renal basics Flashcards

1
Q

what does glomerular filtration produce

A

a protein free filtrate

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2
Q

the first step in forming urine is

A

glomerular filtration

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3
Q

how does renal blood flow enter the glomerular capillaries

A

starting in the afferent arterioles the RBF then enters the glomerular capillary and a portion of this blood will be filtered in the first part of the nephron

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4
Q

what is a corpuscle

A

a glomerulus and a Bowman’s capsule

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5
Q

what are examples of critical substances and what is important about them

A

examples of critical substances are sodium and water

they cannot be excreted without first being filtered

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6
Q

what occurs at the layer of the capillary endothelium

A

this layer acts as a barrier to the cell of the renal blood flow

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7
Q

what occurs at the layer of the basement membrane

A

this layer acts as a barrier to the proteins contained within plasma

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8
Q

what occurs at the layer of the the capillary epithelial cells

A

this layer again acts as a barrier to the protein components of plasma
but also contains podocytes cells, which creates slits which act as pathways where the filtrate is able to pass along to Bowman’s capsule within the corpuscle

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9
Q

which layer is the most significant in the renal corpuscle

A

the basement membrane

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10
Q

what is the average renal blood flow

A

about 1.25 Litters of blood per minute

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11
Q

what is the renal plasma flow, how is it calculated and what is typically amount

A

the amount of plasma delivered to the kidneys per unit of time
the equation for detriment this is RPF= (1-HCT)RBF
688 ml/ min is a typical amount

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12
Q

how much of the plasma is filters and becomes ultra filtrate in Bowman’s Capsule?

A

about 20% of plasma is filtered normally

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13
Q

what is HCT

A

Hematocrit

the ratio of the volume of red blood cells to the total volume of blood

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14
Q

renal vascular pathway 1-4

A

renal artery
interlobar artery
arcuate artery
interlobular artery

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15
Q

renal vascular pathway 5-8

A

afferent arteriole
glomerular capillary
efferent arteriole
peritubular capillary

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16
Q

renal vascular pathway full

A
renal artery 
interlober artery 
arcuate artery 
interlobular artery 
afferent arteriole 
glomerular capillary 
efferent arteriole 
peritubular capillary
17
Q

function of the glomerular capillaries

A

filtration

18
Q

function of the peritubular capillaries

A

reabsorption and secretion

19
Q

what are vasa recta and what are their significance

A

vasa recta are specialized peritubular capillaries that function in osmotic exchange

20
Q

what are the 3 capillary beds of the nephron and what do they do

A

they are the blood supply to the nephron

the 3 beds are the glomerulus, peritubular capillaries, and the vasa recta

21
Q

what are the first 7 segments of the nephron

A
the glomerular capillary and Bowmans space  (C)
proximal convoluted tubule (C)
proximal straight tubule (C/OM) 
thin descending limb Henle (OM)
thin ascending limb Henle (OM)
thick ascending limb Henle (OM/C) 
Marcela densa (C)
22
Q

where does the macula densa occur

A

between the thick ascending tubal and the distal convolute tubule in the cortex

23
Q

what are segments 8-12 of the nephron

A
distal convoluted tubule (C)
connecting tubule (C)
cortical collecting tubule (C)
outer medullary collecting duct (OM)
inner medullary collecting duct (IM)
24
Q

where does the ultra filtrate originate

A

the renal corpuscle

25
Q

what does the loop of Henle consist of

A

thin descending limb of Henle
thin ascending limb Henle
thick ascending limb Henle

26
Q

where does the ultra filtrate leave the kidney

A

the renal pelvis

27
Q

where does tubular secretion occur

A

from the peritubular capillaries to the tubular lumen

28
Q

where does tubular reabsorption occur

A

from the tubular lumen to the peritubular capillaries

29
Q

renal excretion

A

the substance that appears in urine

30
Q

where does smooth muscle appear in the kidneys and what is its function

A

the cortex and the pelvis, it functions to propel urine towards the utters and consequently the bladder for excretion