Lecture 4: Formation of Urine 2 Flashcards

1
Q

in which parts of the loop of henle are water and ions extracted

A
  • descending limb: extraction of water

- ascending limb: extraction of Na+ and Cl-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is present on the descending limb of the loop of henle

A

aquaporin 1 channels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is present on the ascending limb of the loop of henle

A

NKCC2 cotransporters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the osmolality of an isotonic solution

A

300 mOsm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are principal cells sensitive to

A

aldosterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

which cells detect drop in sodium levels

A

macula densa cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

which cells secrete renin in the kidneys

A

juxtaglomerular cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what do alpha intercalated cells do

A
  • secrete H+
  • absorb Na+
  • via Na+/H+ pump
  • secrete Cl-
  • reabsorb HCO3-
  • via Cl-/HCO3- pump
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what do beta intercalated cells do

A
  • secrete HCO3-
  • absorb H+
  • via pendrin
  • not as common or important as alpha ones
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what effects does ADH have on the collecting duct

A
  • acts on vasopressin V2 receptors
  • on basal membrane of principal cells in DT and collecting duct cells
  • activating aquaporin 2 channels
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what condition arises from lack of ADH

A

diabetes insipidus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how much urine does maximum ADH produce

A

300 ml per day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how much urine does minimum ADH produce

A

30 l per day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what causes nephrogenic diabetes insipidus

A

inability of kidneys to respond normally to ADH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what causes neurogenic diabetes insipidus

A

lack of ADH production by the brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is treatment of nephrogenic diabetes insipidus

A
  • chlortalidone

- indometacin

17
Q

what is treatment of neurogenic diabetes insipidus

A
  • desmopressin
  • vasopressin
  • carbamezapine
18
Q

what happens in syndrome of inappropriate ADH

A
  • excessive release of ADH
  • due to head injury or ecstasy use
  • treatment is V2 receptor blockers, eg demeclocyclin and tolvapran
19
Q

agents that increase ADH release

A
  • nicotine
  • ether
  • morphine
  • barbituates
20
Q

agents that decrease ADH release

A

alcohol

21
Q

where do all the reabsorbed solutes and water go

A
  • peritubular vessels

- vasa recta