Renal physiology - Colombo Flashcards

1
Q

What do the kidneys regulate

A

pH!, Blood pressure and blood plasma constituents

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2
Q

Which is more important in maintaining pH: Retaining HCO3- or excreting 1H+

A

Retainging HCO3

excreting 1 HCO3 is the same as adding 1 H+

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3
Q

T or F: Gluconeogenesis can occur in the kidnys

A

True

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4
Q

Is the renal cortex on the outside/inside of the kidney

A

Cortex: Outside

Medulla: Inside

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5
Q

What structures are found within the renal medulla

A

Renal pyramids, which contain renal nephrons (these are the filtration units)

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6
Q

What connects a renal pyramind to the renal pelvis?

A

Connected by a papilla

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7
Q

Where does filtration occur?

A

In the nephrons

Nephrons receive blood by the glomerular capillaries

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8
Q

Where does reabsorption/secretion occur?

A

Peritubular capillaries

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9
Q

What is the difference between Cortical nephrons and Juxtamedullary nephrons

A

Cortical - 70% Found in the cortical region (cortex) Short loop of henle

Juxtameduallary - 30% meduallary region, very long loops of henle that penetrate deep into medulla

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10
Q

Give the Urinary excretion rate formula

A

(filtration rate - reabsorption) + secretion

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11
Q

Why are large negatively charged proteins repelled from entering the glomerular capillary membreane

A

BC: the fenestrated endolthelium is negatively charged, thus repelling the proteins

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12
Q

Give the GFR formula

A

GFR = Kf x Net filtration pressure

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13
Q

Where is the macula densa found and what is its function

A

Found in the distal tubule and forms the Juxtaglomerular complex

NaCl detector!

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14
Q

When blood enters the proximal tubule, does it have protein?

A

NO! It was filtered out by the negatively charged fenestrated endothelium

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15
Q

What is the main function of the proximal tubule

A

H2O Reabsorption, by passive transport

Na+ Reabsorption

This is thanks to the Na+ concentration gradient

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16
Q

Main function of the loop of Henle

A

Control the concentration of urine

17
Q

What is reabsorped in the descending loop of henle

A

H20

18
Q

What is reabsorped in the ascending loop of henle

A

H2o Impermeable!!!

Na, Cl, K - Reabsorption

19
Q

Function of the principal cells in the distal tubule

A

Reabsorb Na and H2O from lumen and secrete K

This favors an outward Na flow

20
Q

Intercalated cell function in distal tubule

A

Rabsorb K and HCO3 and secrete H+ (Control pH)

21
Q

What regulates pH in the distal convuluted tubule

A

Intercalated cells

22
Q

If I have a longer loop of henle I will retain (less/more) h20

A

More

23
Q

What is the main function of Urea

A

urea also plays a role in the countercurrent exchange system of the nephrons, that allows for re-absorption of water and critical ions from the excreted urine.