Physiology Final Flashcards
The main job of the renal system is
regulation of osmolarity and water balance
if a substance is neither reabsorbed nor secreted, then its excretion rate is equal to
the GFR
GFR will increase when there is
decreased afferent arteriole resistance (PS)
the diffusion of water across a tubule is driven by differences in _______________ across the membrane
osmolarity
An increase in fluid flow into the glomerulus will increase pressure and finally decrease filtration into bowmans space True or False
FALSE -
The most important ingredient for normal driving force in glomerular filtration is
capillary hydrostatic pressure
Renin secretion from the juxtaglomerular cells of the afferent and efferent arterioles of the glomerulus is dependent on
NaCL concentration in the distal tubule
Autoregulation of GFR is accomplished by
Low NaCl flow at the Macula Densa
Juxtaglomerlar Apparatus Feedback
Macula Densa regulation of renal blood pressure
Strong sympathetic stimulation of the afferent and efferent arterioles of the glomerulus could stop fluid flow and thus decrease urine production - True or False?
TRUE
True or False - Material that enters the Lumen of the renal tubules is excreted unless it is resorbed.
True
True or False, Bradykinin is a protein secreted by damaged skin tissue which will cause vasoconstriction decreasing blood flow to the damaged area
False - Bradykinin causes vasodilation, and causes an increase in urine production
Baroreceptors respond to
the changes in stretch of the blood vessel wall
True or false, the cardiovascular system usually has a sympathetic tone regulating blood pressure
true
inflammation (fluid and solute increase in the interstitium may be caused by)
1) increased capillary filtration
2) increased capillary permeability
3) histamine secretion by mast cells
when a baroreceptor reflex is activated, what alters
heart rate
stroke volme
tpr
what humoral substance(s) control high blood pressure aound the cardiovascular network?
vasopressin
sympathetic response to a decrease in blood pressure (cardiac)
vasoconstriction of arteries and veins
increased acetylcholine release
increased heart rate and ventricular contaction
Renin secretion from the Juxtaglomerular cells of the afferent and efferent arterioles of the glomerulus is dependent on
NaCl concentrations in the distal tubule
Loss of glucose in the urine is an example of
glucose exchangers in the walls of the nephron being saturated
True or False - water reabsorption is by simple diffusion in the proximal convoluted tubule and descending loop of henle; while water is not necessarily permeable to the walls of the distal convoluted tubule and collecting ducts (permeable only if ADH secretion)
true
what part of the nephron reabsorbs the largest quantity of the glomerular filtrate?
proximal convoluted tubule
potassium concentration can be low during times of dehydration. What is one of the main reasons for this?
increased Na+/K+ pump activity in the walls of the nephron
Disabling the Na+/K+ pump in the cells of the proximal convoluted tubule will
Generate an increase in the amount of urine produced
What happens to sodium in the proximal tubule
Na+ remains the same because water and sodium are being resorbed equally
True or False, in the ascending thick loop of henly, Na+, K+ and Cl- concentrations decrease because either the ions are being pumped out of the tubule lumen (reabsorbed) and/or water is not permeable to the tubule wall.
True
What happens to glucose in the proximal tubule
It is reabsorbed
the concentration of PAH in the thick loop of Henle is getting smaller because it is being reabsorbed from the nephron
FALSE - it is getting smaller because the water concentration is increasing
In the model for quiet, relaxed breathing, the breathing rhythm is maintained by the
inspiratory neurons in the dorsal respiratory center
what factors affect hemoglobin affinity for O2
2,3 BPG, pH, temperature
surfactant secretion is vital for
reducing surface tension in the alveoli
the enzyme necessary to convert H20 and CO2 to H2CO2 is
carbonic anhydrase
central chemoreceptors are neurons in the medulla that respond directly to
pH levels outside of the blood vessels
the most plentiful gas in our atmosphere is
nitrogen
true or false - the inspiratory neurons of the dorsal respiratory center stimulate motor neurons in the phrenic nerve, which stimulates contraction of the diaphragm
true
exercise will cause the hemoglobin dissociation curve to move to the right showing that affinity of hemoglobin for oxygen is dropping and therefore more oxygen is free for the tissues to use
true or false
true
true or false - peripheral chemoreceptors associated with respiration are mainly sensitive to O2 partial pressures
true
hemoglobin disassociation curve moving to the left means
affinity for oxygen is increasing, less oxygen is free
true or false - an artery is designed to allow exchange of materials with surrounding tissue
false
how many microns across is the diameter of an arteriole?
20
how many microns across is the diameter of a capillary?
5-9 microns
venous return is dependent on these three factors
one way valves
pumping action of the skeletal muscles
small amount muscle tone in veins
edema can be caused by these three factors
increase in ventral venous pressure
blood pooling in the venous system of the body
gravitational forces on the cardiovascular system
arteriosclerosis is a disease that reduces the compliance (increases the resistance) of the arterial system. What type of pressure would increase?
systolic
venous pressure in the legs is higher because of hydrostatic pressure due to gravity, true or false
true!
the most important vessels for reducing pressure of fluid going to the capillaries are
arterioles
normal reabsorption and filtration within the capillaries are dependent on
changing hydrostatic pressures in the plasma
which component of the cardiovascular system holds the largest percentage of the total blood volume?
the venous sustem
holding the hydrostatic pressure gradient constant and increasing the protein concentration within the interstitial space would do what to the outward movement of fluid?
enhance the outward movement
inhalation is an active or passive process?
active - contraction of the diaphragm creates negative space
exhalation is an active or passive process?
passive
what causes pneumonia?
buildup of fluids inside the thoracic cage creating too much surface tension on the alveoli
what does surfactant do?
keeps alveoli from overexpanding or collapsing
how does hemoglobin link to O2?
hemoglobin has four iron molecules, it wants to link to three oxygen. If it links to four it is saturated.
normal inspiration is controlled by
the dorsal respiratory group
nasal passages responsible for
warming, humidifying, filtering the air
trachea and bronchii are responsible for
air passage and mucus removal
bronchioles are responsible for
transition and regulation
respiratory bronchioles and alveoli are responsible for
gas exchange
Oxygen transport is dependent on
oxygen entering the lungs
blood flow
effective gas exchange
ability of the blood to carry oxygen
In hypoventilation
oxygen decreases, CO2 increases,
in hyperventilation
oxygen increases, CO2 increases
How does 2,3 Biphosphoglycerate affect hemoglobin affinity?
2,3 BPG binds to hemoglobin, freeing oxygen for tissues
which nerves signal the dorsal respiratory group
vagus and glossopharyngeal
how does the pneumotaxic center affect respiration?
a strong signal will shorten the respiratory cycle
a weak signal will lengthen the respiratory cycle
how is the ventral respiratory group involved in breathing
can increase expiration according to respiratory drive
what is the hering-breuer inflation reflex?
pulmonary stretch receptors in the bronchii and bronchioles due to large inspirations signal the pneumotaxic center through the vagus nerve - the PC limits inspiration, allowing expiration to occur
lowered pH does what to respiration?
increases inspiration
the carotid body signals which cranial nerve?
glossopharyngeal
the aortic body chemoreceptor signals which cranial nerve?
vagus
PO2 < 60mmHg signals which chemoreceptors?
peripheral
Increased PCO2 signals which chemoreceptors?
central
how much of total blood volume is in the veins?
61%
major differences in systemic pulmonary circulation are caused by
ventricular ejection and ventricular filling
what is the maximum pressure a capillary can stand?
40mmHg
Diastolic pressure is a measure of
the minimum pressure in the arteries during ventricular filling
systolic pressure is a measure of
peak pressure in the arteries during ventricular contraction
korotokoff sounds
the sound of fluid entering arteries after being cut off, first sound is systolic, fourth sound is diastolic
what is normal blood pressure?
120/80 or 125/85
what is pulse pressure?
systolic - diastolic
how much blood loss can be tolerated?
up to 20% because of blood reservoirs in major organs
capillary walls are permeable to
fatty acids and ions (diffusion) exchangeable proteins (transcytosis)
from arterial end to venous end of the capillary, what happens to pressure?
it goes from +13mmHg to -7mmHg
what causes the pressure to decrease in the capillary tubule?
water leaving the tubule
a high solute concentration in the capillary tubule will cause
water to move INTO the capillary network
what are the driving forces in the movement of fluid in the capillary bed?
water pressure in the capillary/interstitial hydrostatic pressure
or
colloidal pressure
water pressure in the capillary is opposed by
interstitial fluid pressure
plasma colloidal osmotic pressure is
the solute concentration inside of the capillary
plasma colloidal osmotic pressure is opposed by
interstitial fluid osmotic pressure
colloidal pressure is
pressure exerted by impermeable solutes on either side of the membrane
explain the vasodilation theory of local blood control with oxygen/carbon dioxide
as the metabolic rate increases, oxygen demand increases, which lowers oxygen concentration in the tissues and increased carbon dioxide, this CO2/O2 imbalance acts as a vasodilator on smooth muscle, which increases blood flow and reoxygenates the tissues
explain the oxygen demand theory
high blood pressure increases oxygen in tissue, acting as a vasoconstrictor
what does endothelium derived relaxing factor do?
when blood flow is so high it is creating shear forces the shear forces stimulate nitric oxide release to reduce damage