G.A. 1: The urinary system Flashcards

1
Q

2 main fxn of the kidney:

A
  1. Excrete waste product (Nitrogenous waste)

2. Homeostasis- water & electrolyte, and acid- base balance

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2
Q

The kidneys are _____peritoneal

A

retro

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3
Q

The kidneys are located btw which vert.s?

A

T12-L3

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4
Q

____ kindey is slightly lower then the ___ kidney

A

Right is lower then the left

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5
Q

The _____ kidney is lower because of the ____

A

Right,

Liver

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6
Q

Major structures of the kidney hilum from anterior to posterior

A

Anterior: Renal vein
Renal Artery
Posterior: Renal pelvis

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7
Q

**Name the organs that form the urinary system

A

Kidney
bladder
ureter
urethra

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8
Q

**What structures are anterior to the Right Kidney

A
  1. liver
  2. ascending colon
  3. Duodenum
  4. Small intestine

(Right ant= L.A.D.S)

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9
Q

**What structures are anterior to the Left Kidney

A
  1. Spleen
  2. Stomach
  3. Pancreas
  4. Small intestine
  5. Descending colon
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10
Q

Rib ______ is posterior to the right kidney

A

12th rib

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11
Q

Rib ____ is posterior to the left kidney

A

11th and 12th rib

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12
Q

**________ is the layer of fat outside of the kidney capsule

A

perirenal fat

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13
Q

_____ is right above the cortex of the kidney

A

fibrous capsule

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14
Q

The outermost layer of the structures that **support and hold the kidney in place is the ______ fat

A

pararenal fat

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15
Q

The kidney cortex holds the ___

A

renal columns

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16
Q

_____ are inward extension between the renal pyramids

A

renal columns

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17
Q

The medulla is made up of ____

A

pyramids

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18
Q

The apex of the renal pyramid is the _____

A

papilla

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19
Q

2 or 3 _____ form the major calyces

A

minor calyces

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20
Q

Why does the medulla appear striated

A

pyramids have tubles that collect urine

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21
Q

Where are collecting tubules located for urine

A

the renal pyramid

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22
Q

What structures does the renal sinus contain?

A
branches of renal art. 
renal vein 
autonomic nerves 
lympathic vessels 
minor/major calyces
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23
Q

Where is the renal sinus located?

A

between the calyces

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24
Q

______ –> segmental art–> lobar art –> arcuate art–> interlobular art

A

renal art

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25
Q

renal art –> _____ –> lobar art –> _____ –> interlobar art

A

segmental art

arcuate art

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26
Q

renal art –> segmental art –> _____ __> arcuate art –> _____

A

lobar art

interlobular art

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27
Q

The NS for the kidney is the ____ plexus

A

Renal sympathetic plexus

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28
Q

The renal sympathetic plexus contains_____

A

pre gg, post gg (mostly), GVA

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29
Q

_____ fibers travel through the renal plexus entering the SC in the 10th, 11th, and 12th thoracic N

A

GVA

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30
Q

The GVA fibers traveling through the renal plexus entering the SC in the ______ Nerves

A

10th, 11th and 12th thoracic nerves

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31
Q

Referred pain of the kidney is along the ___ dermatome

A

T12

“loin of the groin”

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32
Q

c.c A patient is saying that he feels pain along the upper groin area. This can be referred pain of _______

A

the kidney , T12 dermatome

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33
Q

Path of the ureter

A

Kidney to bladder

Paired: right/left

34
Q

Path of the urethra

A

bladder to outside

35
Q

The ureter runs downward posterior to _____ and anterior to _____

A

posterior: parietal peritoneum
anterior: psoas

36
Q

What muscle does the ureter run anterior to?

A

psoas

37
Q

The ureter passes anterior to the bifurcation of the ____ to enter the pelvic

A

bifurcation of the common iliac art

38
Q

The ureter runs down the lateral pelvic wall to level of ____

A

ischial spine

39
Q

The ureter turns forward to terminate with the _____

A

urinary bladder

40
Q

Where are three sites where stones can get stuck in the ureter

A
  1. uretropelvic jxn (where renal pelvis joins ureter)
  2. as it crosses the pelvic rim
  3. When it pierces the bladder
41
Q

Stones can occur in the ureter when the renal pelvis joins the __

A

ureter

42
Q

Stones can occur in the ureter when it crosses the ____

A

pelvic brim

43
Q

Stones can occur in the ureter when it pierces the _____

A

bladder wall

44
Q

The ureters are __peritoneal

A

retro

45
Q

The restriction that occurs in the bladder wall prevents a ______ in the ureter

A

retrograde (backflow) in the ureter

46
Q

bladder location is posterior to ____

A

pubic bone

in adults

47
Q

In children an empty bladder projects above the upper border of _______

A

pubic symphysis

48
Q

When the bladder fills the ______ wall rises into the _______ region

A

the superior wall rises into the hypogastric region

49
Q

An empty bladder is ___ in shape

A

pyramidal

50
Q

When the bladder fills the peritoneum of the ______ peels

A

lower part of anterior abd. wall

51
Q

The apex of the bladder points ____

A

anteriorly

52
Q

The apex of the bladder is found on top of _____

A

symphasis pubis

  • conti of the medial umbilical lig.
53
Q

The base of the bladder faces ____

A

posterior

54
Q

The superior surface of the bladder is the ____

A

fundus

55
Q

The fundus of the bladder is under the _____ in female and _____ in males

A

female: uterus
Male: small interestine

56
Q

Around the neck of the bladder is the _____

A

internal urethra sphincer aka “sphincter vesicae”

57
Q

c.c _________ condition where the bladder is inflammed from sex

A

honeymoon cystietes

58
Q

The shape of the base of the bladder is _____

A

triangular

59
Q

The superiorlateral angle of the base of the bladder joins with the ____

A

ureter

60
Q

The inferior angle of the bladder base gives of the _____

A

urethra

61
Q

______ is where the urethra begins

A

internal urethral orifice

62
Q

In males the neck of the bladder rests on the superior surface of the _____

A

prostate

63
Q

In fenales the neck of the bladder rests on the superior surface of the _____

A

urogenital diaphragm

64
Q

_____ is a smooth internal surface of the base of the stomach

A

trigone

65
Q

GVA fibers to the bladder are carried by ____

A

pelvic splanchnic nerves

66
Q

Sacral splanchnic nerves to the bladder are ___gg ___

A

pre gg SP

L1,L2

67
Q

Muscle in the bladder is called the ____

A

detrusor M

68
Q

The detrusor muscle of the bladder consists of ____ muscle

A

smooth

69
Q

______ m is at the neck of the bladder and forms the sphincter vesicae

A

detrusor

70
Q

PS favors ________ of the bladder

A

emptying

71
Q

SP favors _____ of the bladder

A

retension

72
Q

The PS stim will cause a ____ of the detrusor m. and _____ of the sphincter

A

contraction of detrusor
Relaxation of the sphincter

PS= urination

73
Q

A SP stim will cause a _____ of the detrusor m and a _____ of the sphincter

A

relaxation of the detrusor (so bladder can fill)

Contraction of the sphincter

SP = retaining

74
Q

The SP of the bladder is ____ vert. level

A

T11-L2

75
Q

The PS of the bladder is ___ vert level

A

S2-S4

76
Q

Origin of the urethra

A

internal orifice (in bladder)

77
Q

Termination of the urethra

A

external orifice (meatus) on glans penis

78
Q

3 parts of the male urethra

A
  1. prostatic
  2. membranous
  3. penile (spongy)
79
Q

dilation of the glans penis is the _____

A

navicular fossa

80
Q

external orifice is also known as the ____

A

meatus