Lab 10 Flashcards

1
Q

How does placement of right and
left kidney differ?

A
  • Right kidney is lower and
    more lateral than the left
  • Crowded by the liver
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2
Q

RENAL CAPSULE

A

1.Peri-renal Fat
* Cushion/shock absorption
2.Fibrous Connective
Tissue Covering
* Protection

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3
Q

on the concave medial surface of the kidney
* Site where ureter, nerves, blood and lymphatic
vessels enter and exit the kidney

A

renal hilum

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4
Q

the two parts of the nephron

A

glomerulus and renal tubule

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5
Q

what part of the kidney houses 85% of all nephrons?

A

the cortex (cortical nephrons)

  • Associated with following capillary beds:
    o Glomerulus
    o Peritubular capillaries
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6
Q

where are peritubular capillaries located?

A

in the cortex of the kidneys (cortical nephrons)

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7
Q

JUXTAMEDULLARY NEPHRONS

A
  • Long loops of Henle
    o Deeply invade the medulla
  • Important in the production of
    concentrated urine
  • Associated with following capillary beds:
    o Glomerulus
    o Vasa Recta
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8
Q

where is the vasa recta located?

A

medulla of the kidneys (juxtamedullary nephrons)

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9
Q

filtrate

A

Components of blood entering the renal tubule (Urine composition: <1% of total filtrate)

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10
Q

GLOMERULAR FILTRATION

A
  • Passive mechanical process
    whereby molecules <5 nm are
    permitted into the tubule
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11
Q

TUBULAR REABSORPTION

A
  • Returns all glucose and amino
    acids, 99% of water, salt, and
    other components to the blood
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12
Q

TUBULAR SECRETION

A
  • Selective addition of nonfiltered substances into urine
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13
Q

Main driving force for
filtration is ____

A

blood pressure

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14
Q

GFR

A

glomerulular filtration rate. * Volume of filtrate formed
per min

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15
Q

where does most tubular reabsorption occur?

A

the proximal convoluted tubule.

  • Components absorbed include:
    1. Organic solutes
    o Nutrients (glucose, amino acids)
    o Small proteins
    o Phosphate
    o Nitrogenous compounds (urea)
    2. Inorganic solutes
    o Ions (Na+, Cl-, K+, Ca2+, Mg2+,HCO3-)
    3. Water
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16
Q

where does tubular secretion mostly occur?

A
  • Occurs mainly at proximal convoluted tubule
    o Parts of distal convoluted tubule and
    collecting ducts also involved
  • Solutes from peritubular capillaries or tubule cells are
    moved to the filtrate
    o Inorganic solutes (K+, H+, NH4+)
    o Organic solutes (urea, creatinine)
    o Drug metabolites/toxins
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17
Q

what kind of epithelium line proximal and
distal convoluted tubules?

A

simple cuboidal

18
Q

Renal corpuscles

A

(glomerulus with bowman’s capsule)
* Cluster of capillaries
surrounded by a
Bowman’s capsule
* Capillaries are surrounded
by podocytes (dark nuclei)
* Filtrate enters Bowman’s space
and is funneled into proximal
tubule at the urinary pole

19
Q

histological features of ureter:

A

-star-shaped lumen
-3 layers (adventitia, muscularis, lamina propria)
-mucosa lined by transitional epithelium

20
Q

what are the three layers of the ureter from superficial to deep?

A

adventitia, muscularis, lamina propria

21
Q

histological features of the bladder:

A
  • Mucosa lined by transitional epithelium
  • Thick muscularis composed of 3 layers of smooth muscle (Detrusor muscle)
  • Outer layer is a connective
    tissue adventitia
22
Q

epithelia of ureter lumen

A

transitional

23
Q

epithelia of bladder lumen

A

transitional

24
Q

epithelia of urethra lumen

A

transitional near bladder, then mostly pseudostratified columnar, then stratified squamous near external urethral orifice

25
Q

histological features of the urethra:

A
  • Branching lumen
  • Mucosa lined by variable
    epithelia:
    o Transitional epithelium near bladder
    o Mostly pseudostratified columnar epithelium
    (both males and females)
    o Stratified squamous epithelium near external
    urethral orifice
  • Thick lamina propria
    supporting the mucosa
  • Muscularis of smooth muscle
  • Adventitia of connective
    tissue
26
Q

the filtration membrane of the glomerulus composition

A

a fenestrated
endothelium, a basement membrane and
the foot processes of enveloping
podocytes

27
Q

Proximal
Convoluted
Tubule

A

Reabsorb 60
-70% of filtrate
* Water * Inorganic solutes/ions (Na+, K+, Mg2+, Ca2+, Cl-)
* Organic solutes * Vitamins * Urea * Amino acids * Lipid-soluble substrates

28
Q

Loop of Henle
(Nephron Loop)

A

● Descending limb: water

● Ascending limb: inorganic solutes (mostly Na+ and Cl-)

29
Q

Distal Convoluted
Tubule

A

Under hormonal control
* Water
* Inorganic solutes (Na+ and Ca2+)

30
Q

Collecting Duct

A

Under hormonal control
* Water
* Inorganic solutes (mostly K+)
* Organic solutes
* H+, HCO3-

31
Q

Sites of secretion:

A

Proximal convoluted tubule
► Distal convoluted tubule
► Collecting duct

32
Q

what does presence of ketones in urine indicate?

A

(ketonuria) advanced diabetes

33
Q

what does presence of proteins in urine indicate?

A

(proteinuria) hypertension

34
Q

histological features of renal cortex

A

-presence of renal corpuscles and renal tubules
-renal tubules lines w simple cuboidal epithelium

35
Q

histological features of renal corpuscle

A

● Outer envelope of simple squamous epithelium called Bowman’s (glomerular)capsule
○ Surrounds a Bowman’s (glomerular) space
● Cluster of varied cells suspended in Bowman’s space is the glomerulus
○ Endothelial cells of the glomerulus
are simple squamous epithelia
○ Endothelial cells are mostly
masked by darker staining oval
nuclei of mesangial cells and
podocytes
● urinary pole of the glomerulus is the
site where the capsular space of the
renal corpuscle gives rise to the
proximal tubule

36
Q

histological features of the renal medulla

A

Collection of renal tubules in the
absence of renal corpuscles (glomeruli)
● Loops of Henle and collecting ducts
● Renal tubules lined by simple cuboidal
or simple squamous
● May appear round, oval or
elongated in shape depending on
sectional plane

37
Q

histological features of the ureter

A

● Star-shaped lumen
● Mucosa (inner most layer) lined by
transitional epithelium ○ Epithelium sits atop a sparse and paler staining lamina propria of
areolar connective tissue
● Muscularis (middle layer) of smooth
muscle
● Adventitia (outer layer) of pale
-staining
connective tissue ○ Interspersed fat, blood vessels,
and nerves

38
Q

histological features of the bladder

A

Mucosa lined by transitional epithelium
○ Epithelium sits atop a thick and
paler staining lamina propria of
areolar connective tissue
● Thick muscularis composed of smooth
muscle
○ Called the detrusor muscle

39
Q

histological features of the urethra

A

● Branching lumen
● Mucosa lined by a variety of epithelia depending on the distance from the bladder:
○ Transitional epithelia close to the
bladder ( proximal urethra)
○ Pseudostratified columnar at the
midpoint
○ Stratified squamous near the urethral
orifice
● Three mucosa layers
○ Epithelia sits atop a thick, lighter
staining lamina propria of areolar
connective tissue
○ Muscularis (middle layer) of circular
and longitudinal smooth muscle
○ Adventitia (outer layer) of pale-staining connective tissue
Interspersed fat, blood vessels, and
nerves

40
Q

histological features of the kidney

A

Bean-shaped, two variable staining
regions, pale-staining capsule