Exam 4 - Urinary System Flashcards

1
Q

What are the four body systems that carry out excretion?

A

Respiratory, integumentary, digestive, and urinary

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2
Q

What is waste?

A

Any substance that is useless to the body or present in excess of the body’s needs

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3
Q

What is the normal concentration of blood urea?

A

10-20mg/dL

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4
Q

What is azotemia?

A

Elevated BUN (blood urea nitrogen)

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5
Q

What is uremia?

A

Syndrome of diarrhea, stemming for the toxicity of nitrogenous waste

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6
Q

What is the right kidney slightly lower?

A

Because of the large right lobe of the liver

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7
Q

What are both the kidneys?

A

Retripertoneal

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8
Q

What is renal parenchyma?

A

Glandular tissue that forms urine

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9
Q

What is the renal sinus?

A

The cavity contains blood and lymphatic vessels and nerves

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10
Q

What are the two zones of renal parenchyma?

A

Outer renal cortex and inner renal medulla

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11
Q

What does the afferent arterioles do?

A

Supply one nephron

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12
Q

What drains the blood from the glomerulus?

A

The efferent arterioles

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13
Q

What do the peritubular capillaries do?

A

The branch off the efferent arterioles supplying the tissue near the glomerulus

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14
Q

How many nephrons are in each kidney?

A

1.2 million

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15
Q

What does the renal corpuscle do?

A

Filters the blood plasma

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16
Q

What does the renal tubule do?

A

Long, coiled tube that converts the filtrate into urine

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17
Q

What are in the renal corpuscles?

A

The glomerulus and a two-layered glomerular capsule

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18
Q

What is the vascular pole?

A

The side of the corpuscle where the afferent arterial enters the corpuscle and the efferent arterial leaves

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19
Q

What is the urinary pole?

A

The opposite side of the corpuscle where the renal tubule begins

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20
Q

What is the renal tubule?

A

It is a duct leading away from the glomerular capsule and ending at the tip of the medullary pyramid

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21
Q

What is the proximal convoluted tubule?

A

It arises from the glomerular capsule, deals with the majority of absorption

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22
Q

What is the nephron loop consist of?

A

The descending limb and ascending limp with thick and thin segments

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23
Q

Where is the thick segments of the nephron loop?

A

Initial part of the descending limb and most of the ascending limb

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24
Q

What is the thin segments of the nephron loop?

A

Lower part of descending limb

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25
Q

What does the thick segment do?

A

It is engaged in the active transport of salts and have many mitochondria

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26
Q

What does the thin segment do?

A

The cells are very permeable to water

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27
Q

What is the distal convoluted tubule?

A

It begins shortly after the ascending limb reenters the cortex

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28
Q

What is the collecting duct?

A

Receives fluid from the DCTs of several nephrons as it passes back into the medulla

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29
Q

What is the papillary duct?

A

Formed by merger of several collecting ducts

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30
Q

What is the flow of fluid?

A

Starts at the glomerular capsule - PCT - Nephron loop - DCT - collecting duct - papillary duct - minor calyx - major calyx - renal pelvis - ureter - urinary bladder - urethra

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31
Q

What are cortical nephrons?

A

They are short nephron loops, around 85% of them

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32
Q

What are juxtamedullary nephrons?

A

Long nephron loops, around 15% of them

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33
Q

What is different with juxtamedullary nephrons?

A

The efferent arterioles branch into vasa recta around long nephron loop

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34
Q

What is different with cortical nephrons?

A

Efferent arterioles branch into peritubular capillaries around PCT and DCT

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35
Q

What does sympathetic innervation do?

A

Reduces glomerular blood flow and rate of urine production, it is a response to falling blood pressure

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36
Q

What are the four stages that the kidneys convert blood plasma into urine?

A

Glomerular filtration, tubular reabsorption, tubular secretion, and water conservation

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37
Q

What is glomerular filtrate?

A

The fluid in the capsular space

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37
Q

What is tubular fluid?

A

Fluid from the PCT through the DCT

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37
Q

What is Urine?

A

fluid that enters the collection duct

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38
Q

What is glomerular filtration?

A

A special case of capillary fluid exchange in which water and some solutes in the blood plasma pass from the capillaries of the glomerulus into the capsular space of the nephron

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39
Q

What are the three barriers through which fluid passes through the filtration membrane?

A

Fenestrated endothelium of glomerular capillaries, basement membrane, and filtration slits

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40
Q

What is proteinuria?

A

Presence of protein in urine

41
Q

What is hematuria?

A

Presence of blood in the urine

42
Q

What do distance runner and swimmers experience temporary proteinuria or hematuria?

A

Prolonged exercise reducing profusion of kidney

43
Q

What causes proteinuria and hematuria?

A

Kidney infections and trauma because they can damage the filtration membrane

44
Q

What happens if your Glomerular filtration rate is too high?

A

Fluid flows through renal tubule too rapidly for them to reabsorb the usual amount of water and solutes, urine output rises, and can cause dehydration and electrolyte depletion

45
Q

What happens if your glomerular filtration rate is too low?

A

Water are reabsorbed and azotemia may occur

46
Q

How is GFR controlled?

A

Adjusting glomerular blood pressure

47
Q

What are the three homeostatic mechanism that control GFR?

A

Renal autoregulation, sympathetic control, and hormonal control

48
Q

What is renal autoregulation?

A

The ability of the nephrons to adjust their own blood flow and GFR without external control

49
Q

What are the two types of renal autoregulation?

A

Myogenic mechanism and tubuloglomerular feedback

50
Q

What is myogenic mechanism?

A

It is based on the tendency of smooth muscle to contract when stretched

51
Q

What does myogenic mechanism do when the arterial blood pressure increases?

A

The afferent arteriole is stretched so they constrict and prevents blood flow into the glomerulus from changing

52
Q

What does myogenic mechanism do when the arterial blood pressure decreases?

A

The afferent arteriole are relaxed so they dilates them and allows blood to flow more easily into the glomerulus

53
Q

What is tubuloglomerular feedback?

A

Glomerulus receives feedback on the status of downstream tubular fluid and adjusts filtration rate accordingly

54
Q

What are the parts of the tubuloglomerular feedback?

A

Juxtaglomerular apparatus, macula densa, granular cells, and mesangial cells

55
Q

What is juxtaglomerular apparatus?

A

Complex structure at the end of the nephron loop where in comes into contact with the afferent and efferent arterioles

56
Q

What is macula densa?

A

Patch of sensory cells in nephron loop, when GFR is high filtrate contains more NaCl and it secretes ATP to stimulate nearby granular cells

57
Q

What is granular cells?

A

Modified smooth muscle cells around arterioles that constrict afferent arterioles

58
Q

What is mesangial cells?

A

Contract, and constrict capillaries

59
Q

What do granular cells do?

A

They also secrete renin in response of a drop in blood pressure

60
Q

What does sympathetic nervous system and adrenal epinephrine do?

A

Constrict the afferent arterioles in exercise. Reduces GFR and urine output and redirects blood

61
Q

What are the steps of the RAAS system?

A

The sympathetic nerve will signal granular cells to release renin while the liver releases angiotensinogen. They concerts it into angiotensin I and when the enzyme ACE from the lungs reacts it turns it into angiotensin II. This goes into brain, causes vasoconstriction, and goes to adrenal gland to release aldosterone

62
Q

What does angiotensin II do?

A

It is an active hormone that increases BP

63
Q

What are the basic stages of urine formation?

A

Tubular reabsorption, tubular secretion, and water conservation

64
Q

How much does the PCT reabsorb?

A

65% of glomerular filtrate

65
Q

What does the PCT do with the glomerular filtrate?

A

It removes some substances from blood and secretes them into tubular fluid for disposal in urine

66
Q

What is tubular reabsorption?

A

Process of reclaiming water and solutes from tubular fluid and returning them to blood

67
Q

What is picked up in tubular reabsorption?

A

All building blocks except sodium

68
Q

What does the thick segment reabsorb?

A

25% of Na, K, and Cl in filtrate

69
Q

What are the two types of cells in the DCT and collecting duct?

A

Principial cells and intercalated cells

70
Q

What are principal cells?

A

Most numerous, they have receptors for hormones, and involved in salt and water balance

71
Q

What are intercalated cells?

A

Involved in acid-base balance by secreting H into tubule lumen and reabsorbing K

72
Q

What is aldosterone?

A

The salt retaining hormone

73
Q

What causes aldosterone to be secreted?

A

When blood Na conc falls or when K conc rises

74
Q

What secretes aldosterone?

A

The adrenal cortex

75
Q

Where does aldosterone effect?

A

On the thick segment of the nephron loop, DCT, and portion on the collecting duct

76
Q

What does secreting aldosterone do?

A

Stimulates reabsorption of Na and secretion of K. Water and Cl follow Na

77
Q

What are natriuretic peptides?

A

Secreted by atrial myocardium of the heart in response to high blood pressure

78
Q

What are the four actions result in excretion of more salt and water in urine which also reduces Blood volume and pressure?

A

Dilate afferent arteriole and constrict efferent arteriole to raise GFR
Inhibit renin and aldosterone secretion
Inhibit NaCl reabsorption by collecting duct
Inhibit secretion of ADH

79
Q

What is ADH?

A

Antidiuretic hormone that is secreted by posterior pituitary

80
Q

What causes the release of ADH?

A

Dehydration, loss of blood volume and rising blood osmolarity

81
Q

What is PTH?

A

Parathyroid hormone that is secreted from parathyroid glands in response to hypocalcemia (calcium deficiency)

82
Q

What does PTH do?

A

Increase phosphate excretion on PCT and increase calcium reabsorption

83
Q

How much does the nephron loop reabsorb?

A

25% of the filtrate

84
Q

What does the DCT reabsorb?

A

Na, Cl, and water under hormonal control

85
Q

What is so important about the collecting duct?

A

It runs through medulla, and reabsorbs water, making urine up to four times more concentrated

86
Q

How does the water leave the medulla?

A

As the medulla increases salt levels, the water leaves by osmosis

87
Q

What is pyuria?

A

Pus in the urine

88
Q

What is hematuria?

A

Blood in urine dur to UTI, trauma, or kidney stones

89
Q

What is the normal urine volume?

A

1 to 2 L/day

90
Q

What is polyuria?

A

When the urine volume is more then 2 L/day

91
Q

What is anuria?

A

When your urine volume is 0 - 100 mL/day

92
Q

What is diabetes?

A

Any metabolic disorder resulting in chronic polyuria

93
Q

What is diabetes mellitus?

A

When you have high conc of glucose in renal tubule that opposes the osmotic reabsorption of water and more water passes through urine

94
Q

What is diabetes insipidus?

A

When ADH hyposecretion causes not enough water to be reabsorbed in collecting duct

95
Q

What is diuretics?

A

Any chemical that increases urine volume

96
Q

What are ureters?

A

Retroperitoneal, muscular tubes that extend from each kidney to the urinary bladder

97
Q

What is the urinary bladder?

A

Muscular sac located on flood of pelvic cavity

98
Q

What is the urethra?

A

A tube that coneys urine out of body

99
Q

What are the parts of the female urethra?

A

The interna urethral sphincter and the external urethral sphincter

100
Q

What are the parts of the male urethra?

A

Prostatic urethra, membranous urethra, and spongey urethra with the internal and external urethral sphincter

101
Q

What is renal insufficiency?

A

A state in which the kidneys cannot maintain homeostasis due to extensive destruction of their nephrons

102
Q

What can renal insufficiency cause?

A

Reduced production of EPO