Mangiarua - Tubular ecretion Flashcards

1
Q

Clearance of PAH _______ true renal plasma flow by 10%

A

Underestimates

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

The fraction of a substance which is removed by the kidneys

A

Extraction ratio

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

Net urate flux is predominantly _____

A

Reabsorption

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

Uric acid represents ____ % of total urinary nitrogen

A

5%

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

Is urate freely filterable?

A

Yes

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

The secretory process of net urate flux is -______ regulated

A

Homeostatically

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

Four factors which may play a role in the production of hyperuricemia

A

Decreased filtration rate w/ maintained tubular reabsoprtion

Increased reabsorption of urate

Decreased secretion of urate

Increased production of urate

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

__ % of filtered load of K reabsorbed in proximal tubule

A

67

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

___% of filtered load of K reabsorbed in the thick ascending limb of loop of henle

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The principal cell, in the connecting tubule and cortical collecting duct, when stimulated by aldosterone, will secrete ____

A

K+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Determinants of K Secretion

A

[K] gradient between principal cell and tubular fluid

Flow rate of tubular fluid

Electrical gradient across luminal membrane of K secreting cells

Poorly reabsorbed anions in the tubular fluid

Aldosterone

Systemic acid-base status

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

What does increased tubular fluid flow do to the potassium secretion?

A

Increases potassium secretion because the tubular fluid [K] is kept low, maintaining a high [K] gradient

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

What causes increased K+ secretion from diuretics?

A

Na reabsorption in the ascending thick loop of henle is decreased, decreased water retention, this increases flow in the tubule and increases [K+] gradient.

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

Aldosterone stimulates the secretion of ?

A

K and H

Reabsorption of Na

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

Primary hypermineralocorticoidism causes ?

A

Hypertension (increased Na reabsorption)

Hypokalemia (increased K secretion)

Metabolic Alkalosis (increased H+ secretion)

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

In acidosis, urine becomes acidic and the exretion of organic anions ________

A

Decreases (bc they are reabsorbed into peritubular fluid)