Module 7 Flashcards

You may prefer our related Brainscape-certified flashcards:
0
Q

Micturition

A

The habit of urination.

When the bladder neck relaxes & external urinary urinary sphincter & bladder contracts

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

What is the urethral orifice?

A

The very last of the urinary system. Going backwards s leads to the urinary bladder

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

Urethral orifice, at the bottom of the bladder

A

The final canal for fluid before exiting. Shorter in females than males.
Females are more prone to developing bacterial infections of the bladder. (Urinary tract infections)

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

The opening to the urethral orifice is sealed by the…

A

Internal urinary sphincter. A reflexively controlled muscle

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

Near the bottom of the bladder are 2 Ureteral orifices, each are associated with a hollow tube called a ureter that leads to?

A

The urethra passes through the bladder. 2 Ureteral orifices each have a hollow tube which go to the 2 kidneys

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

What kind of cells is the ureter made from?

A

Transitional epithelium, smooth muscle & pain fibers

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

What structure enters the kidney/
point of entry?
extensions?

A

Renal Pelvis which will branch into 5-6 different extensions called Calyces. The point of entry into the kidney is the Hilium

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

Calyces

A

Urine is dumped into the Calyces from the collecting ducts in the medulla

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

Hilum point of entry

A

Point of entry into kidney for the:
Renal Pelvis (Urethra)
Renal Artery
Nerves

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

The Nephron includes which structures?

A
The functional unit of the kidney includes:
Afferent & Efferent arteriole
Bowmans Capsule
Glomerulus
Proximal Tubule
Loop of Henle Descending & Ascending
Distal Tubule
Collecting Duct
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Connective tissue for protection & stability

A

Fibrous Capsule surrounds the entire kidney structure.
Cortex: superficial layer
Medulla: inner layer

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

Renal Corpuscle includes which 2 structures?

A

Bowman’s capsule

Glomerular capillaries

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

Bowmans capsule

A

1st step to filtration. Inside it is the glomerulus. The glomerular capillaries contain blood that entered from the renal artery which branched into smaller arteries & into the afferent arteriole.

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

Filtration is determined by?

A

Pressure
Size
Charge
Substances that fit: water, glucose, salt, amino acids, small proteins, metabolites & urea
DO NOT FIT: med-Lg proteins, red & white blood cells & platelets

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

In order for substances to pass from the glomerulus through to Bowman’s capsule and the rest of the nephron they must be able to cross the filtration barrier.
What structures make up this barrier?

A
  • Fenestrated Endothelium of the glomerulus
  • Basement Membrane
  • Filtration slits of the Podocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fenestrated Endothelium

A

1st filtration barrier Contains 2 barriers: fenestrations smaller than blood
Negatively charged glycoproteins hindering anionic proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Basement Membrane

A

2nd filtration barrier. Found in association with epithelial cells. Serves as a porous matrix of anchored negatively charged proteins that act as a barrier to negatively charged proteins found in blood.
Small ions such as Cl-, HCO3- are freely filtered though

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Podocytes

A

Encircle the capillaries of the glomerulus. These processes form gaps called filtration slits that serve as the final filter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Mesangial cells

A

Surround the glomerular capillaries & provide structural support & may filter
Phagocytic & may serve important immune type functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Efferent arterioles

A

Form another capillary bed called the peritubular capillaries which surround the tubular components of the nephron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

To maintain GFR the kidneys can do what to the arterioles?

A

when pressure is low:
Constrict the efferent arteriole to increase pressure or
Dilated afferent arteriole to allow more blood into the glomerulus.
For High pressure:
Afferent arteriole constrict, reducing blood flow, or efferent arteriole could dilate.
these mechanisms of constriction & dilation is called Autoregulation

22
Q

Regulation of GFR

A

If NaCl concentration of filtrate increases, cells in the nephron tubule (Macula Densa) will release paracrine signals= afferent arterioles to constrict= decrease GFR & NaCl.

23
Q

Juxtaglomerular apparatus

A

The Macula Densa & Afferent Arteriole to constrict & dilate to regulate the concentration of NaCl

24
Q

Tubule compartments of the nephron include:

A

loop of Henle
Distal Tubule
Collecting Duct
These selectively reabsorb tubule fluid back into the blood

25
Q

Renal Clearance formula & meaning of each variable

A
CX=(Ux*V)/Px
CX=Clearance
Ux= concentration in urine
V= Urine flow rate
Px= Plasma concentration
26
Q

How much of plasma crosses over & becomes filtrate?

A

GFR is the amount of plasma that enters the bowman’s capsule
20% crosses over & be3comes filtrate

27
Q

For the clearance value to equal the GFR the substance must meet this criteria

A

Small & non charged
Must not be reabsorbed, secreted, degraded or produced by the nephron.
To find out the filtration rate the amount filtered must match the found in urine
Most are reabsorbed
Creatinine meets this criteria

28
Q

The health of the kidney is determined by the clearance value. What if clearance is way below?
What if clearance is way over

A

if clearance is way over/above=substance was secreted

If clearance is under=substance was reabsorbed

29
Q

Talk about the descending limb vs Ascending limb

A

Descending limb- Nephron cells contain proteins that form channels called Aquaporins to allow for H2O to flow through the cell OUT, into the medullary interstitium= more concentrated
Ascending limb has pumps that move NaCl OUT into the medullary interstitium but are impermeable to H2O= more dilute in the nephron

30
Q

Describe how the capillary network from the cortex to the medulla picks up solutes & water

A

Blood becomes more & more concentrated as it picks up ions. As the blood follows the loops of Henle & moves back toward the cortex, the excess ions attract H20. The end result is that the blood picks up the excess ions on the descent down & excess H20 on the ascent up, resulting in the reabsorption of these substances back into the blood.

31
Q

The final part of the kidney

A

The collecting duct starts in the cortex & descends through the salty medulla to finally dump its contents in the calyces of the kidney.
Aquaporins become activated & open during dehydration & follow the salty gradient out of the tubule.

32
Q

How does ADH get formed?

A
Renin from kidney
Angiotensinogen I
ACE -> Angiotensinogen II
Aldosterone & ADH are formed
Increases blood pressure
33
Q

ADH (Vasopressin)

A

Comes from pituitary
Retention of H20
Alcohol inhibits ADH so pee more

34
Q

2 things increase renin release

A

Decreased blood pressure

Decreased filtrate concentration of Na+

35
Q

3 Things increase aldosterone release

A

Angiotensin II
Decreased blood Na+ levels
Increased blood K+ levels

36
Q

Osmoreceptors

A

located in the hypothalamus & sensitive to changes in blood ion concentrations. As cells lose water they shrink= action potentials which cause a release of vasopressin

37
Q

Baroreceptors

A

respond to stretch which elicit action potentials in neurons that synapse onto hypothalamic neurons.
Decreased pressure= sympathetic activity resulting in the stimulation of vasopressin secretion

38
Q

Renin-Angiotensin-Aldosterone System

A

Promotes retention of Na+ & thus indirect retention of H20
Begins by the release of renin by afferent arteriole in response to decrease to GFR or decrease in blood pressure (baroreceptors)

39
Q

Angtiotensin II has 4 effects

A
  • Inducing the release of aldosterone from the adrenal gland
  • Preferential constriction of the efferent arteriole
  • Systemic vasoconstriction
  • Induction the release of vasopressin from the posterior pituitary gland
  • All enhance Na+ reabsorption & H20 retention
40
Q

H2CO3

A

Carbonic Acid

Weak

41
Q

HC03

A

Bicarbonate ion

Conjugate base

42
Q

Bicarbonate system

A

most important blood buffer system

43
Q

Phosphate buffer system

A

plays an important role in the urine, along with the ammonia/ammonium ion buffer system

44
Q

Kidenys

A

most powerful defense against changes in pH is the urinary system by excreting or absorbing bicarbonate ions & H ions or through the production of new bicarbonate ions
Kidneys reabsorb all of the bicarbonate that is filtered each day

45
Q

Acidosis is caused by

A

hyperkalemia

46
Q

Alkalosis can result in

A

Hypokalemia

47
Q

Respiratory Acidosis

A

PCO2 greater than 40

Causes: dmg to respiratory centers of the brain or, more commonly, COPD

48
Q

Respiratory Alkalosis

A

PC02 less than 40

Causes: Hyperventilation with heightened anxiety; overventailation of a patent who is on a ventilator

49
Q

Metabolic Acidosis

A

HCO3- less than 24
Causes: renal failure, excessive diarrhea, ingestion of acids not normally found in foods such as aspirin or methanol, or by excessive production of ketoacids (diabetic ketoacidosis) or lactic acid (circulatory shock)

50
Q

Metabolic Alkalosis

A

HCO3 greater than 24

Causes: vomiting, ingestion of alkaline drugs (Na bicarbonate), diuretics, or excessive aldosterone

51
Q

Write the typical buffer system

A

H2CO3 H+ +HCO3-
Carbonic Acid (Weak) H ion + Bicarbonate Ion (Conjugate base)
More or less H+
Buffers resist change (NOT Prevent)