Random Flashcards

1
Q
  • What is the parietal layer of the bowmans capsule made of?

- What is the visceral layer of the bowmans capsule made of?

A
  • Simple squamous epithelium

- specialised epithelium called podocytes

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2
Q
  • What is the renal corpuscle formed by?

- What is b/w these structures?

A
  • The renal corpuscle is formed by the glomerulus surrounded by the bowmans capsule of the nephron
  • Filtration barrier/ blood-urine barrier
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3
Q

What is the three layers of the filtration barrier?

A
  • Fenestrated epithelium of glomerulus capillary
  • Fused basement membrane
  • Filtration slits b/w pedicels of the podocytes
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4
Q

The kidney

  • What are the kidneys located behind?
  • What surrounds the kidney and why?
  • What sits above the kidney?
  • Where are the kidneys located (vertebral level)?
  • What passes through the hilum of the kidney?
  • What way does the hilum face?
  • What does the renal pelvis narrow into to form?
A
  • The kidneys are located behind the peritoneum
  • A fat pad surrounds the kidneys for support & protection
  • The adrenal gland sits above the kidney
  • The kidneys are located at the T12-L3 vertebral level
  • Arteries, veins, lymphatics and nerves pass through the hilum of the kidney
  • The hilum faces medially
  • The renal pelvis narrows to form the ureter
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5
Q
  • What surrounds the medullary pyramids?

- What projections of the cortex seperate the medullary pyramids

A
  • The kidney consist of an inner medulla, arranged in medullary pyramids
  • An outer cortex surrounds the medulla
  • Separating the medullary pyramids are projections of the cortex called renal columns
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6
Q

Where do renal arteries branch from?

  • What do the arteries not directly supply?
  • What arises from the last of these arteries?
A
  • Renal arteries branch from the abdominal aorta then divide into smaller and smaller arteries
  • The arteries do not directly supply the medulla but reach the cortex
  • The afferent arteriole arises from the last of these arteries
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7
Q
  • What arises from the afferent arteriole?
    • What do these form?
  • What endothelium like and why?
A
  • Glomerular capillaries arise from afferent arterioles
    • Glomerular capillaries form a ball of vessels called the glomerulus
  • Endothelium here is fenestrated for filtration
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8
Q
  • What carries blood away from the glomerulus?
  • What do the peritubule capillaries surround
  • What are peritubular vessels specialised for?
A
  • Efferent arterioles carry blood away from the glomerulus into the peritubular capillaries
  • Peritubular surrounds the tubules of the nephron
  • These vessels are specialised for reabsorption
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9
Q
  • What runs alongside the loop of henle in the juxtamedullary nephrons?
    • What are they extensions of?
A
  • Long straight blood vessels called the vasa recta

- Vasa recta are extensions of the peritubular capillaries

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10
Q
  • What are the specialised cells in the afferent arteriole called?
  • What do these form a part of?
  • What type of receptors are these & what do they detect?
A
  • The afferent arteriole has specialised cells called juxtaglomerular cells
  • Juxtaglomerular Apparatus (JGA)
  • These cells are mechanical receptors which detect blood pressure
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11
Q
  • What is the nephron comprised of?
A
  • Bowmans capsule
  • Proximal convoluted tubule
  • Loop of henle
  • Distal convoluted tubule
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12
Q
  • What is the PCT the site of?
  • What type of epithelium is there in the PCT?
  • What are these cells rich in?
    • What does this provide?
A
  • The PCT is the site of bulk reabsorption in the nephron
  • It has a cuboidal epithelium with a brush border of microvilli
  • These cells are also rich in mitochondria
    • Provide energy for active transport
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13
Q

What type of epithelium does the loop of hence have?

A
  • The epithelium is simple squamous
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14
Q
  • What type of epithelium is in the DCT?
  • Is it thinner or thicker than the PCT?
  • What does it have fewer of compared to the PCT?
  • What cells are located in the DCT?
  • What do these cells form?
  • What type of receptors are they & what do they detect?
A
  • The DCT has cuboidal epithelium
  • The DCT epithelium is thinner than PCT
  • DCT has fewer mitochondria & microvilli
  • Macula dense cells are located in the DCT
  • These cells form part of the JGA
  • Macula densa cells are chemo receptors
  • Macula densa cells detect changes in Na+ concentrations
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15
Q
  • Where is urine emptied from in the kidney?
A
  • Urine is emptied from the collecting ducts at the papilla of the medullary pyramid and then flows into the minor calyces, which merge to form major calyces before joining to form the renal pelvis
  • This narrows at the hilum to form the ureters

Collecting ducts at the papilla of the medullary pyramid → minor calyces → major calyces → renal pelvis

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16
Q
  • Where does the ureters carry urine to?
  • What are the layers of the ureter?
  • What are the inner and outer layers of the muscularis?
  • Is this different or same as the layers of the wall of the GI tract?
  • What type of motility pattern does the ureters use to move urine?
  • What is the ureters lined with for protection?
    • What do these form?
A
  • Mucosa - transitional epithelium
  • Muscularis
  • Adventitia
  • The muscularis of the ureters has in inner longitudinal and outer circular layer
  • Different to the layers of the wall of the GI tract
  • Urine moves down the ureters via the motility pattern of peristalsis
  • For protection, the ureters are lined with protein plaque
    • which form an osmotic barrier
17
Q
  • When empty, what do the wall of the bladder form?
  • What does this allow?
  • How is urine emptied?
    • What does this muscle contain?
  • What does urine enter & leave the bladder via?
    • What do these 3 openings form?
A
  • Forms folds called ruggae
  • Along with transitional epithelium, this allows the bladder to expand without bursting
  • Urine is emptied via the contraction of the detrusor muscle, which contains circular, longitudinal & oblique muscle fibres
  • Urine enters the bladder via ureters & exits via the urethra
    • These 3 openings forth trigone
18
Q

What is the epithelium change along the urethra?

A
  • Firstly, transitional epithelium, then columnar, and finally stratified squamous
19
Q
  • What forms the internal urethral sphincter?
    • What control is it under?
  • What is the external sphincter made of?
    • What control is it under?
A
  • Thickening of the detrusor muscle forms the internal urethral sphincter
    • Under involuntary control
  • The external urethral sphincter is made up of skeletal muscle
    • Under voluntary control