Renal system Flashcards

1
Q

What is the function of the kidneys?

A
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2
Q

How much cardiac output does the urinary system receive?

A

20-25%

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3
Q

What are nephrons?

A
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4
Q

What are the vascular components of the renal system?

A
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5
Q

What are the tubular components of the renal system?

A
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6
Q

What are the 4 processes of the kidney?

A
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7
Q

Explain the process from the proximal tubule to the collecting duct

A
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8
Q

Explain the process of filtration

A

-Cardiac output is 5L/min
-Kidneys receive about 20% of CO (1L/min)
-60% of blood is plasma (0.6L/min)
-20% of the plasma is filtered (0.12L/min)

-0.12L/min x 60min/hour x 24 hour/day
about 173 (180) L plasma filtered/day
-125ml/min

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9
Q

What is the renal corpuscle (Triple filtration barrier)

A
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10
Q

What are the 3 pressures that govern filtration from glomerular capillaries into the renal tubes?

A
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11
Q

What is GFR and the two factors that influence it?

A
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12
Q

Why is GFR relatively constant?

A

-Prevents excess fluid loss during increased activity, blood pressure, etc.
-Doesn’t regulate at low pressure to allow increased filtration

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13
Q

explain the effects of GFR and RBF when each afferent and efferent arterioles are constricted/dilated seperately

A
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14
Q

Explain GFR myogenic autoregulation

A
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15
Q

Explain tubuloglomerular feedback

A
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16
Q

How do sympathetic neurons influence GFR

17
Q

How do hormones influence GFR

18
Q

How can you calculate the amount filtered/reabsorbed/secreted in the kidneys

19
Q

Describe reabsorption

20
Q

Describe transport during reabsorption

21
Q

Explain active transport of Na+ during reabsorption

22
Q

Explain passive reabsorption and endocytosis

23
Q

Explain how renal transport can reach saturation

24
Q

Describe renal threshold

25
Q

Explain how peritubular capillary pressures favor reabsorption

26
Q

What is secretion?

27
Q

Explain the secondary and tertiary indirect active transport process of secretion

28
Q

What is clearance

29
Q

What is excretion?

30
Q

Explain how clearance is used to noninvasively measure GFR

31
Q

How is creatinine clearance used as a measure of GFR?

A

plasma creatinine concentration is quite stable, it is filtered, not reabsorbed, but a very small amount is secreted, so it slightly overestimates GFR

32
Q

How does clearance help determine net renal handling?

33
Q

Explain renal clearance of glucose

34
Q

Explain renal urea clearance

35
Q

Explain renal penicillin clearance

36
Q

Summarize the relationships between GFR vs Clearance and their respected outcomes of renal handling

37
Q

What is the micturition reflex?

38
Q

What is incontinence?

39
Q

Describe the physiological responses to increase volume of fluid in the bladder that leads to micturition reflex