Final Exam Flashcards
Starting at the apex of a medullary pyramid, what is the correct sequence of structures through which urine flows to reach the exterior of the body?
Calyces, renal pelvis, ureter, urinary bladder, urethra
The process of micturition requires contraction of smooth muscle in the _______
wall of the urinary bladder
Which of the following are nitrogenous waste products?
- Glucose
- Urea
- Amino acids
- Uric acid
- Creatinine
Urea, uric acid, creatinine
Which of the following would be considered normal characteristics of freshly voided urine from a healthy individual?
- Ammonia smell
- Yellow in color
- Specific gravity near 6.0
- Sterile
- Cloudy
Yellow in color, sterile
The return of substances from the renal tubules of the nephrons to the blood is known as __________
tubular reabsorption
Which of the following describe cortical nephrons?
- Most common type of nephron
- Located near the junction of the renal cortex and renal medulla
- Located almost completely within the renal cortex
- Nephron loops extend deep into the renal medulla
Most common type of nephron, located almost completely within the renal cortex
Which of the following is normally present in the glomerular filtrate but not normally present in the urine?
- Blood cells
- Proteins
- Glucose
- Urea
Glucose
Ball shaped knot of capillaries
Glomerulus
Cup-shaped hollow structure that forms the outer wall of the renal corpuscle
Glomerular (Bowman’s) capsule
Coiled structure that is continuous with the renal corpuscle
Proximal convoluted tubule (PCT)
U-shaped structure that dips toward or into the renal medulla
Nephron loop (loop of Henle)
Coiled structure that extends to a collecting duct
Distal convoluted tubule (DCT)
Which of the following is an organ that differs in males and females both structurally and functionally?
- Urethra
- Ureter
- Urinary bladder
- Kidney
Urethra
Antidiuretic hormone (ADH) stimulates tubular reabsorption of __________.
water only
What is the most superficial region of the kidney?
Renal cortex
Which fluid compartment contains about two-thirds of total body fluid?
Intracellular fluid (ICF)
The triangular regions in the medulla of the kidney are called renal __________.
pyramids
What are all of the organs of the urinary system?
Kidneys, ureters, urethra, urinary bladder
In the process of tubular secretion, substances move from the __________.
peritubular capillaries to the renal tubule
What substance produced by the kidneys helps regulate blood pressure?
Renin
Physiological acidosis refers to which range of pH values for arterial blood?
7.0 to 7.35
Blood leaving an afferent arteriole would directly enter which of the following?
- Interlobular artery
- Glomerulus
- Efferent arteriole
- Arcuate artery
- Peritubular capillaries
Glomerulus
Location of the kidneys in the body cavity (“behind the peritoneum”)
Retroperitoneal
This membrane encloses and protects the kidney.
Fibrous capsule
The kidney has an outer layer called the ___________,
cortex
The kidney has an inner layer (with pyramids) called the _____.
medulla
These two structures transport urine within the body (from the kidneys to the bladder)
Ureters
The process of micturition involves the emptying of this organ.
Bladder
These are the urine-forming microstructures of the kidneys
Nephrons
The __________ branch off the aorta and deliver blood to the kidneys
renal arteries
This central structure within the kidney collects urine to be transported out of the kidney by the ureters.
Renal pelvis
What type of epithelium lines the bladder?
Transitional
List the 3 processes of urine formation
- Glomerular filtration
- Tubular reabsorption
- Tubular secretion
List the parts of the nephron tube in order from the glomerular capillaries/capsule to the collecting duct.
- Glomerular capillaries
- Renal corpuscle
- Proximal tubule
- Loop of Henle
- Distal tubule
- Collecting duct
List 2 substances that are not normally found in urine and what pathology the presence of each might indicate.
Proteins and red blood cells are not normally found in urine. Their presence would indicate issues with the kidneys like kidney disease.
What hormone is released by the posterior pituitary when we are dehydrated? What is the target/effect of this hormone?
ADH; it prevents excessive water loss in the urine. Its main target is the kidney collecting ducts, which it causes/stimulates the duct cells to reabsorb more water.
What substances are quickly and abundantly reabsorbed by the PCT (list 4 here)?
- Glucose
- Amino acids
- Water
- Ions
How is the respiratory system related to the CVS?
Both are responsible for supplying the body with oxygen and disposing of carbon dioxide
What is/are the function(s) of the respiratory system?
- Provides oxygen to the body
- Disposes of carbon dioxide
- Helps regulate blood pH
What are the pleural membranes associated with the lungs?
- Pulmonary/visceral pleura: cover the surface of each lung
- Parietal pleura: covers the cavity in which each lung resides
Describe the location of the respiratory organs
- Nose: externally visible
- Pharynx: posterior region of the throat
- Larynx: located inferior to the pharynx
- Trachea: inferior to larynx, between larynx and bronchi
- Bronchi and their smaller branches:
- Lungs: occupy entire thoracic cavity except for the mediastinum (where the heart is)
What are the structures of the URT and their functions?
- Nose: allows for inhalation
- Pharynx: serves as a common passageway for air and food
- Larynx: routes air and food into the proper channels and plays a role in speech
What are the structures of the LRT and their functions?
- Trachea: main function is to carry air in and out of the lungs, connects larynx and bronchi
- Bronchi: carry air to and from lungs, moisturize and filter air
- Lungs: organs of the respiratory system responsible for air exchange with the outside and gas exchange with the blood
- Alveoli: air sac in the lung, where oxygen is delivered to blood
Trace the air through the respiratory conducting passageways
Air enters the superior portion, the nasopharynx, from the nasal cavity and then descends through the oropharynx and laryngopharynx to enter the larynx below.
Describe the protective structures of the respiratory tract
- Hairs and mucus in the nasal cavity trap foreign particles and bacteria
- Alveolar macrophage
What are the cell types making up the alveoli and their functions (as well as the function of surfactant)?
- Simple squamous epithelial cells
- Allows for simple diffusion of gas from alveolar air into capillary blood, and CO2 leaves the blood and enters the alveoli
- There are also cuboidal surfactant secreting cells which produce a lipid (fat) molecule called surfactant, which coats the gas-exposed alveolar surfaces and is very important in lung function
Describe the structure of the respiratory membrane and the flow of gasses across the membrane
- The respiratory membrane is composed of squamous epithelial cells of the alveoli, the capillary endothelium, and the scant basement membranes between
- Oxygen diffuses from the alveolar air across this membrane into the pulmonary capillary blood; carbon dioxide diffuses from the pulmonary blood into the alveolus
Describe the processes of inspiration and expiration and how volume changes lead to pressure changes and gas flow
- Volume changes lead to pressure changes, which lead to the flow of gases to equalize the pressure
- Inspiration: when the inspiratory muscles, the diaphragm and external intercostals, contract, the size (volume) of the thoracic cavity increases. As the dome-shaped diaphragm contracts inferiorly, the superior-inferior dimension (height) of the thoracic cavity increases
- Expiration: As the inspiratory muscles relax and resume their initial resting length, the rib cage descends, the diaphragm relaxes superiorly, and the lungs recoil. Thus, both the thoracic and intrapulmonary volumes decrease. As the intrapulmonary volume decreases, the gases inside the lungs are forced more closely together, and the intrapulmonary pressure rises to a point higher than atmospheric pressure
Explain what drives the movement of respiratory gases in the appropriate direction
Movement of gas obeys the law of diffusion: movement towards the area of lower concentration of the diffusing substance
Describe the pressure differences of oxygen and carbon dioxide in the lungs and at the tissues and how/where the gases diffuse at each location
- The partial pressure of oxygen is high in the alveoli and low in the blood of the pulmonary capillaries. As a result, oxygen diffuses across the respiratory membrane from the alveoli into the blood.
- In contrast, the partial pressure of carbon dioxide is high in the pulmonary capillaries and low in the alveoli.
Describe the ways that both oxygen and carbon dioxide gas are transported throughout the body
- Oxygen is carried both physically dissolved in the blood and chemically combined to hemoglobin
- Carbon dioxide is carried physically dissolved in the blood, chemically combined to blood proteins as carbamino compounds, and as bicarbonate
Why is CO (carbon monoxide) so dangerous?
It competes with oxygen for hemoglobin binding
How do the following neural controls function to control respiration: VRG, DRG, pontine center
o Where are each of the above located?
- VRG: (medulla) contains both inspiratory and expiratory neurons that alternately send impulses to control the rhythm of breathing. The inspiratory neurons stimulate the diaphragm and external intercostal muscles via the phrenic and intercostal nerves, respectively, during quiet breathing. Impulses from the expiratory neurons stop the stimulation of the diaphragm and external intercostal muscles, allowing passive exhalation to occur. Impulses from the VRG maintain a normal quiet breathing rate of 12 to 15 respirations/minute, a rate called eupnea
- DRG: (medulla) integrates sensory information from chemoreceptors and peripheral stretch receptors. The DRG communicates this information to the VRG to help modify breathing rhythms
- Pontine center: (pons) also communicate with the VRG, help to smooth the transitions (modify timing) between inhalation and exhalation during activities such as singing, sleeping or exercising
Name and describe the 6 functions of the digestive system as it disassembles food into nutrients
- Ingest food
- Chewing
- Churning, mixing, transport
- Digestion (enzymatic)
- Absorption of nutrients
- Defecation
Name the parts of the GIT from oral cavity to anal canal
- Mouth (oral cavity)
- Pharynx
- Esophagus
- Stomach
- Small intestine
- Large intestine
Name the accessory organs of digestion
- Tongue
- Salivary glands
- Pancreas
- Spleen
- Liver
- Gallbladder
- Appendix
- Anal canal
- Anus
What are the 3 salivary glands? Where are each located?
- Parotid gland: in front of the ear
- Sublingual gland: beneath the tongue
- Submandibular gland: beneath the mandible
Describe the composition and function of saliva
- Mostly water but also has mucous and enzymes
- Salivary amylase (starch digesting enzyme)
- Lysozymes
- Lubricates food
- Dissolves food chemicals
Define mastication
- The process by which food is crushed and ground by the teeth
- It is the first step in the process of digestion, allowing a greater surface area for digestive enzymes to break down the foods