Tubular reabsorption (10) Flashcards

1
Q

Is most solute transfer active or passive?

A

active

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2
Q

Where is the Na/K ATPase found in the kidney?

A

basolateral membrane of all renal epithelial cells

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3
Q

What are some primary active transport mechanisms found in the kidney>

A
  1. Na-K ATPase
  2. H+ ATPase
  3. H-K ATPase
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4
Q

What are the two types of secondary active transport?

A

cotransport and countertransport

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5
Q

What is the most common type of cotransporter?

A

coupled to inward Na+ gradient

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6
Q

For the driving and driven solutes in cotransport and countertransport, describe the direction of the gradients?

A

cotransport - opposite gradient directions

countertransport- gradients in the same direction

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7
Q

What are four types of passive transport?

A
  1. carrier
  2. channel
  3. facilitated diffusion
  4. simple diffusion
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8
Q

Is paracellular transport active or passive?

A

passive - driven by transepithelial solute gradient

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9
Q

What is solvent drag?

A

the movement of solvent contributes the reabsorption or secretion of solutes

comparable to a stream

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10
Q

What does this describe: transcellular reabsorption and secretion is saturable at a maximum rate

A

Tmax

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11
Q

How do you calculate the amount of reabsorbed glucose?

A

Plasma concentration x GFR - Urine concentration x Flow of urine

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12
Q

how much glucose is found in the urine?

A

usually none

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13
Q

As glucose concentration increases, what happens to the filtered load?

A

it increases linearly

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14
Q

As glucose becomes saturated in the kidney, what happens?

A

excretion begins to occur

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15
Q

What disease does saturation of glucose, and therefore excretion occur in?

A

diabetes mellitus

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16
Q

What are normal circulating levels of glucose?

What is the threshold plasma concentration?

A

btwn 4 and 9 mM

Threshold = 11

17
Q

What type of transporters are used for transport of glucose? (general answers)

A
  1. Lumenal: Na-Glucose co transporter

2. Basolateral: passive uniporter

18
Q

How much phosphate is usually reabsorbed?

A

90%

19
Q

Amino acids in the blood arise from what three things?

A
  1. GI absorption
  2. catabolism
  3. de novo synthesis
20
Q

Generally describe the amino acid transporters?

A

specific transcellular transport

  1. luminal - Na-symport
  2. basolateral - facilitated diffusion
21
Q

What is the usual clearance of amino acids?

A

usually zero at normal circulating AA levels

22
Q

Name some solutes that are secreted by the kidney?

A
  1. drugs or toxins
  2. solutes metabolized by kidney - ammonium
  3. solutes metabolized by the liver with negative charge
  4. H+ and K+
23
Q

At low concentrations, what happens to PAH?

A

it is effectively all secreted

24
Q

What solute can be used to calculate renal plasma flow?

A

PAH at low concentrations

25
Q

What is the formula for RPF?

A

(Upah xV)/Ppah

26
Q

What is the formula for RBF?

A

Cpah(RPF)/1-Hct