Final Exam Review Flashcards
Glucose/ amino acids reabsorbed
Reabsorption of water, NaCl, HCO3
some secretion of H+, drugs/ poisons
What’s happening in PCT
Reabsorbs but doesn’t secrete
Permeable to water, NOT IONS
Function= concentrates filtrate
Descending loop of Henle
Reabsorbs but doesn’t secrete
Permeable to ions, NOT WATER
NaCl reabsorbed
Function= dilutes filtrate
Ascending loop of Henle
Fine regulation of ions NaCl & HCO3 reabsorbed, K+ secretion/ Na+ reabsorbed
pH- H+ secretion
DCT
Bladder stretches receptors
Spinal cord
Parasympathetic neurons stimulate bladder wall muscle
Relaxation of urethral sphincter
Micturition reflex
Is this normal in urine?
Glucose
Bilirubin
Proteins
Ketones
Hemoglobin
Red blood cells
White blood cells
No, it’s abnormal urine
Is this normal in urine?
Ammonia odor
pH 4.5-8
Urea
Na+ K+
Phosphates
Ca2+
Mg2+
HCO3-
Yes, normal urine
What is most abundant solute in urine?
Urea
What is RAAS function?
Maintain/ increase MAP
What is RAAS a pathway for and what does it stand for?
Aldosterone
Renin-antigotensin-aldosterone system
Which system increases Na+, water reabsorption, plasma, and MAP
RAAS
Low blood pressure stimulates kidney to produce renin
Step 1 of RAAS
Renin converts angiotensinogen to angiotensin 1
Step 2 of RAAS
Angiotensin 1 is converted to angiotensin 2 by angiotensin enzyme ACE
Step 3 of RAAS
Angiotensin 2 stimulates
1. Adrenal cortex to produce aldosterone
2. Increase vasopressin
3. Trigger thirst intake
4. Constrict blood vessels to increase MAP
Step 4 of RAAS
What does ANP and BNP stand for?
Atrial natriuretic peptide
Brain natriuretic peptide
What inhibits Na+ reabsorption from nephrons and inhibits the secretion of renin, aldosterone, and vasopressin?
ANP and BNP
Average volume of fluid filtered by Bowman’s capsule over time and is fairly constant over a wide range of blood pressure?
GFR (globular filtration rate)
What three pressure drive bulk flow in the glomerlus?
- Globular capillary blood pressure
- Plasma colloid osmotic pressure
- Bowman’s capsule hydrostatic pressure
Hydrostatic pressure created by blood on the inside of capillaries ( pushes fluid out of capillaries)
Globular capillary blood pressure
Pressure created by plasma proteins in blood (hold fluid in the capillary which opposes filtration)
Plasma colloid osmotic pressure
Hydrostatic pressure created by fluid inside initial portion of the tubule (opposes filtration)
Bowman’s capsule hydrostatic pressure
Is the NFP always pushing the filtrate in or out of the blood?
OUT
What are the three layers of filtration membrane from outermost to innermost?
- Capillary endothelium
- Basement membrane
- Foot processes of podocyte of globular capsule
What are the three processes of urine formation?
- Globular filtration
- Tubular reabsorption
- Tubular secretion
Which step in urine formation?
Non selective filtration of fluids/ solutes from globular capillaries into bowman’s capsule
Filtrate becomes essential plasma
Globular filtration
Which step in urine formation?
Very selective transport of substrates from filtrate, most happens in PCT, can be active or passive
Tubular reabsorption
What is reabsorbed in PCT?
99% of water
100% glucose
99.5% NaCl
Which step in urine formation?
Selective transport of substrates from Peru tubular capillaries to filtrate
Passive or active, gives chance to remove excess or unwanted substrates
Tubular secretion
What is secreted in tubular secretion?
K+
H+
Hormones
Drugs/ medications
How many nephrons are there per kidney and what percent are there
1 million per kidney
80% is cortical nephrons
20% is juxamedullary nephrons
What are juxamedullary nephrons specialized for?
Reabsorbing water
What are nephrons
Functional unit of the kidney
What is the gross anatomy of the renal system?
Kidneys
Ureter
Urinary bladder
Urethra
What is the gross anatomy of kidney
Cortex
Medulla
Renal pelvis
Ureter
What is the function of the kidneys?
Regulates plasma
Remove nitrogenous waste
Produce some hormones (erythropoietin and renin)
What are the four primary functions of the respiratory system?
Gas exchange
pH regulation
protecting against inhaled pathogens
Vocalization
Difference between sex and gender
Sex= anatomy, physiology, genetics, hormones
Gender= identity, roles/ norms, relations
Genetic female
XX chromosomes
Genetic male
XY chromosomes
What is TDF
testes- determining factor
What does TDF trigger cells to secrete? And what effect does each secretion have?
Testosterone and DHT- promotes external genetalia development and wolffish duct development
Anti-mullerian hormone- represses development of Müllerian duct (becomes uterus, fallopian tubes, upper vagina)
What are the two general ways for DSD/ intersex individuals to develop?
- When there are atypical sex chromosome numbers
XO (Turner syndrome)
XXY (Kleinfelter syndrome) - Atypical response to hormones that drive gentian development
Which syndrome develop ovaries and associated structures but may have impaired fertility
Turner syndrome
Which syndrome develops testes and associated structures it may have poor testicular function
Kleinfelter syndrome