Physiology 5 Flashcards

1
Q

What are the main anions?

A

Bicarbonate and Cl-

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2
Q

What are the junctions of the proximal tubule?

A

Tight junctions

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3
Q

What happens to tight junctions as we move from proximal to distal tubule?

A

They become progressively less soluble

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4
Q

What is solvent drag?

A

A process by which the solvents are dragged together with the solutes

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5
Q

What does the early proximal tubule specifically absorb?

A

Bicarbonate

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6
Q

What does the late proximal tubule absorb specifically?

A

Chloride

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7
Q

Where is the effective sodium transport in the early proximal tubule?

A

Transcellularly

- Paracellular is counter-productive

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8
Q

Is the lumen negative or positive?

A

Negative, mainly because of active movement of sodium

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9
Q

What is the the voltage of the lumen in the late proximal tubule?

A

It is +3mV

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10
Q

Why is the transepithelial voltage positive in the late proximal tubule?

A

Chloride is leaving faster than cations creating

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11
Q

Is sodium absorbed in the thin ascending limb?

A

Na+ is reabsorbed via passive diffusion (in response to a concentration gradient) across the tight junctions of Paracellular pathway

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12
Q

What happens in the thick ascending limb?

A

Goes all the way to the juxtaglomerular apparatus.
It is an active process.
It absorbs 25% of filtered sodium chloride

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13
Q

What regulates sodium in the distal tubule?

A

Aldosterone specifically

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14
Q

Why is Frusemide is given with K+ supplements?

A

is blocks Na/K/Cl pump leading to increases excretion of K.

K diffuses into the lumen in exchange for Na at the basolateral membrane

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15
Q

Where at H ions secreted?

A

Proximal tubule

Thick ascending limb

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16
Q

What are the two regions were the lumen is positive?

A

Thick ascending limb

Late proximal tubule

17
Q

How is sodium reabsorbed in the distal tubule?

A

Na reabsorbed is entirely by transcellular route

18
Q

What effect does thiazide have on the distal convoluted tubule?

A

The NaCl neutral cotransporter is blocked by thiazide diuretics

19
Q

Why is the concentration gradient important?

A

It allows for the excretion of a very concentrated urine (even during dehydration one still produces waste products which need to be removed)