and elimination) the micturition reflex and urination:
… neuron in … stimulates … muscle contraction
postganglionic;
intramural ganglion;
detrusor
(urine transport, storage, and elimination) the micturition reflex and urination:
interneuron relays sensation to …
projection fibers from thalamus deliver sensation to …
voluntary relaxation of … sphincter causes relaxation of … sphincter
thalamus;
cerebral cortex;
external urethral;
internal urethral
(urine transport, storage, and elimination) the micturition reflex and urination:
begins when stretch receptors stimulate … neurons
volume > … mL triggers micturition reflex
parasympathetic preganglionic motor;
500
the afferent fibers stimulate neurons involved with:
a … pathway and a … pathway
local; central
(urine transport, storage, and elimination) infants:
lack … control over urination
… connections are not established
voluntary;
corticospinal
(urine transport, storage, and elimination) …: the inability to control urination voluntarily
may be caused by trauma to … or …
incontinence;
internal or external urethral sphincter
(homeostatic imbalance: obstetric fistula) prolonged labor and an undelivered child result in … where the babies head cuts off blood supply. this results in … or … or both.
necrosis;
urinary or fecal incontinence
(homeostatic imbalance: obstetric fistula) it is estimated that each year … to … women develop it. more than … live with it currently.
in africa, the cost is less than $400 to fix most cases
50,000; 100,000;
2,000,000