Genitourinary system: Topic A - week 9 Flashcards

1
Q

what does the perineum sit below and structures of which system are held here? what extends from the perineum?

A

sits below pelvic flood, genitourinary system, external genitalia

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2
Q

name all the 4 structures of the female reproductive system

A

vagina, uterus, uterine tubes, ovaries

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3
Q

where do the female reproductive organs sit?

A

lesser pelvis

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4
Q

name the 6 internal organs of the male reproductive system, name the outer organ. where do all these components sit?

A

internal = epididymis, ductus deferens, seminal vesicles, ejaculatory ducts, prostate, bulbourethral glands

external = testes in scrotum

internal organs sit in lesser pelvis

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5
Q

name the 3 functions of the urinary system

A

excrete urea and toxins, maintain blood volume and maintain osmolarity

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6
Q

what is the inner and outer layer of the kidney?

A

outer = cortex
inner = medulla

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7
Q

where do the pyramids of the cortex of the kidney drain into?

A

minor calyces

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8
Q

how many minor calyces drain into how many major calyces?

A

2-3 minor drain to 2-3 major

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9
Q

where do major calyces in the kidney drain into ?

A

renal pelvis which empties to ureter

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10
Q

what is the name of the point where vessels enter or exit the kidney? which vessels are included?

A

hilum, renal vein, renal artery, ureter, lymphatics and sympathetics

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11
Q

blood entering the kidney for filtration passes through knots of capillaries called what? what are these knots contained within?

A

glomeruli, bowman’s capsule

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12
Q

in the bowman’s capsule what is filtered out of the blood? with the exception of what?

A

all constituents of plasma, large molecular weight proteins bigger than 64 kDa

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13
Q

in the bowman’s capsule useful molecules such as what must be reabsorbed?

A

glucose and ions

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14
Q

what is reabsorbed in the proximal convoluted tubule?

A

useful substances such as glucose and ions

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15
Q

what is reabsorbed in the loop of henle?

A

water

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16
Q

what is secreted into the lumen of the nephron in the distal convoluted tubule?

A

any waste products not filtered out in the capsule

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17
Q

where is ADH released from? what does it allow?

A

posterior pituitary, makes collecting ducts more permeable allowing reabsorption of water

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18
Q

at which vertebral level are the renal arteries, what do they branch off?

A

L1, abdominal aorta

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19
Q

what is the name of efferent arterioles that wrap around the loop of henle? what do they drain into?

A

vasa recta, renal veins and then inferior vena cava

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20
Q

describe how the kidneys lie in relation to the peritoneum

A

retroperitoneally on posterior body wall

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21
Q

between which 2 vertebral levels do the kidneys lie?

A

T12- L3

22
Q

which kidney lies lower due to the large lobe of the liver?

A

right

23
Q

in life what colour and shape are the kidneys?

A

red/brown and oval

24
Q

what is the name of the glands located superiorly on the kidneys?

A

adrenal/suprarenal glands

25
Q

which 3 hormones ca be released from the adrenal cortex?

A

cortisol, aldosterone and sex hormones

26
Q

which 2 hormones can be secreted from the adrenal medulla?

A

adrenaline and noradrenaline

27
Q

which type of congenital abnormality of kidney and ureters is common? what shape do the inferior ends form?

A

bifid renal pelvis and ureter , horseshoe

28
Q

give the clinical name of kidney stones and 3 reasons which cause them

A

renal calculi, dehydration diet and predisposing illnesses

29
Q

how many layers of smooth muscle are in each ureter? what do they aid?

A

3, aid peristaltic conditions that force urine into the bladder

30
Q

name the 3 regions where the ureters narrow?

A

junction between ureters and renal pelvis, where ureters cross pelvic bone, entrance of ureters to bladder

30
Q

describe the direction in which the entrances of the ureters to the bladder run through the muscle of the bladder wall?

A

obliquely

30
Q

when the bladder as full what do the entrances of the ureters to the bladder act as and what do they prevent?

A

valves, prevent urinary reflux into the ureters

31
Q

what is the minimum amount of urine the bladder can hold?

A

50ml

32
Q

the 3 layers of smooth muscle form which muscle of the bladder? which layers are circular and which are longitudinal?

A

detrusor, internal and external are longitudinal and middle is circular

33
Q

bladder musculature is a ……. …… of the 3 layers of smooth muscle

A

distorted continuation

34
Q

what is the pubic symphysis?

A

a cartilagenous joint between pubis hip bones

35
Q

what is the name of the specialised epithelium lining the bladder? what does it have the ability to do?

A

transitional epithelium or urothelium, can stretch or flatten

36
Q

how many cells thick is a distended bladder, how many is an empty one?

A

distended is 2-3 cells, empty is 5-6

37
Q

what is the shape of the cells on the base, middle and surface layers of a non-distended urothelium (empty bldder)?

A

basal - cuboidal
middle - polygonal
surface - tall columnar

38
Q

when the bladder is empty it sits inferior to the …… in the lesser pelvis. when fulls it extends up into the ………. of the anterior body wall

A

peritoneum, extraperitoneal fat

39
Q

in infants and children where does the bladder sit even when empty?

A

in the abdomen

40
Q

where does the trigone of the bladder sit? what are the rugae or the bladder? what happens to rugae as the bladder fills?

A

sits between the ureteric orificies on the posterior bladder wall, rugae line the empty bladder and flatten out as it fills

41
Q

which sphincter of the bladder is only found in males and sits at the junction of the bladdder and the urethra?

A

internal urethral sphincter

42
Q

in males, what does the internal urethral sphincter prevent?

A

ejaculatory reflux of semen into the bladder

43
Q

which bladder sphincter contains skeletal muscle and is under voluntary control?

A

external

44
Q

which bladder sphincter has autonomic innervation?

A

internal

45
Q

in females the urethra is ….. and ……

A

short and straight

46
Q

name the 4 parts which the urethra can be split into in males?

A

pre prostatic (intramural)
prostatic
membranous (intermediate)
penile (spongy)

47
Q

why are UTIs more common in females?

A

shorter length of female urethra and closer to anus

48
Q

name the 5 potential causes of UTIs

A

sexual intercourse, being pregnant, blockages in urinary tract such as kidney stones, not drinking enough, not keeping genital region clean and dry

49
Q

which urethral sphincter has somatic innervation?

A

internal