RAT 17 Flashcards

1
Q

what is the final product that exits the papillary ducts?

A

urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is obligatory water reabsorption?

A

water is “obliged” by osmosis to follow solutes that have been reabsorbed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what percentage of water reabsorption is due to obligatory water reabsorption?

A

85%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is facultative water reabsorption?

A

adjusted by hormones to meet the body’s needs and maintain fluid homeostasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what percentage of water reabsorption is due to facultative water reabsorption?

A

15%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does an adjustment in water reabsorption impact urine concentration?

A

the kidneys adjust facultative water reabsorption to produce either dilute or concentrated urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the osmolarity of plasma ?

A

300 mOsm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the osmolarity of filtrate in the renal capsule?

A

the filtrate that exists the blood and enter the renal tubule initially is iso-osmotic to the plasma at 300 mOsm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what happens to the osmolarity of the filtrate in the descending limb of the nephron loop? why?

A

becomes much more concentrated (~900 mOsm) because the descending limb is permeable to water but not solutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what happens to the osmolarity of the filtrate in the ascending limb of the nephron loop? why?

A

concentration decreases ~100 mOsm because the ascending limb is impermeable to water, water cannot follow the movement of the solutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

where does facultative water reabsorption take place?

A

the last distal tubule and collecting sytsem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what type of urine is produced if there is little facultative water absorption?

A

dilute urine (< 300 mOsm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what type of urine is produced if there is a lot of facultative water reabsorption?

A

concentrated urine (> 300 mOsm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

where in the nephron loop is the filtrate most concentrated?

A

at the turn of the nephron loop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

where in the nephron loop is the filtrate most dilute?

A

ascending limb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when would you be likely to produce dilute urine? describe the appearance and volume of the urine.

A
  • when ADH secretion is low
  • volume increases, color = clear to light yellow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when would you be likely to produced concentrated urine? describe the appearance and volume of the urine.

A
  • from “turning on” facultative water reabsorption in the principal cells of the later distal tubule and collecting system by the release of ADH
  • less volume, color = dark yellow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what type of water reabsorption determines if urine is dilute or concentrated?

A

facultative water reabsorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

if water moves by osmosis, what is needed in order to produce a concentrated urine?

A

osmotic gradient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is the medullary osmotic gradient?

A
  • osmotic gradient within the renal medulla
  • interstitial fluid = 300-400 mOsm
  • cortex/medulla boarder = ~1200 mOsm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what creates and maintains the medullary osmotic gradient?

A

countercurrent mechanism (mechanism that involves fluids flowing in opposite directions that exchange material or heat)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are the three components of the countercurrent mechanism?

A
  1. countercurrent multiplier system in the nephron loops of juxtamedullary nephrons
  2. recycling of urea in the medullary collecting ducts
  3. countercurrent exchanger in the vasa recta
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

which types of nephrons are the focus for this section? why?

A

juxtamedullary nephrons because within is found the countercurrent multiplier, which helps to establish the medullary osmotic gradient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is the purpose of the countercurrent multiplier?

A

to help the kidneys conserve water and produce concentrated urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what does the countercurrent multiplier do?

A

it pumps large amounts of NaCl into the interstitial fluid of the renal medulla to establish a concentration gradient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

how does the countercurrent multiplier do this?

A

in the descending limb, water leaves so that NaCl is left behind in the filtrate, which can then be pumped out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

does each step of the countercurrent multiplier occur in sequence?

A

no, its more like a pendulum continually swinging in a circle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what is the vasa recta? describe the path that it takes in the kidneys

A
  • a special system of blood flow around the nephron loops of juxtamedullary nephrons to maintain the medullary osmotic gradient
  • descend into the renal medulla, follow the hairpin turn, ascend toward the renal cortex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

why does chemical digestion vary for each type of nutrient?

A

because digestive enzymes are specific for a single type of bond in a single type of nutrient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

what type of reaction is catalyzed by most digestive enzymes?

A

hydrolysis reactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

where does carbohydrate digestion begin?

A

mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

what is the enzyme that begins carbohydrate digestion and where is it produced?

A
  • salivary amylase
  • salivary glands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what reaction does salivary amylase catalyze?

A

breakdown of long polysaccharides into shorter oligosaccharides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what enzyme continues the process of carbohydrate digestion in the small intestine? where is it produced?

A
  • pancreatic amylase
  • pancreas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what reaction does pancreatic amylase catalyze?

A

reactions that breakdown the remaining polysaccharides into oligosaccharides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

where are brush boarder enzymes located?

A

small intestine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

name three brush boarder enzymes

A
  1. lactase
  2. maltase
  3. sucrase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

what reactions do lactase enzymes catalyze?

A

digestion of the sugar lactose into glucose and galactose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

what reaction do maltase and sucrase catalyze?

A

breakdown of oligosaccharides to disaccharides and monosaccharides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

what are the three products of those reactions?

A
  • glucose
  • fructose
  • galactose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

once carbohydrates in the small intestine lumen are broken down into monosaccharides, how are they transported into the enterocyte?

A
  • glucose and galactose are transported across the enterocyte’s apical membrane
  • they must move against their concentration gradient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

how are they transported out of the enterocyte on the basal side?

A

by the same facilitated diffusion mechanism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

what happens next to the monosaccharides?

A

diffuse through the ECF and into the capillaries in the villus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

what is the enzyme that begins protein digestion and where is it produced?

A
  • pepsin
  • chief cells of gastric glands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

what reaction does pepsin catalyze?

A

reaction that digest proteins into smaller polypeptide, oligopeptides, and some free amino acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

where does the remainder of protein digestion occur?

A

small intestin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

what enzymes aid the remainder of protein digestion?

A

pancreatic and brush boarder enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

why are the pancreatic enzymes released in an inactive form?

A

protect the pancreas from autodigestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

name a pancreatic enzyme that aids in protein digestion. what is the inactive form of the enzyme called?

A
  • trypsin
  • inactive: trypsinogen
50
Q

where are the last enzymes in the protein digestion process located? what do they catalyze?

A
  • enterocytes
  • digestion of oligopeptides into free amino acids
51
Q

how are amino acids transported into the enterocyte on the apical side?

A

secondary active transport membrane proteins that use a sodium ion gradient

52
Q

how are amino acids transported out of the enterocyte on the basal side?

A

facilitated diffusion

53
Q

what happens next to the amino acids?

A

enters the capillaries in the villus

54
Q

most of the lipids ingested in the diet are in what form?

A

triglycerides

55
Q

what happens to lipids in a water-based solution? why does this limit the amount of digestion that occurs?

A
  • form large globules by sticking together
  • enzymes would have very little surface area to work to catalyze reactions
56
Q

what are two ways that lipid globules can be broken apart?

A
  • mechanical digestion
  • use of bile salts
57
Q

what is emulsification?

A

physical break up of the lipid globules into smaller pieces

58
Q

what is an emulsion?

A

mixture of multiple tiny lipid droplets each coated within bile salts

59
Q

which enzymes catalyze reactions that digest nucleic acids?

A

nucleases

60
Q

about how much water is processed by the digestive tract each day?

A

9 liters

61
Q

about how much water is absorbed by the small intestine?

A

8 liters

62
Q

about how much water is absorbed by the large intestine?

A

1 liter

63
Q

how do osmotic laxative work?

A
  • these drugs consist of solutes that are either not absorbed or are given in amounts of excess of what can be absorbed
  • result: water is retained in the feces, softening them and making them easier to eliminate
64
Q

what drives the reabsorption of anions such as chloride and bicarbonate?

A

sodium ion absorption

65
Q

what is intrinsic factor? where is it produced?

A

a chemical produced by the parietal cells of the stomach to be absorbed by the ileum

66
Q

what is the function of the intrinsic factor?

A

aids in the absorption or B12

67
Q

what is a calorie?

A

the amount of heat required to raise the temperature of one gram of water by one degree Celsius

68
Q

in terms of the human diet, what is a Calorie?

A
  • kilocalorie
  • the amount of heat required to raise the temperature of one kilogram of water by one degree Celsius
69
Q

what is metabolism?

A

the sum of the body’s chemical reactions

70
Q

what are the four basic processes of metabolism?

A
  1. harnessing the energy in the chemical bonds of nutrient obtained from the diet that may be used to make ATP
  2. converting one type of chemical into another for the cell’s synthesis reaction
  3. carrying out synthesis reactions and assembling macromolecules
  4. breaking down macromolecules into their monomers or other small compounds
71
Q

what is catabolism?

A

substance broken down into smaller parts

72
Q

what is anabolism?

A

smaller compounds are combined to make a larger compound

73
Q

what is an exergonic reaction?

A

reaction that releases energy

74
Q

what is an endergonic reaction?

A

reaction that requires the input of energy to proceed

75
Q

explain how these reactions are coupled together.

A

cell “pays for” an endergonic reaction with the energy released by an exergonic reaction

76
Q

what are the products of glycolysis?

A
  • 2 pyruvate
  • 2 ATP
  • 2 NADH
77
Q

when one molecule of glucose is completely oxidized, how many ATP molecules are produced?

A

38 ATP

78
Q

what are the components of triglycerides?

A

3 fatty acid chains and glycerol backbone

79
Q

what is lipolysis?

A

the breakdown of fats and other lipids by hydrolysis to release fatty acids

80
Q

when one molecule of palmitic acid is completely oxidized, how many ATP molecules are produced?

A

129 ATP

81
Q

what are the two main nutrient energy storage forms in the body?

A

glycogen and adipose (fat)

82
Q

what is glycogenesis?

A
  • glycogen synthesis
  • series of enzyme-catalyzed reactions that add glucose units to the growing glycogen molecule
83
Q

what is glycogenolysis?

A

breakdown of glycogen

84
Q

what is gluconeogenesis?

A

synthesis of glucose from non-carbohydrate precursors

85
Q

what is lipogenesis?

A

fatty acid and triglycerides synthesis

86
Q

what nutrients are converted into fat?

A

glucose and amino acids

87
Q

what is the fate of excess amino acids consumed in the diet?

A

converted to other compounds for storage

88
Q

what part of the brain regulates feeding?

A

hypothalamus

89
Q

which hormones stimulate the satiety center? where is the hormone produced?

A
  • leptin
  • adipocytes
90
Q

which hormone stimulate hunger? where is this hormone produced?

A
  • ghrelin
  • stomach mucosa
91
Q

what is the primary source of body heat?

A

metabolism

92
Q

why is heat production a good way to measure energy expenditure?

A

because most of the body’s energy is eventually lost to the environment as heat

93
Q

what is the basal metabolic rate (BMR)?

A

the minimal rate of metabolism for an awake individual, or the “energy cost of living”

94
Q

what are the three categories of macronutrients?

A
  • carbohydrate
  • lipid
  • protein
95
Q

what are the two categories of micronutrients?

A
  • vitamins
  • minerals
96
Q

what is the RDA?

A

recommended dietary allowance

97
Q

what is an essential nutrient?

A

compounds the body is unable to produce

98
Q

what are simple sugars?

A

monosaccharides and disaccharides

99
Q

why are they considered “empty calories”?

A

nutrient poor and highly processed

100
Q

what are complex carbohydrates?

A

polysaccharides, grains, vegetables

101
Q

what are some risks of eliminating carbohydrates from the diet?

A

wasting of skeletal muscle tissue and other vital organs such as the heart and ketone bodies can accumulate in the blood, affecting blood pH

102
Q

what is an essential fatty acid?

A

those that the body cannot make and must be supplied in the diet

103
Q

what is a nonessential amino acid?

A

can be synthesized from carbon skeletons

104
Q

what is an essential amino acid?

A

must be supplied by the diet

105
Q

what is a complete proteins?

A

when it supplies all the essential amino acids

106
Q

what is an incomplete protein?

A

lacks one or more of the essential amino acids

107
Q

what is gluten?

A

a protein composite (2 proteins naturally occurring in wheat and some other grass-based grains)

108
Q

is gluten harmful?

A

no only to those with allergies

109
Q

what is a vitamin?

A

an organic compound required for the body’s functions

110
Q

what are some roles of vitamins in the body?

A

act as hormones and influence the function of other cells, act as enzyme cofactor, antioxidants

111
Q

what is a fat-soluble vitamin? which vitamins are fat-soluble?

A
  • contain one or more hydrocarbon rings and long hydrocarbon chains, nonpolar, hydrophobic
  • vitamin A, D, E, K
112
Q

what is a water-soluble vitamin? which vitamins are water-soluble?

A
  • contain predominantly polar bonds, hydrophilic, soluble in water
  • vitamin B and C
113
Q

what is a mineral?

A

any element other than carbon, hydrogen, oxygen, and nitrogen that is required by living organisms

114
Q

should you take megadoses of vitamins and minerals?

A

no

115
Q

what are some functions of cholesterol in the body?

A
  • produce steroid hormones, vitamin D, bile salts
  • forms part of plasma membranes
116
Q

what is BMI? how can it be useful clinically?

A
  • body mass index
  • BMI: weight/height
  • allows classification of an individual: underweight, normal, overweight, obese
117
Q

what conditions create a positive energy balance? what effect will each have on body mass?

A
  • total Calories takin in > total number of expended Calories
  • increases BMI
118
Q

what conditions create a negative energy balance? what effect will it have on body mass?

A
  • total Calories takin in < total number of expended Calories
  • decreases BMI
119
Q

what are the causes of obesity?

A
  • positive energy balance
  • sedentary lifestyle
  • widespread availability of food (high-caloric food)
  • genetics
  • hypothyroidism
  • Cushing’s syndrome
120
Q

what are the consequences of obesity?

A
  • increase risk of type 2 diabetes, coronary artery disease, osteoarthritis, certain types of cancer, hypertension, obstructive sleep apnea
  • concern with social in nature, stigmatization
  • high costs (health insurance)
  • employment discrimination