Glomerular Filtration & Renal Blood Flow Flashcards

1
Q

The external baroreceptor reflex results in a hormonally-mediated _____.

A

constriction of the arterioles

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2
Q

______ rises rapidly when MAP exceeds its auto-regulatory range.

A

Pgc

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3
Q

What are granular cells?

A

specialized smooth muscle cells in the afferent arterioles that secrete renin

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3
Q

In the equation, GFR = K(Pgc - Pt - πgc), what is K?

A
  • the product of the specific hydraulic conductivity “ρ” times the total surface area “A” of all the glomeruli in the kidneys
  • K= ρA
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3
Q

Pgc is very tightly regulated by the process of ______.

A

glomerular capillary autoregulation

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4
Q

Neural stimulation of the afferent arteriole also causes the increased release of _____ from the _____ cells of the JG apparatus.

A

renin; granular

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5
Q

This is a sheet of epi cells with many projections that acts as a molecular sieve.

A

podocytes

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8
Q

The renin/angiotensin axis is stimulated by detection of reduced arteriolar pressure by intrarenal baroreceptors thought to reside on the _____ cells themselves.

A

granular

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9
Q

If a decline in MAP is sensed by the main arteries, what happens?

A

a baroreceptor reflex = activity of the renal sympathetic nerve increases to cause arteriole constriction

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9
Q

What produces renal prostaglandins?

A

renal interstitial cells

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11
Q

What are podocytes?

A

a sheet of epi cells with many projections that acts as a molecular sieve

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11
Q

Name 2 forces that oppose glomerular filtration.

A
  1. backpressure from Bowman’s capsule (Pt)
  2. the net osmotic force from serum proteins (COP or πgc)
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13
Q

The flow of the filrate first passes through the ______.

A

fenestrated glomerular capillary endothelium

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14
Q

The renin/angiotensin axis is stimulated by detection of ______ by ______ thought to reside on the granular cells themselves.

A

reduced arteriolar pressure; intrarenal baroreceptors

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15
Q

The coordinate constriction of arterioles during hypovolemia is mediated by which baroreceptors?

A

the external and renal baroreceptors

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16
Q

What is the glomerular basal lamina?

A

a thick, negatively charged basement membrane secreted by the endothelial and epithelial cells consisting of mucoproteins

16
Q

Where are renal interstitial cells found?

A

in the medulla between the pyramids

17
Q

Neural stimulation of the _____ also causes the increased release of renin from the granular cells of the JG apparatus.

A

afferent arteriole

18
Q

What is the normal filtration fraction value?

A

0.2

19
Q

What is the equation for GFR?

A

GFR = K(Pgc - Pt - πgc)

21
Q

What is the size limit for substances trying to freely pass through the glomerulus?

A

60,000 daltons

22
Q

Why are prostaglandins secreted in the kidney if they counteract the action of the hypovolemic constriction response?

A

to maintain adequate renal blood flow, specifically at the afferent arteriole, by blunting vasoconstriction

23
Q

The renal solution to hypovolemia: GFR is maintained by ______.

A

co-ordinate constriction of the afferent and efferent arterioles

24
Q

What is the regulating “valve” to keep the renal blood flow constant, under normal conditions?

A

the afferent arteriole

25
Q

The ______ is stimulated by detection of reduced arteriolar pressure by intrarenal baroreceptors thought to reside on the granular cells themselves.

A

renin/angiotensin axis

26
Q

As for any capillary bed, filtration out of the glomerulus is driven by the _______.

A

blood pressure

27
Q

The podocytes help create and support the ____.

A

basal lamina

28
Q

When are prostaglandins secreted? What do they do?

A

they’re secreted in response to angiotensin II and have a local dilatory effect on the renal arterioles

29
Q

The glomerular capillaries are covered by the so-called _____ cells.

A

mesangial

30
Q

These are specialized smooth muscle cells in the afferent arterioles that secrete renin.

A

granular cells