EXAM 4 - Renal and Reproductive Systems Flashcards

1
Q

SGLT1

A

glucose absorption

SI, renal tubules

secondary active

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2
Q

GLUT2

A

B cell glucose sensor, transports glucose out of epithelia

liver, epithelia of intestine, kidneys

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3
Q

GLUT4

A

insulin stimulated glucose uptake

muscle, adipose

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4
Q

absence of insulin

A

no glucose uptake

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5
Q

presence of insulin

A

lipogenesis (stimulated by G3P)

hormone sensitive lipase inhibited

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6
Q

insulin affects

A

GLUT2

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7
Q

glucagon promotes

A

glycogenolysis (not in muscle)
gluconeogenesis
ketogenesis
lipolysis

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8
Q

renal function

A

excretes metabolic end products, drugs, xenobiotics

regulates essential ions, osmolarity, pH, arterial bp

secretes renin, erythropoietin, activates vitamin D

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9
Q

cortical nephrons

A

reabsorption, peritubular capillaries

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10
Q

juxtamedulliary nephrons

A

concentrates urine, vasa recta, and peritubular capillaries

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11
Q

excretion = filtration - reabsorption + secretion

A

know it

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12
Q

macula densa cells

A

modified epithelial cells with osmoreceptors in distal tubule

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13
Q

granular cells

A

afferent arterial; modifies smooth muscle, secretes renin

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14
Q

mesangial cells

A

contractile, regulate glomerular filtration

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15
Q

average GFR

A

125 mL/min or 180 L/day

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16
Q

factors that change GFR: favor filtration

A

glomerular capillary hydrostatic pressure (Ph)

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17
Q

factors that change GFR: oppose filtration

A

bowman’s hydrostatic pressure (Pfluid)

colloid osmotic force (pi)

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18
Q

glomerular filtration rate (GFR)

A

amount of plasma filtered from glomeruli into bowman’s space per unit time

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19
Q

glomerular net filtration

A

Ph - pi - Pfluid

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20
Q

variables for glomerular capillary hydrostatic pressure (Ph)

A

arterial pressure (buffered by autoregulation)
afferent arteriolar resistance
efferent arteriolar resistance

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21
Q

increase resistance of afferent arteriole

A

decreases renal blood flow, decreases Ph, decreases GFR

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22
Q

decrease resistance of afferent arteriole

A

increases RBF, increases Ph, increases GFR

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23
Q

myogenic response of GFR

A

increasing renal blood pressure leads to constriction of afferent arteriole

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24
Q

tubuloglomerular feedback

A

paracrine control

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25
adenosine
when GFR increases, adenosine constricts
26
renin-angiotensin system
activated by drop in systemic BP or heart attack or severe stress or circulatory shock --> leads to decreased Ph and decreased GFR
27
renin is released when
bp decreases, sympathetic innervation, osmolarity of tubular fluid is too low (sensed by macula densa)
28
angiotensin
restores BP ``` arteriole vasoconstriction aldosterone secretion CNS stimulation (for thirst and ADH release) salt and water retention ```
29
atrial natriuretic peptide (ANP)
dilates afferent arteriole, constricts efferent arteriole to decrease GFR inhibits salt reabsorption leading to increased urine production and decreased BV and BP inhibits renin secretion and angiotensin produced by the heart
30
renal clearance
calculated value representing volume of plasma from which "S" is completely cleared per unit of time
31
renal clearance equation
clearance of S = urine excretion rate of S / plasma concentration of S Cs = (Us * V) ------------ Ps
32
clearance of S = the glomerular filtration rate when
- S is not freely filterable at glomerulus - S is not reabsorbed - not secreted - not synthesized - not broken down
33
how can creatinine clearance estimate GFR?
is endogenous that fits criteria small protein secreted by proximal tubules excretion rate exceeds filtration by 5 to 10%
34
renal disease
decreased GFR (elevated creatinine or decreased creatinine clearance)
35
Estimating renal blood flow
substance's clearance can be used to calculate renal blood flow if it is freely filtered and completely secreted
36
Renal plasma flow =
RPF = (Urine(PAH) * Urine flow rate) / plasma(PAH)
37
Renal blood flow =
RPF/ (1-Hct)
38
PCT absorption
water, organic nutrients, glucose, Na+, K+, Cl-, amino acids, vitamins
39
DCT reabsorption
selective Na+, cl-, water, active secretion of ions
40
LH reabsorption
descending: water ascending: Na+, K+, Cl-, Ca2+, HCO3-
41
renal threshold
the plasma concentration at which a specific compound or ion will begin appearing in urine (saturation of mediated transport)
42
calculating renal threshold
Tm / GFR
43
glucose clearance
excretion rate / plasma concentration aka plasma concentration * GFR - tubular maximum / plasma concentration
44
proximal tubule reabsorption: sodium
``` apical = variety of transporters basolateral = active transport ```
45
proximal tubule reabsorption: HCO3- and Na-organic solutes
cotransporter with glucose, amino acids, organic solutes counter transport with H+ ions active reabsorption
46
proximal tubule reabsorption: Urea
no active transport passive reabsorption due to concentration gradient transcellular and paracellular pathways
47
proximal tubule reabsorption: protein
small proteins and peptides can pass through filtration barrier most removed from filtrate receptor mediated endocytosis renal digestion terminates peptide signal transcytosis**
48
loss of PT
increased bicarbonate, amino acids, glucose, proteins in urine
49
collecting duct reabsorption: principal cells
water reabsorption | sodium reabsorption
50
principal cells: water reabsorption
ADH sensitive
51
principal cells: sodium reabsorption
aldosterone sensitive
52
collecting duct reabsorption: intercalated cells
H+ and HCO3- transport (pH dependent)
53
PT secretion
secondary and tertiary active transport for organic compounds organic anions and cations
54
organic anions
bile salts, urate, PAH, penicillin, toxic chemicals
55
organic cations
creatinine, dopamine, epinephrine, atropine, morphine, isoproterenol, prolineamide
56
DT and CD secretion
K+, H+, NH4+, organic ions, cretinine, penicillin concentration dependent K+ exchanges for Na+ H+ exchanges for K+
57
Excretion:
detrussor internal urethral sphincter external urethral sphincter
58
detrussor
smooth muscle; parasympathetic activation for contraction filling: inhibited micturition: stimulated
59
internal urethral sphincter
smooth muscle; sympathetic activation for contraction filling: stimulated micturition: inhibited
60
external urethral sphincter
skeletal muscle; sympathetic activation for contraction filling: stimulated micturition: inhibited
61
bladder: micturition
stretch receptors in bladder send sensory info to CNS parasympathetic neurons activate, motor neurons to external sphinc. inactivate smooth muscle contracts, internal sphincter passively opens, external relaxes
62
bladder: filling
CNS sends tonic discharge Motor neuron fires internal sphincter passively contracts external sphincter stays contracted
63
3 stimuli that contribute to water balance (vasopressin)
increased plasma osmolarity decreased blood volume decreased BP
64
ADH (vasopressin)
insertion of water pores in apical membrane to increase water reabsorption
65
aldosterone
released when BP decreases (via renin-angiotensin II) and increased K+ extracellular concentration
66
aldosterone + K+
increased extracellular K+ stimulates aldosterone secretion to prevent hyperkalemia which leads to cardiac arrhythmias increased plasma K+ --> increased aldosterone --> increased tubular K+ secretion in exchange for Na+