HES week 9 Flashcards

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1
Q

What is the urinary tract composed of and what does each thing do

A

ureters, urinary bladder, and urethra

Ureters- transport filtrate from the kidneys to the bladder
urinary bladder- stores urine
urethra- where urine exits the bladder through

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2
Q

What is the kidney divided into

A

Renal Cortex, Renal medulla, and renal pelvis

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3
Q

What happens in the renal cortex and renal medulla

A

it is where filtrate is collected and turned into urine

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4
Q

What happens in the renal pelvis

A

collects and drains the urine produced from the nephrons

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5
Q

What is the functional unit of the kidney

A

nephron

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6
Q

what does each nephron consist of

A

consists of a renal corpuscle and renal tubule

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7
Q

what is the order of how substrates flow through

A

renal corpuscle
proximal tubule
nephron loop
distal tubule
collecting duct

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8
Q

What happens in the renal corpuscle and what are the two parts of it

A

Where the blood filtrate enters into the kidney. Contains glomerulus and glomeruler capsule

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9
Q

What is the glomeruls

A

Group of looping fenestrated capillaries (very leaky capillaries)

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10
Q

what is glomerulus capsule

A

double layered sheath of epithelial tissue with capsular space in the middle that receives all the filtrate from capillaries. has inner visceral layer made up of modified epithelial cells (podocytes)

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11
Q

Where does newly formed filtrate enter

A

enters renal tubule where it can be further modified in three structurally and functionally distinct regions

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12
Q

What are the three regions that newly entered filtrate enters

A

proximal tubule, nephron loop and distal tubule

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13
Q

what does the collecting duct collect

A

collects filtrate from distal tubules of multiple nephrons and further modifies it before it exits the kidneys

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14
Q

What is the juxtagolmerular apparatus made up of

A

made up of juxtagolmerular cells found in walls of afferent and efferent arterioles and macula densa cells that are found in nephron tubule.

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15
Q

what does the juxtagolmerular apparatus regulate

A

regulates blood pressure and glomerular filtration rate

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16
Q

What is the glomerular filtration rate and what is a normal rate of it

A

amount of filtrate entering into both kidneys in one minute. (125mL/minute)

17
Q

What are the the three physiological processes carried out by nephrons

A

glomerular filtration, tubular reabsoprtion, tubular secretion

18
Q

describe golmerular filtration and where does it take place

A

substances from blood entered into renal capsule based on size. Takes place in renal corpsucle

19
Q

describe golmerular reabsorption

A

filtrate is modified based on the bodies needs and most water, glucose, AA, and electrolytes returned into the blood.

20
Q

What is the glomerular hydrostatic pressure

A

the force of the blood against the filtration membrane. Pushes plasma into the capsule

21
Q

What is capsular hydrostatic pressure

A

The force of the filtrate pushing back against the filtration membrane. Pushes filtrate back into the glomerular capillaries

22
Q

Describe glomerular colloid osmotic pressure

A

the force created by the presence of proteins in the plasma.

23
Q

Describe tubular secretion

A

more substances are added into the filtrate for secretion if needed.

24
Q

what is the three layers of filtration

A
  1. fenestrated glomerular capillary endothelial cells
  2. Basal Lamina (collagen fibers)
  3. Podocytes
25
Q

What percent of substrate can pass through the glomerular 3 ply membrane to become filtrate

A

20%

26
Q

What are the three forces that determine GFR

A
  1. Glomerular hydrostatic pressure
  2. Capsular Hydrostatic pressure
  3. Glomerular colloid osmotic pressure
27
Q

describe GHP

A

Force of blood against the filtration membrane (determined by BP)
Pushes plasma into capsule

28
Q

describe CHP

A

The force of filtrate pushing back against the filtration membrane (pushes filtrate back into glomerular capillaries)

29
Q

describe GCOP

A

The force created by the presence of proteins in the plasma. Protein concentration is higher in capillary plasma than filtrate.

30
Q

What are the two auto regulations for GFR

A

Myogenic and tubuloglomerular feedback

31
Q

what are the two hormonal mechanisms for GFR

A

The RAAS system
Atrial natriuretic peptide

32
Q

Describe the myogenic mechanism

A

Enables GFR to remain relatively stable even when BP fluctuates

smooth muscle found in afferent and efferent arterioles can vasoconstrict or vasodilate in response to change in BP to maintain constant GFR

33
Q

Describe tubuloglomerular feedback

A

Enables GFR to remain relatively stable even when BP fluctuates

as GFR increases, volume of filtrate flowing through renal tubule and macula densa cells increase

34
Q

what is the primary goal of the RAAS system.

A

maintain systemic BP

35
Q

what are the three possible stimuli for renin release

A
  1. stimulation for sympathetic NS
  2. Low Glomerular hydrostatic pressure
  3. stimulation for the macula densa cells
36
Q

where is the atrial natriuretic peptide released from and when is it released

A

hormone released by cells in the atria of the heart. released in response to increased blood volume.

37
Q

what does the release of ANP do

A

increases GFR by causing vasodilation of afferent arterioles and vasoconstriction of efferent arterioles

38
Q

does it increase or decrease excretion of urine

A

increased excretion of urine

39
Q

does blood volume( and BP) increase or decrease

A

decrease