Renal Physio Flashcards

1
Q

Water accounts for approximately what percentage of body weight? Of this percentage, what % is intracellular and what % is extracellular body weight?

A

60% body weight

40% ICF, 20% ECF

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2
Q

The major cations in the ICF are ___ and ___

A

Potassium (K+), magnesium (Mg2+)

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3
Q

The major anions in the ICF (intracellular fluid) are ____ and ____

A

Proteins, organic phosphates (ex: adenosine triphosphate ATP)

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4
Q

The two sub compartments of the extracellular fluid (ECF) are:

A
  • interstitial fluid

- plasma

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5
Q

The major cation in the ECF is ____

A

Sodium (Na+)

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6
Q

The major anions in the ECF are ___ and ___

A
  • chloride (Cl-)

- bicarbonate (HCO3-)

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7
Q

Plasma, which is the aqueous component of blood constitutes approx. ___% of blood volume

A

55%

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8
Q

The volume of a body fluid compartment depends on the amount of ____ it contains

A

Solute

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9
Q

_____ is the concentration of osmotically active particles, expressed as milliosmoles per liter (mOsm/L)

A

Osmolarity

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10
Q

To be in a steady state, ____ osmolarity must equal ____ osmolarity

A

Intracellular, extracellular

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11
Q

Volume ____ means a decrease in ECF volume

A

Contraction

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12
Q

Volume ____ means an increase in ECF volume

A

Expansion

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13
Q

____ is the volume of plasma completely cleared of a substance by the kidneys per unit time

A

Renal clearance

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14
Q

The kidneys receive about __% of the cardiac output

A

25% (among the highest of the organ systems)

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15
Q

The major mechanism for changing the renal blood flow is by changing ___ ___

A

Arteriolar resistance

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16
Q

Both afferent and efferent arterioles are innervated by sympathetic nerve fibers that produce _____ by activating __ receptors

A

Vasoconstriction, alpha-1

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17
Q

____ is a potent vasoconstrictor of both afferent and efferent arterioles

A

Angiotensin II

18
Q

___, produced locally in the kidneys, modulate the vasoconstriction of the aff/eff arterioles caused by the sympathetic nervous system and angiotensin II

A

Prostaglandins

19
Q

Nonsteroidal anti-inflammatory drugs (NSAIDs) ____ synthesis of prostaglandins and, therefore, interfere with the protective effects of prostaglandins on renal function

A

Inhibit

20
Q

Urea and Uric acid, ammonia, salts (sodium, chloride, potassium), and creatinine are all examples of _____, which are excreted by the kidneys to maintain homeostasis and rid the body of waste products

A

Metabolites

21
Q

Which kidney sits lower in the abdominal cavity?

A

Right (to accommodate the liver)

22
Q

The functional units of the kidney are known as ____

A

Nephrons

23
Q

Blood is ultrafiltered across the glomerular capillaries into Bowman’s space, which is the first step in ______

A

Urine formation

24
Q

The efferent arteriole is smaller than the afferent arteriole, which creates a _____ gradient in the glomerulus

A

Pressure

25
Q

In the glomerulus, what is the method by which solutes are transferred from the blood to Bowman’s capsule?

A

Filtration

26
Q

What specialized cells are responsible for signaling the afferent arteriole to constrict (in response to high sodium or blood pressure levels)?

A

Macula densa

27
Q

What hormone is responsible for causing the walls of the collecting duct to become permeable to water?

A

Antidiuretic hormone (ADH)

28
Q

What structure secretes Antidiuretic Hormone (ADH)?

A

Posterior pituitary gland

29
Q

Afferent arteriole dilation = ____ filtration (increased/decreased)

A

Increased

30
Q

Efferent arteriole dilation = _____ filtration (increased/decreased)

A

Decreased

31
Q

This structure close to the glomerulus is responsible for reabsorption of Na+, Cl-, H2O, amino acids and glucose (into the interstitium of the renal cortex):

A

Proximal convoluted tubule

32
Q

Which limb of the loop of Henle is responsible for water reabsorption (into the medullary interstitium), and is impermeable to ions (Na+, Cl-, K+)?

A

Descending limb

33
Q

The descending limb of the loop of Henle utilizes ___ transport, while the ascending limb utilizes ___ transport (active/passive)

A

Passive, active

34
Q

The process of active transport in the ascending limb causing passive transport of the descending limb it called what?

A

Countercurrent multiplication

35
Q

True/false: the renal medulla is salty

A

True

36
Q

What part of the kidney is responsible for regulating blood pressure?

A

Juxtaglomerular apparatus

37
Q

The collecting ducts are responsible for ____ and ____ reabsorption (into the interstitium)

A

H2O, Urea

38
Q

From which part of the nephron is the greatest proportion of Na+ absorbed from filtrate?

A

Proximal convoluted tubule

39
Q

Pick the one that is NOT a normal constituent of urine:

  • hydrogen ions
  • urea
  • glucose
  • creatinine
A

Glucose

40
Q

What does the juxtaglomerular apparatus secrete?

A

Renin