Renal [Urine] Flashcards

1
Q

Equation for glomerular filtration

A

NFP = GBHP - CHP - BCOP

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2
Q

GBHP

A

Glomerular blood hydrostatic pressure

Pressure between afferent and efferent arterioles. Drives filtrate into capsular space.

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3
Q

CHP

A

Capsular hydrostatic pressure

Pressure exerted on plasma filtrate by elastic recoil of glomerular capsule

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4
Q

BCOP

A

Osmotic force of proteins left in the plasma which pull on the water in the plasma filtrate

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5
Q

What 2 things do the mechanisms controlling glomerular filtration aim to do?

A

Regulate GBHP or surface area available for filtration

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6
Q

Anything that constricts the afferent arteriole will ____ whereas anything that constricts the efferent arteriole will ___

A

Reduce flow to glomerulus therefore GBHP.

Increase GBHP.

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7
Q

Auto regulation of glomerular filtration involves ____ or _____

A

Muscle

Tubuloglomerular feedback

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8
Q

Tubuloglomerular feedback of glomerular filtration

An increase in GFR causes an increase in ____ which causes an increase in _____. The __ cells then decrease ____ release which causes _____.

A
Tubular flow rate in the ascending limb.
Tubular ion and h2o sensed by macula densa cells.
Juxtaglomerula apparatus 
NO
Afferent arteriole vasoconstriction
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9
Q

3 ways glomerular filtration is regulated

A

Auto regulation
Neural
Hormonal: A2 + ANP

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10
Q

Hormonal ways of regulating glomerular filtration

A

A2: vasoconstriction
ANP: relaxation of mesangial cells, increase SA

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11
Q

The proximal tubule has a ____ on the apical membrane. The largest amount of ______ occurs here: name the % of each.

A

Brush border
Solute and water reabsorption

60% glomerular filtrate
60% NaCl + H2O
All glucose

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12
Q

Na+ movement in the proximal tubule occurs via symporters _____ and antiporters _____. The osmolarity is similar to ____.

A

Na+/Glucose
Na+/H+
Plasma

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13
Q

Descending loop of henle - what happens?

A

H2O out ONLY

Becomes super concentrated near medulla

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14
Q

Ascending look of henle - what happen?

What is the link to the loop of henle here?

A

Ions out, H2O same
Becomes more dilute

The ions absorbed here provide the gradient for water to come out from the descending limb. Further supported by countercurrent mechanism in vasa recta.

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15
Q

Distal tubule and collecting duct - what happens?

A

Most has been absorbed but some NaCl is absorbed. Also impermeable to water UNLESS ADH PRESENT.

K+ secreted

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16
Q

Name the modes of transport for the proximal tubule

A

Glucose symporter

ATPase

17
Q

Name the modes of transport in the ascending loop of henle

A

Na/Cl/K sym porter
ATPase
ClLeak channels
Actions through paracellular

18
Q

Name the modes of transport in the distal tube and collecting duct

A

ATPase

K+ leak Channels