[PHYSIO] URINE CONCENTRATION Flashcards

1
Q

counter current multiplier system found in

A

loop of henle

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2
Q

role of counter-current multiplier

A

builds up osmolarity in medullary interstitium by throwing NaCl into the interstitium

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3
Q

counter current multiplier system: active or passive?

A

active

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4
Q

counter current exchanger system found in

A

vasa recta

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5
Q

counter current exchanger system role

A

1-maintains osmolarity of medullary interstitium by trapping salts

2-remove water from interstitium

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6
Q

establishes osmotic equilibrium b/w tubular fluid & medullary interstitium

A

MCD

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7
Q

MCD depends on

A

ADH & urea reabsorption

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8
Q

counter current exchanger system: active or passive?

A

passive

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9
Q

thin ascending limb of LH receives hypertonic fluid due to

A

H2O reabsorption in descending limb
urea enters descending limb

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10
Q

role of thin ascending limb of LH in counter current multiplier system

A

passively diffuses NaCl to interstitium

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11
Q

role of thick ascending limb of LH in counter current multiplier system

A

ACTIVELY pumps out NaCl via Na-K ATPase

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12
Q

NaCl is pumped inside thick ascending limb of LH via

A

Na-K/2Cl cotransporter

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13
Q

counter current exchanger system prevents removal of ___by blood

A

NaCl & urea

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14
Q

urine concentration depends on

A

high interstitial osmolarity

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15
Q

high interstitial osmolarity depends on

A

NaCl & urea salts

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16
Q

vasa recta is permeable to

A

water & solutes

17
Q

sources of water in interstitial space

A

1-descending limb of LH
2-DCT & CD
3-descending limb of VR

18
Q

water handling of descending limb of VR

A

transports water into interstitium

19
Q

water handling of ascending limb of VR

A

absorbs water from interstitium and transports it back to circulation

20
Q

site of urea trapping

A

inner MCD

21
Q

permeability of MCD to urea depends on

A

ADH

22
Q

urea trapping contributes to interstitial osmolarity by

A

600 mOsm/L

23
Q

outer cortical portion of MCD permeability

A

permeable to H20
impermeable to urea
(in presence of ADH)

24
Q

inner medullary portion of MCD permeability

A

permeable to both H20 & Urea
(in presence of ADH)

25
Q

inner medullary portion of MCD permeability

A

permeable to both H20 & Urea
(in presence of ADH)

26
Q

effect of high protein diet on urine concentration

A

↑urea production
↑H2O reabsorption
↑osmolarity
↑urine concentration

27
Q

effect of high protein diet on urine concentration

A

↑urea production
↑H2O reabsorption
↑osmolarity
↑urine concentration

28
Q

passive reabsorption of urea occurs in?
under effect of?

A

-inner MCD
-ADH

29
Q

steps of urea cycle

A

1-passively diffuses from MCD to MI
2-passively enters descending limb of VR
-⤷ exits thru ascending limb
of VR
2- and passively enters descending limb of LH
⤷exits thru MCD

30
Q

why does drinking excess H20 cause loss of urea in urine

A

↓blood osmolarity
↓ADH
↓H2O reabsorption
↓MCD permeability to urea
↓passive urea reabsorp from MCD

31
Q

role of ADH in urine concentration

A

↑DCT &CD H2O permeability
↑ inner MCD urea permeability
VC efferent arteriole
⤷↓VR BF & ↓wash out of solutes
⤷↑Na reaching LH so ↑Na
reabsorption

32
Q

urine concentration can fail due to

A

1- diabetes insipidus
2-CRF
3-excessive medullary BF
4-diuretics
5-osmotic diuresis