L04: Glomerular Filtration Flashcards

1
Q

What is a nephron

A

A functional unit of the kidney

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2
Q

What are the structures of a nephron

A
afferent arteriole 
Efferent arteriole 
Glomerulus 
Bowmans space 
Proximal tubule 
Loop of henle- descending and ascending limb
Distal tubule 
Collecting duct
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3
Q

What is bulk flow

A

Movement of substances as water flows

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4
Q

What flow does filtration have

A

Bulk flow

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5
Q

If there is bulk flow, then what determines the movement of water into the bowmans space

A

1) hydrostatic pressure

2) oncotic pressure

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6
Q

What is the hydrostatic pressure

A

Pressure in the capillaries that is generated by the heart

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7
Q

What is the oncotic pressure

A

The pressure generated by proteins present in the capillaries

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8
Q

Describe the filtration process that occurs in the glomerulus

A

1) hydrostatic pressure drives the water out from the glomerulus to the bowmans space
2) as proteins are left behind in the capillaries this creates an oncotic pressure which causes the fluid to be drawn back in.
3) bowmans pressure also drives fluid back into the glomerulus
4) overall the difference between the pressures causes a net perfusion pressure which causes the fluid to move from the capillaries to the bowmans space.

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9
Q

What happens to the efferent arteriole when it leaves the glomerulus

A

Joins the portal vein and to another capillary bed that surrounds the loop of henle of the nephron.

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10
Q

What are the layers of the glomerulus

A

1) endothelial cells
2) basement membrane
3) podocytes with filtration slits.

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11
Q

What are podocytes

A

The epithelial cells of the bowmans capsule

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12
Q

How are filtration slits formed

A

From the processes of the podocytes

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13
Q

Which molecules are easily filtered at the bowmans structure

A

Small

Positively charged

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14
Q

What passes into the bowmans space to become the filtrate

A
Sodium
Potassium
Chloride
Bicarbonate
Glucose 
Urea 
Calcium 
Magnesium
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15
Q

How is the blood flow controlled/regulated to allow filtration

A

change the diameter of the afferent and efferent arterioles

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16
Q

How do we increase the blood flow by regulating the diameters of the arterioles

A

Vasodilation of afferent arteriole

Vasoconstriction of efferent arteriole

17
Q

What does GFR stand for

A

Glomerular filtration rate

18
Q

Which substance can be used clinically to measure GFR

A

Creatine

19
Q

Why is creatine a good substance to use for measuring GFR

A

Creatinine can become filtered and it not reabsorbed so it will become excreted into the urine.

20
Q

What equation do we use to measure the rate of creatine filtered

A

(Concentration x volume)/ time

21
Q

How do we measure the GFR using the creatine equations

A

GFR= creatine excretion rate / creatine in plasma

22
Q

Which factor causes the decrease in GFR

A

Ageing

23
Q

What is proteinuria

A

Protein in the urea

24
Q

What does proteinuria suggest

A

Glomerular damage

25
Q

What can glomerular damage lead to

A

Glomerular nephritis

26
Q

What is a congenital nephrotic syndrome

A

Genetic disorder that leads to defects of the glomerular barrier which therefore leads to proteinuria

27
Q

Which layers of the glomerular barrier are charged

A

Endothelial cells

Basement membrane

28
Q

What is the charge of the endothelial cell and basement membrane

A

Negative

29
Q

What creates the negative charge in the endothelial cells

A

Negatively charges glycocalyx

30
Q

What does the negatively charged glyco-calyx repel

A

Negatively charged proteins

31
Q

What does the negative charge in the basement membrane repel

A

Negatively charged proteins