Physiology-Renal Checkpoint Quiz Flashcards

0
Q

Which of the following layers of the glomerular capillary membrane restrict solute movement by both size and charge selectivity?

  • endothelium
  • basement membrane
  • epithelial
  • podocyte
A

Basement membrane

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1
Q

Specialized cells of the thick ascending loop of henle or distal tubule adherent to every glomerulus at site between afferent and efferent arterioles that regulate glomerular filtration are called

A

Macula densa cells

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2
Q

Which of the following serves as primary means for physiologic regulation of glomerular filtration rate?

  • glomerular capillary filtration coefficient
  • glomerular hydrostatic pressure
  • hydrostatic pressure in bowman’s capsule
  • colloid osmotic pressure of glomerular capillary plasma proteins
  • colloid osmotic pressure of proteins in bowman’s capsule
A

Glomerular hydrostatic pressure

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3
Q

Constriction of afferent arteriole would result in what change to GFR

  • increase in GFR
  • decrease n GFR
  • depends on degree of dilation
  • no change
A

Decrease in GFR

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4
Q

A reduction in the delivery of NaCl to macula densa would result in which of he following?

  • efferent arteriole dilation with decrease in GFR to normal
  • efferent arteriole constriction with an increase in GFR to normal
  • afferent arteriole dilation with an increase in GFR to normal
  • afferent arteriole constriction with decrease in GFR to normal
A

Afferent arteriole dilation with increase in GFR to normal

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5
Q

Angiotensin II causes which of the following in order to normalize GFR in states of decreased RBF?

  • efferent arteriole dilation with decrease in GFR to normal
  • efferent arteriole constriction with increase in GFR to normal
  • afferent arteriole dilation with increase in GFR to normal
  • afferent arteriole constriction with decrease in GFR to normal
A

Efferent arteriole constriction with increase in GFR to normal

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6
Q

Which of the following is not reabsorbed in the proximal tubule?

  • Na
  • HCO3
  • glucose
  • H
A

H

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7
Q

“Highly permeable to water, but impermeable to NaCl” describes which of the following tubular segments?

  • proximal tubule
  • descending limb of loop of henle
  • ascending limb of loop of henle
  • distal tubule
A

Descending limb of loop of henle

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8
Q

The site of action of aldosterone is on which of the following tubular segments?

  • proximal tubule
  • descending limb of loop of henle
  • ascending limb of loop of henle
  • collecting duct
A

Collecting duct

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9
Q

Name the 3 major factors of autoregulation

A

Myogenic reflex of afferent arteriole
Tubuloglomerular feedback
Angiotensin II mediated vasoconstriction of efferent arteriole

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10
Q

Increased NaCl delivery to macula densa promotes ______

A

Vasoconstriction of afferent arteriole

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11
Q

A decrease in blood pressure would evoke a _______ of the afferent arteriole

A

Reflex vasodilation

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12
Q

During states of reduced renal blood flow, what substance is released from granular cells within wall of afferent arteriole?

A

Renin

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13
Q

How does angiotensin II normalize GFR in states of decreased RBF?

A

Causes vasoconstriction of efferent arteriole (increasing glomerular capillary hydrostatic pressure and hence, GFR)

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14
Q

When there is a water deficit in the body, osmolarity will be high, kidney should respond by secreting what kind of urine?

A

Concentrated

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15
Q

When osmole receptors in the hypothalamus sense a reduced serum osmolarity, ADH secretion will be increased or decreased?

A

Decreased

16
Q

Glomerular filtrate in proximal tubule has what osmolarity

A

280-295mOsm/kg Same as plasma

17
Q

2 requirements to secrete concentrated urine

A

High level of ADH

High osmolarity of medullary interstitial fluid

18
Q

What are the 2 stimuli for ADH

A

Hyperosmolarity

Volume depletion