Loop of Henle Flashcards

1
Q

what is the major site of reabsorption?

A

the proximal tubule

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2
Q

what is the maximum concentration of urine we can produce (comparative to plasma)?

A

> 1200-1400 mOsmoles/l

> 4 times more concentrated

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3
Q

why must there always be a minimum obligatory loss of 500mls of H20?

A

since waste products such as urea, sulphate and phosphate must be excreted

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4
Q

what act as counter current multipliers?

A

the loops of henle of the juxta medullary nephrons

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5
Q

describe how the ascending limb of the loop of henle creates a counter current multiplier

A

> actively transports Na+ and Cl- out of the lumen into the interstitium
impermeable to H20

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6
Q

describe the characteristics of the descending loop of henle that creates a counter current multipliter

A

> freely permeable to H20

> relatively impermeable to NaCl

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7
Q

True or false:
active removal of NaCl from the ascending limb increases osmolarity in the interstitium and decreases osmolarity of the tubule

A

true

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8
Q

why does H20 move out of the descending limb in the loop of henle?

A

to equate the osmolarity caused by the transport of NaCl into the interstitium

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9
Q

what happens to H20 after it has moved out of the descending limb?

A

it is reabsorbed into the vasa recta by the high osmotic pressure and tissue pressure

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10
Q

true or false:

the greater the concentration of the descending limb the lesser the concentration of the interstitium

A

false:

the greater the concentration of the descending limb the greater the concentration of the interstitium

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11
Q

what is the gradient between the ascending limb and the interstitium at any horizontal level?

A

200mOmsmols

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12
Q

what is the key step in the counter current multiplier system?

A

active transport of NaCl out of the ascending limb

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13
Q

what is the effect of the active transport of NaCl being abolished?

A

only isotonic urine is produced

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14
Q

true or false:

fluid entering the distal tubule is more dilute than t he plasma

A

true

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15
Q

how do the vasa recta participate in counter current mechanisms?

A

by acting as counter current exchangers:
> don’t disturb the interstitial gradient
> remove volume

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16
Q

why is the balance of starlings forces in favour of reabsorption?

A

> high osmotic pressure

> high pressure in the tubule

17
Q

true or false:

the flow rate in the loop of henle is low

A

true this is to allow time for equilibration with the intersitiom