objective 7 pt 1 Flashcards

1
Q

how do the kidneys maintain the body’s internal environment?

A
  • Regulating total water volume and total solute
    concentration in water
  • Regulating ion concentrations in extracellular
    fluid (ECF)
  • Ensuring long-term acid-base balance
  • Excreting metabolic wastes, toxins, drugs
  • Producing erythropoietin (regulates RBC
    Production) and renin (regulates Blood Pressure)
  • Converting Vitamin D to its active form
  • Carrying out Gluconeogenesis during prolonged
    fasting.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what does the urinary system include?

A

ureters
urinary bladder
urethra

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

transport urine from kidneys to urinary bladder

A

ureter

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

temporary storage reservoir for urine

A

urinary bladder

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

transports urine out of the body

A

urethra

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

bean shaped
retroperitoneal, in the superior lumbar region
convex lateral surface
concave medial surface with vertical renal hilum leads to internal space called renal sinus

A

kidney

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

sits atop each kidney

A

adrenal gland

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

what are the 3 layers of supportive tissue surrounding the kidneys?

A

renal fascia
peri-renal fat capsule
fibrous capsule

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

outer layer of dense fibrous connective tissue
anchors adrenal gland and kidney to surrounding structures

A

renal fascia

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

transparent capsule that prevents spread of infection in close regions from spreading to kidney

A

fibrous capsule

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

fatty cushion around kidney
protects it
holds it in position

A

peri-renal fat capsule

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

what are the 3 distinct regions of the internal kidney?

A

renal cortex
renal medulla
renal pelvis

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

superficial region

A

renal cortex

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

deep, composed of cone-shaped medullary pyramids

A

renal medulla

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

separated by renal columns

A

renal pyramids

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

tip of pyramid points internally

A

papilla

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

each medullary pyramid and its surrounding cortical tissue make up a lobe; about eight lobes per kidney

A

lobe

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

funnel-shaped tube continuous with ureter

A

renal pelvis

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

what do the branching extensions of the renal pelvis form?

A

minor calyces
major calyces

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

cup-shaped areas that collect urine draining from pyramidal palillae

A

minor calyces

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

areas that collect urine from minor calyces
empty urine into renal pelvis

A

major calyces

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

what is the flow of urine?

A

renal pyramid –> minor calyx –> major calyx –> renal pelvis –> ureter –> bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

kidneys cleanse blood and adjust its composition, so it has a rich blood supply

23
Q

deliver about one-fourth of cardiac output to kidneys each min; branches in kidney until it reaches each nephron

A

renal arteries

24
sympathetic fibers from renal plexus
nerve supply
25
are the structural and functional units that form urine
nephrons
26
what are the 2 main parts of a nephron?
renal corpuscle renal tubule
27
what are the 2 parts of renal corpuscle?
glomerulus glomerular capsule
28
high pressure capillary bed composed of fenestrated endothelium highly porous allows for efficient filtrate formation
glomerulus
29
plasma-derived fluid that renal tubules process to form urine
filtrate
30
cup-shaped, hollow structure surrounding glomerulus
glomerular capsule bowman's capsule
31
what are the 2 parts of glomerular capsule?
parietal layer visceral layer
32
structural, doesnt play a role in forming filtrate
parietal layer
33
clings to glomerular capillaries; consists of branching epithelial cells
visceral layer
34
about 3cm long consists of single layer of epithelial cells, but each region has its own unique histology and function
renal tubule
35
what are the 3 major parts of the renal tubule?
proximal convoluted tubule nephron loop distal convoluted tubule
36
cuboidal cells with dense microvilli that form brush border functions in reabsorption of water and solutes from filtrate and secreting substances into it found only in renal cortex
proximal convoluted tubule
37
U-shaped structure consisting of 2 limbs
nephron loop
38
proximal part of descending limb is continuous with proximal tubule;thin
descending limb
39
thick ascending limb
ascending limb
40
cuboidal cells with very few microvilli function more in secretion than reabsorption found only in cortex
distal convoluted tubule
41
maintain water and Na+ balance help maintain acid-base balance of blood recieve filtrate from many nephrons run through the pyramids ducts fuse together to deliver urine through papillae into minor calyces
collecting ducts
42
what are the 2 main groups of nephrons?
cortical nephrons juxtamedullary nephrons
43
make up 85% of nephrons in kidney almost entirely in cortex except small parts of nephron looks that dip into the outer medulla
cortical nephrons
44
long nephron loops deeply invade medulla ascending limbs have thick and thin segments important role in production of concentrated urine
juxtamedullary nephrons
45
what are cortical nephrons associated with?
glomerulus peritubular capillaries
46
what are juxtamedullary nephrons associated with?
glomerulus vasa recta
47
capillaries are specialized for filtration different from other capillary beds bcuz they are fed and drained by arteriole
glomerulus
48
why is BP high in glomerulus?
* Afferent arterioles are larger in diameter than efferent arterioles * Arterioles are high-resistance vessels
49
low-pressure, porous capillaries adapted for absorption of water and solutes arise from efferent arterioles cling to adjacent renal tubules in cortex empty into venules
peritubular capillaries
50
long, thin-walled vessels in juxtamedullary nephrons arise from efferent arterioles serving juxtamedullary nephrons function in formation of concentrated urine supply oxygen and nutrients to the tissue through which they pass
vasa recta
51
what are the 3 cell populations that are seen in JGC?
macula densa granular cells extraglomerular mesangial cells
52
tall, closely packed cells of ascending limb contain chemoreceptors that NaCl concentration in the filtrate
macula dense
53
enlarged smooth muscle cells act as mechanoreceptors to sense blood pressure in afferent arteriole synthesize, store and secrete renin
granular cells
54
found between the arteriole and tubule cells interconnected with gap junctions may pass signals between macula densa and granular cells play a role in renal autoregulation of blood flow to the kidney and regulation of blood pressure through the renin-angiotensin system
extraglomerular mesangial cells