Formation of Urine (Basic Renal Process) Flashcards

1
Q

What are the three main processes involved in urine formation?

A

Glomerular filtration, tubular reabsorption, and tubular secretion.

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2
Q

What is glomerular filtration?

A

The process by which the kidneys filter blood, removing excess wastes and fluids.

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3
Q

Where does glomerular filtration occur?

A

In the glomerulus of the nephron.

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4
Q

What drives the glomerular filtration process?

A

Blood pressure forces plasma and small solutes through the glomerular capillary walls.

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5
Q

What is the composition of the filtrate produced in the glomerulus?

A

Filtrate contains water, ions, glucose, amino acids, and small proteins, but no blood cells or large proteins.

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6
Q

How is the glomerular filtration rate (GFR) regulated?

A

Through intrinsic (autoregulation) and extrinsic (hormonal and neural) mechanisms.

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7
Q

What is the role of the afferent and efferent arterioles in GFR regulation?

A

Afferent arteriole dilation increases GFR, while efferent arteriole constriction also increases GFR.

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8
Q

What is tubular reabsorption?

A

The process of moving substances from the filtrate back into the blood.

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9
Q

Where does the majority of tubular reabsorption take place?

A

In the proximal convoluted tubule.

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10
Q

What substances are primarily reabsorbed in the proximal convoluted tubule?

A

Sodium, water, glucose, amino acids, and bicarbonate.

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11
Q

How is sodium reabsorbed in the proximal convoluted tubule?

A

Via active transport mechanisms involving sodium-potassium ATPase pumps.

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12
Q

What is the role of the loop of Henle in urine concentration?

A

To create a concentration gradient that allows for the reabsorption of water.

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13
Q

How does the countercurrent multiplier mechanism function in the loop of Henle?

A

It multiplies the osmotic gradient through active transport of sodium and chloride in the ascending limb.

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14
Q

What is tubular secretion?

A

The transfer of substances from the blood into the tubular fluid.

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15
Q

Where does tubular secretion primarily occur?

A

In the distal convoluted tubule and collecting ducts.

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16
Q

What are the main substances secreted in the distal convoluted tubule?

A

Potassium, hydrogen ions, and certain drugs.

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17
Q

How does the collecting duct contribute to urine concentration?

A

By adjusting the reabsorption of water, influenced by hormones like ADH.

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18
Q

What is the role of antidiuretic hormone (ADH) in the collecting duct?

A

ADH increases the permeability of the collecting ducts to water, enhancing reabsorption.

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19
Q

How does aldosterone affect the distal convoluted tubule and collecting duct?

A

Aldosterone increases sodium reabsorption and potassium secretion.

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20
Q

What is the significance of the juxtaglomerular apparatus in renal function?

A

It regulates blood pressure and GFR through the release of renin.

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21
Q

How does the macula densa contribute to the regulation of GFR?

A

By sensing sodium chloride concentration in the distal tubule and adjusting renin release.

22
Q

What is the function of renin released by the juxtaglomerular cells?

A

Renin activates the RAAS, increasing blood pressure and sodium retention.

23
Q

How does angiotensin II affect kidney function?

A

Angiotensin II constricts blood vessels and stimulates aldosterone release, increasing blood pressure.

24
Q

What is the importance of maintaining a stable GFR?

A

To ensure efficient filtration and reabsorption of essential substances.

25
How is glucose reabsorbed in the kidneys?
Via secondary active transport linked to sodium reabsorption.
26
What is the renal threshold for glucose?
The plasma concentration at which glucose begins to appear in the urine (~180 mg/dL).
27
How are amino acids reabsorbed in the kidneys?
Through co-transport with sodium in the proximal convoluted tubule.
28
What is the role of the peritubular capillaries in renal function?
They surround the renal tubules, allowing for the exchange of substances between blood and tubular fluid.
29
How does the renal medulla contribute to the concentration gradient necessary for urine concentration?
It helps create a hyperosmotic environment necessary for water reabsorption.
30
What is the significance of urea recycling in the kidneys?
Urea helps maintain the osmotic gradient in the renal medulla, facilitating water reabsorption.
31
How is water reabsorbed in the proximal convoluted tubule?
Passively along the osmotic gradient created by sodium reabsorption.
32
How does the thin descending limb of the loop of Henle differ in function from the thick ascending limb?
The thin descending limb is permeable to water, while the thick ascending limb actively transports sodium and is impermeable to water.
33
What is the role of the distal convoluted tubule in acid-base balance?
It secretes hydrogen ions and reabsorbs bicarbonate, contributing to pH regulation.
34
How do the kidneys regulate potassium levels?
By secreting or reabsorbing potassium in the distal tubule and collecting duct.
35
What is the role of atrial natriuretic peptide (ANP) in the kidneys?
ANP inhibits sodium reabsorption, reducing blood volume and pressure.
36
How does the sympathetic nervous system influence renal function?
By constricting arterioles and reducing renal blood flow, decreasing GFR.
37
What is renal clearance and how is it measured?
Renal clearance measures the volume of plasma cleared of a substance per unit time.
38
How does inulin clearance provide a measure of GFR?
Inulin clearance is used because it is freely filtered and neither reabsorbed nor secreted.
39
What is the role of the vasa recta in the kidney?
The vasa recta maintains the osmotic gradient in the medulla by countercurrent exchange.
40
How does the kidney handle bicarbonate to maintain acid-base balance?
By reabsorbing bicarbonate and secreting hydrogen ions.
41
What is the significance of creatinine clearance in assessing renal function?
It provides an estimate of GFR as creatinine is filtered but not reabsorbed significantly.
42
How does the renal handling of calcium differ from that of phosphate?
Calcium is actively reabsorbed in the distal tubule, while phosphate reabsorption is regulated by PTH.
43
How do diuretics affect kidney function?
They increase urine output by inhibiting reabsorption of sodium and water.
44
What is the effect of loop diuretics on the nephron?
Loop diuretics inhibit sodium, potassium, and chloride reabsorption in the ascending loop of Henle.
45
How do thiazide diuretics affect the distal convoluted tubule?
Thiazides inhibit sodium reabsorption in the distal convoluted tubule.
46
What is the role of aquaporins in the kidney?
Aquaporins are water channels that facilitate water reabsorption in the collecting ducts.
47
How do changes in blood pressure affect renal function?
Increased blood pressure increases GFR, while decreased blood pressure reduces GFR.
48
What is the role of prostaglandins in renal physiology?
Prostaglandins increase renal blood flow and counteract the effects of vasoconstrictors.
49
How does chronic kidney disease affect urine formation?
It impairs the kidney's ability to filter blood, reabsorb essential substances, and excrete wastes.
50
What are the primary differences between cortical and juxtamedullary nephrons?
Cortical nephrons are primarily involved in filtration, while juxtamedullary nephrons play a key role in concentrating urine.