Physiology - Endocrine Control Flashcards

(32 cards)

1
Q

what does the distal tubule empty into?

A

the collecting duct

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2
Q

what are the major sites in the kidney for regulation of ion and water balance?

A

distal tubule

collecting duct

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3
Q

what is another name for ADH?

A

vasopressin

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4
Q

what effect does ADH have on water?

A

increases water reabsorption

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5
Q

what effect does aldosterone have on ions?

A

increases sodium reabsorption

increases H+ and K+ secretion

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6
Q

what effect does ANH have on ions?

A

reduces sodium reabsorption

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7
Q

what is ANH?

A

anti natriuretic hormone

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8
Q

what effect does PTH have on ions?

A

increased calcium reabsorption

decreases phosphorus reabsorption

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9
Q

what is the permeability like to water and urea in the distal tubule?

A

low

can be increased by ADH

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10
Q

what are the two segments of the distal tubule?

A

early

late

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11
Q

what happens in the early distal tubule?

A

NaCl reabsorption

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12
Q

what happens in the late distal tubule?

A

calcium reabsorption
H secretion
sodium reabsorption
potassium reabsorption

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13
Q

what do levels of sodium and potassium reabsorption in the distal tubule depend on?

A

aldosterone levels

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14
Q

what does aldosterone promote in the late distal tubule?

A

potassium secretion

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15
Q

where is ADH released from?

A

posterior pituitary

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16
Q

when is ADH released from the posterior pituitary?

A

when AP’s down the nerves lead to calcium ion dependent exocytosis

17
Q

what is the primary stimulus for ADH release?

18
Q

how does dehydration lead to ADH release?

A

dehydration = increased plasma osmolarity

detected by osmoreceptors in the hypothalamus

stimulates nerves = secretion of ADH

19
Q

what is the plasma half life of ADH?

A

10-15 minutes

20
Q

what is the effect of high ADH?

A
increases water permeability 
hypertonic urine (very concentrated)
21
Q

what is the effect of low ADH?

A
low water permeability 
hypotonic urine (very dilute)
22
Q

what is aldosterone?

A

a steroid hormone secreted by the adrenal cortex

23
Q

when is aldosterone secreted?

A

response to rising K+ or falling Na+

after activation of the RAAS

24
Q

what does aldosterone stimulate?

A

sodium reabsorption

potassium secretion

25
what does sodium retention due to aldosterone contribute to?
increased blood pressure
26
what is another name for ANH?
atrial natriuretic peptide
27
what produces ANP?
the heart stored in atrial muscle cells
28
when is ANP released?
when the heart cells are stretched due to increased plasma volume
29
what does ANP promote?
excretion of Na+ and diuresis = decreased plasma volume
30
what is the process by which urine is emptied from the bladder?
micturition
31
what are the two mechanisms that control micturition?
the micturition reflex | voluntary control
32
what is the micturition reflex?
involuntary emptying of the bladder triggered by stretching of the bladder wall, picked up by stretch receptors