kidney Flashcards

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1
Q

where does blood enter the capillary?

A

through the renal artery

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2
Q

where does ultrafiltration take place?

A

in the bowmans capsule

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3
Q

how is the kidney adapted to ultrafiltration?

A

the afferent is bigger than the efferent so a high pressure is maintained

lined with epithelium for an extra layer/barrier to larger molecules

basement membrane also included

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4
Q

where/when does selective reabsorption take place?

A

PCT, loop of henle and DCT

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5
Q

where do the useful substances go once they have left the PCT, loop of henle and DCT?

A

back into the surrounding capillary network

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6
Q

how is the PCT adapted for reabsorption?

A

epithelium of walls has microvilli to increase SA

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7
Q

how are useful substances reabsorbed into the capillaries along the PCT?

A

active transport and facilitated diffusion

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8
Q

what substances are reabsorbed into the blood?

A

glucose

amino acids

vitamins

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9
Q

what equipment is needed when dissecting a mammals kidney?

A

mammals kidney

apron

scalpel

lab gloves

dissecting tray

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10
Q

control of water potential (without hormones)

A

ascending limb is impermeable to water so water stays in and NA+ and Cl- ions are actively pumped out

water moves out of the descending limb and is reabsorbed into the capillary network

near the bottom of the loop of henle ions diffuse out further lowering the water potential (walls are impermeable to water so it stays in the tubule)

due to high conc of water, it leaves the collecting duct via osmosis

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11
Q

how is water regulated by hormones?

A

osmoreceptors in the hypothalamus detect the change in WP

a nerve impulse is sent to the posterior pituitary gland to secrete more/less ADH

ADH makes the DCT and the collecting duct more permeable to water

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12
Q

how can we detect kidney failure

A

measure the glomerular filtrate rate

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13
Q

problems associated with kidney failure (4)

A

waste products building up in the blood (weight loss and vomiting)

fluids accumulate in tissues (parts of the body begin to swell)

unbalance ions could cause blood to become too acidic

anaemia

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14
Q

3 methods of treating kidney failure

A

haemodialysis

kidney transplant

peritoneal dialysis

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15
Q

haemodialysis

A

filter a patients blood from an artery by having their blood flow on one side of a partially permeable membrane and the dialysis fluid on the other side

waste products (excess urea and mineral ions) and excess water diffuse across the membrane and into the dialysis fluid

the blood and dialysis fluid flow in opposite directions

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16
Q

what are two main issues involved in haemodialysis

A

patient may feel unwell as waste products and fluid start to build up in their blood

expensive and inconvenient (2/3 sessions a week for 8 hours long)

17
Q

kidney transplant

A

same blood and tissue type

18
Q

advantages of transplants (3)

A

cheap

more convenient (less sessions)

patients wont feel unwell between/during sessions

19
Q

disadvantages of kidney transplant (2)

A

major operation

immune system could reject the new transplant -immunosuppressants could be used but would give the patient a low immune system

20
Q

what hormone is present in urine of a pregnant women?

A

hCG (human chorionic gonadotropin)

21
Q

if hCG is present?

A

hCG would bind to the monoclonal antibodies at the end of the stick which contain a blue dye,

the monoclonal antibodies move along the stick and would bind to the immobilised enzymes turning the test strip blue

22
Q

if no hCG is present?

A

the urine moves along the pregnancy test strip without binding to anything so no colour appears

23
Q

why can urea but not glucose and a typical amount of mineral ions leave the patients blood during a dialysis session?

A

the dialysis fluid contains no urea, normal plasma levels of glucose and mineral ions so there is no net movement of them

24
Q

peritoneal dialysis

A

is done inside of the body and used the lining of the abdomen

usually done at home

a catheter enters the abdomen

urea and excess mineral ions leave into the tissue fluid, out across the peritoneal membrane and into the dialysis fluid

25
Q

podocytes

A

cells located below the basement membrane

26
Q

ADH

A

secreted by the posterior pituitary gland, binds to the aquapourins so water can leave the collecting duct