Lecture 34 Unit 5 Flashcards

1
Q

what is the relationship between tubular fluid and blood at the end of the PCT

A

isotonic

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2
Q

what is the relationship between tubular fluid and blood at the end of the loop of henle

A

hypotonic to blood

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3
Q

what is the relationship between tubular fluid and blood at the renal corpuscle

A

isotonic to blood

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4
Q

what does most reabsorption

A

PCT

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5
Q

what does the rest of the nephron besides the PCT do

A
  • solutes reabsorbed by active and passive processes
  • water follows solutes by osmosis
  • small proteins move across into the blood by pinocytosis
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6
Q

what does tubular secretion do

A

transfers materials fr9m blood into tubular fluid

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7
Q

what happens in tubular secretion

A
  • controls blood pH through secretion of H+

- helps eliminate certain substances

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8
Q

what happens in paracellular reabsorption

A

-50% of reabsorbed material moves between cells by diffusion in some parts of tubule

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9
Q

what happens in transcellular reabsorption

A

material moves through both the apical and basal membranes of the tubule cell by active transport

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10
Q

how is Na+ reabsorbed

A

Na+/K+ ATPase pumps sodium from tubule cell cytosol through the basolateral membrane

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11
Q

what is obligatory water reabsorption

A

when water is obliged to follow the solutes being reabsorbed

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12
Q

what is facultative water reabsorption

A

occurs in collecting duct under the control of ADH

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13
Q

what helps reabsorb materials from filtrate in PCT

A

Na+ symporters

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14
Q

how are intracellular sodium levels kept low

A

Na+/K+ pumps on the basolateral side

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15
Q

what is glycosuria

A

some glucose remains in the urine

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16
Q

what happens if blood glucose levels exceed 200 mg/ml

A

renal symporters cannot reabsorb glucose fast enough

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17
Q

what happens in diabetes mellitus

A

insulin activity is deficient and blood glucose cannot enter cells as readily

18
Q

what is the renal threshold for glucose

19
Q

how does the loop of henle reabsorb ions

A

Na+/K+/2Cl- symporters

20
Q

how does K+ move into filtrate in the loop of henle

A

K+ leak channels

21
Q

how is Na+ reabsorbed in loop of henle

A

Na+ is pumped out on basolateral side

22
Q

how is Cl- reasbroed in loop of henle

23
Q

how do cations move to vasa recta

24
Q

what is thick ascending limb impermeable to

25
is early DCT permeable to water
yes
26
are Na+ and Cl- reabsorbed by different symporters than loop of henle
yes
27
all water reabsorption until late DCT is what?
obligatory
28
what are the cells in the late DCT
principal cells and intercalated cells
29
what do principal cells do
reabsorb na+ and secrete k+
30
what do intercalated cells do
reabsorb K+ and HCO3- and secrete H+
31
what would happen without ADH
late DCT and CD are impermeable to water
32
throughout journey through nephron what happens to tubular fluid
volume is decreasing
33
what is goal of producing dilute urine
remove excess fluid from blood
34
what is the concentration if blood plasma
300 mOsm/L
35
what happens to filtrate osmolarity as it moves down loop of henle
increases
36
what happens to filtrate osmolarity as it moves up loop of henle
decreases
37
what happens to filtrate osmolarity is CD
decreases so it produced dilute urine
38
what is the goal of concentrated urine
prevent water loss by excreting only concentrated urine
39
what happens as the concentration of ADH increases
more aquaporin channels are inserted into apical membranes of principal cells
40
water reabsorption in late DCT and CD is what?
optional -facultative reabsorption
41
what are the ADH actions leading to concentrated urine
- stimualtes Na+/K+/Cl- symporters in thick limb of ascending loop of henle - stimulates facultative water reabsorption in upper and lower CD - stimulates urea recycling in lower CD