lecture 21/22 Flashcards

kidney, bladder

1
Q

what is included in the urinary system?

A
  • kidney
  • ureters
  • urinary bladder
  • urethra
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2
Q

function of the urinary system

A
  • excretion of waste pridcuts of metabolism
  • regualtion of total body water
  • regulation of electrolytes
  • endocrine secretion of renin and erythropoietin
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3
Q

the renal corpuscle consists of _____________

A

a double wall of epithelial cells encoling the glomerular tuft of capillaries

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4
Q

what makes up the parietal layer?

A

squamous cells, BM, and reticular fibers

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5
Q

what makes up the visceral layer?

A

podocytes which is continuous with the parietal layer at the vascular pole and interdigitates around capillaries

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6
Q

what is found at the vascular pole of the renal corpsucle?

A

afferent arteriole enters and divided into 5 or more capillaries and the efferent arteriole leaves the structure

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7
Q

the _____ begins at the urinary pole

A

PCT

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8
Q

role of mesangial cells

A
  • implicated in phagocytosis of particles, germs, and BM
  • structural support of capillaries
  • produce cytokines
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9
Q

capillaries in the kideny are _____

A

fenestrated with diaphrams

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10
Q

does the PCT have a brush border, what does it absorb, and what does it secrete?

A
  • yes
  • most proteins, glucose, Na, Cl, Ca, fluids
  • secretes creatinine into the lumen
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11
Q

the thin descending limb is permeable to what?

A

water

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12
Q

does the DCT have a brush border, what does it absorb, and what does it secrete?

A
  • very few
  • Na, bicarbonate
  • K, H
  • site of aldosterone action
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13
Q

what does parathyroid hormone do?

A

increases the concentration of calcium in the blood by acting on parathyroid hormone 1 receptor
stimulates transcellular ca2+ absorption in renal distal convoluted tubules

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14
Q

how is calcitonin produced?

A

by parafollicular cells of the thryroid gland

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15
Q
A
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16
Q

functions of calcitonin

A

lower blood Ca2+ level in 4 ways:
* inhibit Ca2+ absorption by the intestine
* inhibit osteoclast activity in bones
* stimulate osteoblastic activity in bones
* inhibit renal tubular cell reabsorption of Ca2+, allowing it to be excreted

17
Q

site of antidiuretic hormone (vasopressin)

A

collecting duct of bellini

18
Q

what is the function of antidiuretic hormone?

A

make the collecting ducts permeable to H2O and thus water is retained

19
Q

describe the juxtaglomerular apparatus

A
  1. juxtaglomerular cells: modified SM cells with secretory granules (renin, which converts angiotensinogen into angiotensin I)
  2. macula densa: modified DCT cells that detects the sodium concentration of the fluid in the tubule. cells are involed in the production of NO and otehr factors
  3. extraglomerular messangial cells:
20
Q

role of angiotenin II

A

stimulate contraction of arterioles and increase blood pressure and stimulate production of aldosterone

21
Q

what type of epithelium is found in the area cribrosa?

A

transitional epithelium

22
Q

what are capilalries in the medulla called?

A

vasa recta

23
Q

describe the renal blood supply

A
  1. renal artery and vein
  2. interlobar artery and vein
  3. arcutae artery and vein
  4. lobular artery and vein
  5. afferent arteriole goes into renal corpuscle
  6. efferent goes out
  7. peritubular capillaries
  8. stellate vein
  9. lobular veins
24
Q

what is the role/function of erythropoietin?

A
  • is a glycoprotein that promotes the proliferation and differentiation of erythrocyte precursors
25
Q

where iserythropietin produced?

A

major site is kidney (in peritubular cells) but main extra-renal site is liver

26
Q

normally the collecting duct is ___________ to water

A

impermeable

27
Q

there is a high concentration of ____ in the medulla

28
Q

what are the different cells seen in transitional epithelium?

A
  • basal columnar cells
  • middle poligonal cells
  • superficial facet cells (dome cells)