Renal 1 Flashcards

1
Q

what are the functions of the kidney?

A
  1. regulate [water], inorganic ion balance, and internal fluid volume
  2. excrete metabolic waste
  3. remove foreign chemicals
  4. gluconeogenesis
  5. release hormones
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2
Q

excreting metabolic waste into urine is a – process that prevents toxic build up

A

rapid

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3
Q

waste from protein catabolism

A

urea

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4
Q

waste from purine degradation

A

uric acid

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5
Q

end product of Hb breakdown that gives urine its color

A

creatinine

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6
Q

what three hormones/factors do kidneys secrete into the blood?

A

erythropoietin, renin, vitamin D

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7
Q

what are the two main components of the nephron?

A

renal corpuscle and renal tubule

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8
Q

what are the two components of the renal corpuscle?

A

glomerulus and Bowman’s capsule

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9
Q

glomerular capillaries sit inside a – called the Bowman’s capsule

A

fluid filled sack

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10
Q

what is filtrate?

A

blood - proteins and cells

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11
Q

filtrate from glomerulus to bladder

A
glomerulus
Bowman's space
proximal tubule
Loop of Henle: descending limb
ascending limb (thin --> thick)
distal convoluted tubule
collecting duct
renal pelvis
ureter
bladder
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12
Q

T/F: the collecting duct passes the medulla region

A

true

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13
Q

each nephron is independent until they reach the – where multiple nephrons come together

A

collecting duct

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14
Q

renal corpuscle lies in – component segment

A

cortical

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15
Q

two types of nephrons

A

juxtamedullary and cortical

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16
Q

juxtamedullary of all the nephrons where the – lies at the cortical-medullary junction

A

renal corpuscle

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17
Q

which parts of the Juxtamedullary nephrons transverse into the medulla region?

A

Loop of Henle and peritubular capillaries

18
Q

what is the importance of juxtamedullary’s Loop of Henle transversing into the medulla region

A

generates the osmotic gradient in the medulla that regulates water and inorganic ions

19
Q

cortical nephrons’s renal corpuscle are in the – region

20
Q

cortical nephrons are involved in – but do not develop osmotic gradient in the medulla

A

reabsorption and secretion

21
Q

both cortical and juxtamedullary nephrons’ tubules are surrounded by peritubular capillaries that –

A

pick up all the reabsorbed substances

22
Q

what is the special name for the peritubular capillaries that surround the juxtamedullary nephrons?

A

vasa recta

23
Q

peritubular capillaries join to form – where blood leaves the kidney and goes to the heart

24
Q

Blood flows through what structures from the renal artery to the renal vein?

A
renal artery
afferent arteriole
glomerulus
efferent arteriole
peritubular capillaries
renal vein
25
What are the three basic renal processes that lead to the formation of urine?
glomerular filtration tubular reabsorption tubular secretion
26
describe glomerular filtration
filtration from glomerulus to Bowman's space
27
describe tubular reabsorption
reabsorption of tubular fluid from tubular lumen into peritubular capillaries
28
describe tubular secretion
secretion from peritubular plasma or tubular cells themselves into tubular lumen
29
How does the composition of the glomerular filtrate compare with that of plasma?
same except for plasma proteins and RBC
30
glomerular filtration is a -- process
bulk flow
31
between the impermeable endothelial cells are -- where the filtrate travel but it usually stops most cells and proteins
fenestra
32
basement membrane is a non-cellular proteinaceous layer that is -- charged
negatively
33
specialized cells in the Bowman's capsule
podocytes
34
podocytes have -- which are tentacle-like structures
foot processes
35
water and -- substances flow together
low molecular weight
36
why doesn't Ca2+ filter in a bulk flow process? (high concentration in blood but not in filtrate)
Ca2+ is usually bound to plasma proteins
37
what are the forces that determine the magnitude of GFR?
favoring: glomerular capillary blood pressure opposing: fluid pressure in Bowman's space and osmotic force due to plasma proteins
38
what is a normal GFR value?
180 L/day (125 ml/min)
39
-- forms a protein/cell free filtrate which initiates urine formation
filtration force
40
Why is the osmotic pressure in Bowman's space larger than in other capillaries?
greater filtration = more solutes pass much higher [H2O] in Bowman's space
41
what is GFR?
volume of filtrate from glomerulus to BS per unit time
42
what does GFR depend on?
filtration pressure permeability of corpuscle membranes surface area available for filtration