Urinary System Flashcards

1
Q

Most important excretory organs.

A

Kidneys

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2
Q

They eliminate nitrogenous waste, water, electrolytes, toxins, and drugs.

A

Kidneys

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3
Q

Secretes small amounts of nitrogen compounds, water, and electrolytes.

A

Sweat glands

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4
Q

Eliminates carbon dioxide and water.

A

Lungs

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5
Q

Excrete digestive wastes, bile pigments, and other minerals.

A

Intestines

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6
Q

Whereas the skin, lungs, and intestines eliminate waste, only the ___ can fine-tune the excretion of water and electrolytes to maintain the normal volume and composition of body fluids.

A

kidneys

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7
Q

Kidneys, sweat glands, lungs, and intestines.

A

4 organs of excretion

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8
Q

Makes urine, temporarily stores it, and finally eliminates it from the body.

A

Urinary system

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9
Q

Two ureters, one urinary bladder, and one urethra are the three major ___ of the ___ system.

A

organs

urinary

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10
Q

Tubes that conduct urine from the kidneys to the urinary bladder.

A

Ureters (yer-et-ters)

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11
Q

Acts as a temporary reservoir; it receives urine from the ureters and stores the urine until it can be eliminated.

A

Urinary bladder

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12
Q

A tube that conducts urine from the bladder to the outside for elimination.

A

Urethra (yer-reeth-rah)

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13
Q

(A) Organs of the urinary system. (B) Internal structure of a kidney.

A
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14
Q

Refers to the kidney.

A

Renal (ree-null)

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15
Q

Renal physiology refers to the study of ___ function.

A

kidney

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16
Q

Refers to the study of kidney function. The term comes from the nephron unit—the unit in the kidney that makes urine.

A

Nephrology (nep-pharl-oh-jee)

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17
Q

The study of the urinary system.

A

Urology

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18
Q

Located high on the posterior wall of the abdominal cavity, behind the parietal peritoneum (retroperitoneal).

A

Kidneys

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19
Q

Cushioned and protected by the renal fascia, adipose tissue pads, and lower rib cage.

A

Kidneys

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20
Q

A reddish-brown, beanlike structure enclosed in a tough fibrous capsule.

A

Kidneys

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21
Q

Each is about 4 inches (10 cm) long, 2 inches (5 cm) wide, and 1 inch (2.5 cm) thick.

A

Kidney

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22
Q

The indentation of the bean-shaped kidney.

A

Hilus

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23
Q

It is the point at which the blood vessels, ureter, and nerves enter and exit the kidney.

A

Hilus

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24
Q

A kidney has ___ distinct regions.

A

3

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25
Q

A kidney has three distinct regions: the renal ___, the renal ___, and the renal ___.

A

cortex

medulla

pelvis

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26
Q

The lighter, outer region of the kidney.

A

Renal cortex

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27
Q

The darker triangular structure located deeper within the kidney.

A

Renal medulla

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28
Q

The renal medulla forms these striped, cone-shaped regions.

A

Renal pyramids

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29
Q

Each pyramid is separated by a renal ___, an extension of the outer renal cortex.

A

column

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30
Q

The lower ends of the pyramids point toward the renal ___.

A

pelvis

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31
Q

A basin that collects the urine made by the kidney and helps form the upper end of the ureter.

A

Renal pelvis

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32
Q

The cuplike edges of the renal pelvis closest to the pyramids.

A

Calyxes (cal-luck-ses)

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33
Q

Collects the urine formed in the kidney.

A

Calyxes (cal-luck-ses)

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34
Q

Blood is brought to the kidney by the renal ___, which arises from the abdominal ___.

A

artery

aorta

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35
Q

Deliver a large amount of blood to the kidneys, averaging about 20% to 25% of the cardiac output.

A

Renal arteries

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36
Q

After entering the kidney, the renal artery branches into a series of smaller and smaller arteries, which deliver blood to the ___ units.

A

nephron (nef-ron)

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37
Q

The urine-making structures of the kidney.

A

Nephron units (nef-ron)

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38
Q

Blood leaves the kidney through a series of ___ that finally merge to form the renal ___.

A

veins

vein

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39
Q

The renal vein empties into this.

A

Inferior vena cava

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40
Q

Travel with the renal blood vessels to the kidney.

A

Renal nerves

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41
Q

Primarily sympathetic nerves that help control blood flow to the kidney and regulate the release of a blood pressure-regulating enzyme.

A

Renal nerves

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42
Q

In general, the kidneys cleanse the blood of ___ products, help regulate the ___ and composition of body fluids, and help regulate the ___ of body fluids.

A

waste

volume

pH

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43
Q

Excrete nitrogenous waste such as urea, uric acid, ammonia, and creatinine.

A

Kidneys

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44
Q

Urea, uric acid, ammonia, and creatinine.

A

Nitrogenous waste

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45
Q

Regulates blood volume by determining the amount of water excreted.

A

Kidneys

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46
Q

Helps regulate the electrolyte content of the blood.

A

Kidneys

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47
Q

Play a major role in the regulation of acid-base balance (blood pH) by controlling the excretion of hydrogen ions (H+).

A

Kidneys

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48
Q

Play a role in the long-term regulation of blood pressure.

A

Kidneys

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49
Q

Play a role in the regulation of red blood cell production through the secretion of erythropoietin.

A

Kidney

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50
Q

The functional unit, or urine-making unit, of the kidney.

A

Nephron unit (nef-ron)

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51
Q

Each kidney contains about 1 million of these.

A

Nephron units (nef-ron)

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52
Q

True or false: the number of nephron units does not increase after birth and they cannot be replaced if damaged.

A

True

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53
Q

Each nephron unit has ___ parts.

A

2

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54
Q

Each nephron unit has two parts: a tubular component (renal ___) and a vascular component (___ ___).

A

tubules (too-bee-ools)

blood vessels

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55
Q

Consist of a number of tubular structures.

A

Renal tubules

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56
Q

A C-shaped structure that partially surrounds a cluster of filtering capillaries.

A

Glomerular capsule (gla-mere-ya-ler)

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57
Q

Bowman capsule:

A

glomerular capsule (gla-mere-ya-ler).

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58
Q

The Nephron Unit: Tubular and Vascular Structures.

A
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59
Q

Bowman capsule extends from the glomerulus as a highly coiled tubule called the ___ ___ tubule.

A

proximal convoluted

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60
Q

Dips toward the renal pelvis to form a hairpin-shaped structure called the loop of Henle.

A

Proximal convoluted tubule

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61
Q

Contains a descending and ascending limb.

A

Loop of Henle

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62
Q

Becomes the distal convoluted tubule.

A

Ascending limb

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63
Q

The distal convoluted tubules of several nephron units empty into a ___ duct.

A

collecting

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64
Q

Run through the renal medulla to the calyx of the renal pelvis.

A

Collecting ducts

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65
Q

Urine is formed and modified in these tubules.

A

Collecting ducts

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66
Q

The renal artery branches into smaller blood vessels that eventually form the ___ arteriole.

A

afferent (a-fer-ent)

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67
Q

Branches into a cluster, or tuft, of capillaries called a glomerulus.

A

Afferent arteriole (a-fer-ent)

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68
Q

Sits in Bowman capsule and exits from Bowman capsule as the efferent arteriole.

A

Glomerulus (gla-mere-you-lus)

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69
Q

Forms a second capillary network called the peritubular capillaries.

A

Efferent arteriole (ef-er-ent)

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70
Q

Surround the renal tubules and empty their blood into the venules, larger veins and, finally, into the renal vein.

A

Peritubular capillaries

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71
Q

Formed in the nephron units as water and dissolved substances move between the vascular and tubular structures.

A

Urine

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72
Q

Glomerular filtration, tubular reabsorption, and tubular secretion.

A

Urine formation

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73
Q

Urine formation begins here.

A

Glomerulus (gla-mere-you-lus) and Bowman capsule

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74
Q

Glomerular ___ causes water and dissolved substances to move from the glomerulus into Bowman capsule.

A

filtration

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75
Q

About 20% of the blood that flows through the glomeruli is filtered into the ___; the remaining 80% of the blood leaves the glomeruli by the ___ arterioles and continues into the ___ capillaries.

A

tubules (too-bee-oolz)

efferent (ef-er-ent)

peritubular

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76
Q

Occurs when the pressure on one side of a membrane is greater than the pressure on the opposite side.

A

Filteration

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77
Q

Blood pressure in the glomerulus is ___ than the pressure in Bowman capsule. This pressure difference provides the driving force for filtration. This pressure difference is called the ___ filtration pressure.

A

higher

glomerular (gla-mere-you-lar)

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78
Q

If blood pressure suddenly ___, as in shock, glomerular filtration pressure ___, thereby ___ urinary output.

A

declines

decreases

reducing

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79
Q

The wall of the ___ contains pores and acts like a sieve or a strainer.

A

glomerulus (gla-mere-you-lus)

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80
Q

True or false: the size of the pores determines which substances can move across the wall from the glomerulus into Bowman capsule.

A

True

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81
Q

Small substances such as water, sodium, potassium, chloride, glucose, uric acid, and creatinine move through the ___ very easily. These substances are filtered in proportion to their plasma concentration. In other words, if the concentration of a particular substance in the plasma is ___, much of that substance is filtered.

A

pores

high

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82
Q

Large molecules such as red blood cells and large proteins cannot fit through the ___ and therefore remain within the ___.

A

pores

glomerulus (gla-mere-you-lus)

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83
Q

The water and the dissolved substances filtered into Bowman capsule.

A

Glomerular filtrate (gla-mere-you-lar)

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84
Q

Glomerular filtrate is protein-free and is thus called an ___.

A

ultrafiltrate

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85
Q

The presence of protein (proteinuria) in the urine indicates abnormally large ___ in the glomerulus.

A

holes

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86
Q

The protein that is most often found in the urine.

A

Albumin (al-bew-min)

Albuminuria (al-bew-min-uria)

87
Q

The rate at which glomerular filtration occurs.

A

Glomerular filtration rate (gla-mere-you-lar)

GFR

88
Q

GFR

A

Glomerular filtration rate (gla-mere-you-lar)

89
Q

True or false: the amount of filtrate formed is 125 mL/min or 180 L (45 gallons) in 24 hours.

A

True

90
Q

True or false: one excretes about 1.5 L of urine each day.

A

True

91
Q

Most of the filtrate, approximately 178.5 L, is ___ in the kidney and returned to the circulation.

A

reabsorbed

92
Q

The process whereby water and dissolved substances (glomerular filtrate) move from the tubules into the blood of the peritubular capillaries.

A

Tubular reabsorption

93
Q

Although reabsorption occurs throughout the entire length of the renal tubule, most occurs across the ___ ___ tubule.

A

proximal convoluted

94
Q

True or false: some substances, such as glucose, are completely reabsorbed. For example, the amount of glucose filtered is the same as the amount reabsorbed, so glucose normally does not appear in the urine.

A

True

95
Q

Some substances are incompletely reabsorbed. For example, over 99% of water and sodium is reabsorbed, whereas only 50% of ___ is reabsorbed.

A

urea

96
Q

Some waste products such as ___ are not reabsorbed at all.

A

creatinine (cre-at-a-neen)

97
Q

Substances that are not reabsorbed remain in the ___ and become part of the ___.

A

tubules

urine

98
Q

Occurs through active or passive transport.

A

Absorption / reabsorption

99
Q

Sodium is ___ transported from the tubules into the peritubular capillaries.

A

actively

100
Q

Water and chloride ___ follow the movement of sodium from the tubules into the peritubular capillaries.

A

passively

101
Q

In general, when sodium is pumped from one location to another, water and chloride follow ___. This response is the basis for the action of most diuretics, drugs that increase the production of urine.

A

passively

102
Q

Drugs that increase the production of urine.

A

Diuretics (dye-r-et-icks)

103
Q

Most block the tubular reabsorption of sodium and therefore also block the reabsorption of water. The excess sodium and water remain in the tubules and are eliminated as urine.

A

Diuretics (dye-r-et-icks)

104
Q

The excess secretion of urine.

A

Diuresis (dye-er-es-is)

105
Q

Regulate the reabsorption of some substances.

A

Hormones

106
Q

Although most of the water and dissolved substances enter the tubules because of filtration across the glomerulus, a second process moves very small amounts of select substances from the blood into the tubules. This process is tubular ___.

A

secretion

107
Q

It involves the active transport of potassium ions (K+), hydrogen ions (H+), uric acid, ammonium ions (NH4 +), and drugs from the peritubular capillaries into the tubules. The secretion of H+ is of particular interest because it is through this mechanism that the kidneys play a crucial role in acid-base regulation.

A

Tubular secretion

108
Q

Act on the kidney to regulate water and electrolyte excretion.

A

Hormones

109
Q

Play an important role in the regulation of blood volume, blood pressure, and electrolyte composition of body fluids.

A

Hormones

110
Q

A hormone secreted by the adrenal cortex.

A

Aldosterone (all-daw-ster-one)

111
Q

It is a mineralocorticoid that acts primarily on the distal tubule and upper collecting duct of the nephron unit.

A

Aldosterone (al-daw-ster-one)

112
Q

A class of steroid hormones that regulate salt and water balances.

A

Mineralocorticoids (min-er-a-low-kor-ta-coids)

113
Q

It stimulates the reabsorption of sodium and water and the excretion of potassium.

A

Aldosterone (all-daw-ster-one)

114
Q

It is called the “salt-retaining” (NaCl) hormone because of its effects on Na+.

A

Aldosterone (all-daw-ster-one)

115
Q

Since aldosterone increases Na+ and water reabsorption, it expands or increases blood ___. The expanded blood ___, in turn, increases blood ___.

A

volume x2

pressure

116
Q

A deficiency of this hormone causes severely diminished blood volume, decline in blood pressure, and shock.

A

Aldosterone (all-daw-ster-one)

117
Q

One of the most important stimuli for the release of aldosterone.

A

Renin (ree-nin)

118
Q

An enzyme that activates the renin-angiotensin-aldosterone system.

A

Renin (ree-nin)

119
Q

Secreted by a specialized collection of cells called the juxtaglomerular apparatus, located in the afferent arterioles of the kidney.

A

Renin (ree-nin)

120
Q

The renin-secreting cells.

A

Juxtaglomerular apparatus (juxsta-glu-mere-you-ler)

121
Q

Stimulated when blood pressure or blood volume declines.

A

Juxtaglomerular apparatus (jux-sta-glu-mere-you-ler)

122
Q

Activates angiotensinogen to form angiotensin I.

A

Renin (ree-nin)

123
Q

The Renin-Angiotensin-Aldosterone System.

A
124
Q

Secreted by the liver and circulates within the blood; is inactive.

A

Angiotensinogen (an-gio-ten-sin-oh-gin)

125
Q

An enzyme that changes angiotensin I to angiotensin II.

A

Converting enzyme

126
Q

An enzyme that is found in the blood throughout the body but is in particularly high concentration in the lungs.

A

Converting enzyme

127
Q

Angiotensin ___ stimulates the ___ cortex to release aldosterone. The aldosterone, in turn, stimulates the ___ tubule of the nephron unit to ___ sodium and water and to ___ potassium. The increased blood volume increases blood pressure.

A

II

adrenal

distal

reabsorb

excrete

128
Q

In addition to stimulating the release of aldosterone, angiotensin II is also a potent ___, a blood pressure-elevating agent. Thus, the activation of the ___-___ -___ system helps regulate blood volume and blood pressure.

A

vasopressor

renin-angiotensin-aldosterone (ree-nin) (an-gio-ten-sin) (all-daw-ster-one)

129
Q

A class of drugs called angiotensin-converting enzyme (ACE) inhibitors is used to ___ blood pressure. They prevent the production of angiotensin ___ and ___, both of which increase blood pressure.

A

lower

II

aldosterone (all-daw-ster-one)

130
Q

Includes the -pril drugs, such as lisinopril and captopril.

A

Angiotensin-converting enzyme inhibitors (an-gio-ten-sin)

ACE

131
Q

ACE

A

Angiotensin-converting enzyme inhibitors (an-gio-ten-sin)

132
Q

ADH

A

Antidiuretic hormone

133
Q

Allows the kidneys to concentrate urine.

A

Antidiuretic hormone ADH

134
Q

Secretes antidiuretic hormone (ADH).

A

Posterior pituitary gland (puh-too-a-tary)

135
Q

Neurohypophysis:

A

posterior pituitary gland (puh-too-a-tary).

136
Q

Works primarily on the collecting duct of the nephron unit by determining its permeability to water.

A

Antidiuretic hormone (ADH)

137
Q

In the presence of the antidiuretic hormone (ADH), the collecting duct becomes ___ to water.

A

permable

138
Q

Water is reabsorbed from the ___ duct into the ___ capillaries.

A

collecting

peritubular

139
Q

Decreases the urinary excretion of water and causes excretion of a concentrated urine.

A

Antidiuretic hormone (ADH)

140
Q

In the absence of antidiuretic hormone (ADH), the membrane permeability of the collecting duct ___ and water cannot be ___; the result is excretion of a large volume of ___ urine.

A

decreases

reabsorbed

dilute

141
Q

Plays an important role in the determination of blood volume and blood pressure because it affects the amount of water excreted by the kidneys.

A

Antidiuretic hormone (ADH)

142
Q

Excess antidiuretic hormone (ADH) ___ blood volume, whereas a deficiency of antidiuretic hormone (ADH) ___ blood volume.

A

expands

diminishes

143
Q

The word diabetes refers to ___.

A

diuresis (dye-er-e-sis)

144
Q

The stimulus for the release of antidiuretic hormone (ADH) is ___ blood volume and a ___ plasma.

A

decreased

concentrated

145
Q

The antidiuretic hormone (ADH) increases the ___ of water by the kidneys, expanding blood volume and ___ the blood. The increased blood volume eventually ___ the stimulus for the release of antidiuretic hormone (ADH).

A

reabsorption

diluting

stops

146
Q

True or false: antidiuretic hormone (ADH) determines the membrane permeability to water and does not affect Na+ reabsorption as does aldosterone.

A

True

147
Q

___ ___ peptide and ___ ___ peptide cause excretion of sodium (Na+), a process called ___.

A

Atrial natriuretic (nay-tree-ur-et-ick) - ANP

Brain natriuretic (nay-tree-ur-et-ick) peptide - BNP

natriuresis (nay-tree-ur-e-sis)

148
Q

ANP

A

Atrial natriuretic peptide (nay-tree-ur-et-ic)

149
Q

BNP

A

Brain natriuretic (nay-tree-ur-et-ick) peptide

150
Q

Secreted by the walls of the atria of the heart in response to an increase in the volume of blood.

A

Atrial natriuretic peptide (nay-tree-ur-et-ic) - ANP

151
Q

Secreted by the walls of the ventricles in response to elevated ventricular volume.

A

Brain natriuretic (nay-tree-ur-et-ick) peptide - BNP

152
Q

The effects of the ___ peptides are opposite of the effects of aldosterone and antidiuretic hormone (ADH).

A

natriuretic (nay-tree-ur-et-ick)

153
Q

Used diagnostically in the assessment of heart failure because ventricular blood volume increases in the failing heart.

A

Brain natriuretic (nay-tree-ur-et-ick) peptide - BNP

154
Q

Secreted by the parathyroid glands.

A

Parathyroid hormone (PTH)

155
Q

It does not affect water balance but plays an important role in the regulation of two electrolytes: calcium and phosphate.

A

Parathyroid hormone (PTH)

156
Q

Stimulates the renal tubules to reabsorb calcium and excrete phosphate.

A

Parathyroid hormone (PTH)

157
Q

The excretion of phosphate is called the phosphaturic effect of ___ ___ (___).

A

parathyroid hormone (PTH)

158
Q

Its primary stimulus is a low plasma level of calcium.

A

Parathyroid hormone (PTH)

159
Q

Also responding to plasma calcium levels is ___, secreted by the thyroid gland.

A

calcitonin (cal-ca-toe-nin)

160
Q

Released in response to increased plasma calcium and causes the kidneys to excrete calcium and phosphate.

A

Calcitonin (cal-ca-toe-nin)

161
Q

A fluid composed mostly of water (95%), nitrogen-containing waste, and electrolytes.

A

Urine

162
Q

The light-yellow colour of urine is caused by a pigment called ___, formed from the breakdown of hemoglobin in the liver.

A

urochrome

163
Q

True or false: the average output of urine is 1500 mL/day.

A

True

164
Q

Refers to a urine output of less than 400 mL/day.

A

Oliguria (oli-ger-ia) - ‘oligo’ means ‘scanty’

165
Q

The ratio of the amount of solute to volume.

A

Specific gravity

166
Q

Ranges from 1.001 to 1.035 depending on the amount of solute (substances such as Na+ and creatinine) in the urine.

A

Specific gravity

167
Q

The more solute, the ___ the specific gravity.

A

higher

168
Q

If a patient is dehydrated, the kidneys filter less water; as a result, the volume of urine ___. The ratio of solute to volume in the urine therefore ___. Thus, dehydration is characterized by an ___ in urinary specific gravity.

A

decreases

increases

increase

169
Q

Very dilute urine, as in blood volume expansion, has a ___ specific gravity.

A

low

170
Q

True or false: the odour of urine gets worse with time because the bacteria in the urine degrade the urea to ammonia.

A

True

171
Q

___ ureters connect the kidneys with the bladder.

A

2

172
Q

Originate in the renal pelvis of the kidneys and terminate in the bladder.

A

Ureters (ur-et-er)

173
Q

Long (10 to 13 inches [25 to 33 cm]), slender, muscular tubes capable of peristalsis.

A

Ureters (ur-et-er)

174
Q

Urine moves along the ureters from the kidneys to the bladder in response to gravity and ___.

A

peristalsis (pear-a-stall-sis)

175
Q

Renal calculus or nephrolithiasislodges:

A

Kidney stone

176
Q

Pressure within the renal pelvis:

A

hydronephrosis (hy-drone-a-fro-sis)

177
Q

Increased pressure that causes severe pain when a stone gets stuck in the urinary tract (renal colic). It adversely affects the kidney, causing a severe decline in glomerular filtration rate (GFR) and irreversible kidney damage.

A

Hydronephrosis (hy-drone-a-fro-sis)

178
Q

Pain that may occur when a stone gets stuck in part of your urinary tract.

A

Renal colic

179
Q

Functions as a temporary reservoir for the storage of urine.

A

Urinary bladder

180
Q

Sometimes, a kidney stone (renal calculus or nephrolithiasis) lodges in the slender ___.

A

ureter (ur-et-er)

181
Q

When empty, the bladder is located below the ___ membrane and behind the symphysis pubis.

A

peritoneal (pear-a-ta-neal)

182
Q

When full, the bladder rises into the ___ cavity.

A

abdominal

183
Q

___ layers make up the wall of the bladder.

A

4

184
Q

The innermost layer of the bladder is the ___ membrane and contains several thicknesses of transitional epithelium. The ___ membrane is continuous with the ___ membrane of the ___ and ___.

A

mucus x3

ureters

urethra

185
Q

The second layer is of the urinary bladder.

A

Submucosa

186
Q

Consists of connective tissue and contains many elastic fibres.

A

Submucosa

187
Q

The third layer is of the urinary bladder composed of ___.

A

muscle

188
Q

Involuntary smooth muscle of the urinary bladder.

A

Detrusor muscle (dee-troo-sor)

189
Q

The outermost layer of the upper part of the bladder.

A

Serosa

190
Q

The bladder wall is arranged in folds called ___ that allow the bladder to stretch as it fills.

A

rugae (roo-gay)

191
Q

True or false: a moderately full bladder contains about 500 mL or 1 pint of urine.

A

True

192
Q

An over___ bladder may contain more than 1 L of urine. With over___, the urge to urinate may be lost.

A

over-distended

over-distension

193
Q

One specific area of the floor of the bladder is the ___.

A

trigone (try-gone)

194
Q

It is a triangular area formed by three points: the entrance points of the two ureters and the exit point of the urethra.

A

Trigone (try-gone)

195
Q

The exit of the urinary bladder contains a ___ muscle.

A

sphincter

196
Q

Composed of smooth muscle that contracts involuntarily to prevent emptying.

A

Internal sphincter

197
Q

This is below the internal sphincter and surrounding the upper region of the urethra.

A

External sphincter

198
Q

This sphincter is composed of skeletal muscle and is controlled voluntarily.

A

External sphincter

199
Q

___ of the external sphincter allows you to resist the urge to urinate.

A

Contraction

200
Q

Organs of the Urinary Tract: Ureters, Bladder, and Urethra (Your “Plumbing”).

A
201
Q

Whereas the kidneys form urine, the remaining structures of the urinary system (ureters, urinary bladder, and urethra) function as ___ and form the urinary ___.

A

plumping

tract

202
Q

True or false: the ureters, urinary bladder, and urethra do not modify the urine in any way; instead, they temporarily store and then conduct urine to the outside of the body for elimination.

A

True

203
Q

Micturition:

A

Urination / voiding

204
Q

Process of expelling urine from the bladder.

A

Micturition (mic-ter-ish-ion)

205
Q

As the bladder fills with urine, stimulated ___ receptors send nerve impulses along sensory nerves to the spinal cord. The spinal cord reflexively sends motor nerve impulses back to the bladder, causing the bladder wall to ___ rhythmically and the internal sphincter muscle to ___.

A

stretch

contract

relax

206
Q

This reflex gives rise to a sense of urgency.

A

Micturition reflex (mic-ter-ish-ion)

207
Q

Children learn to override this reflex by voluntarily controlling the external sphincter.

A

Micturition reflex (mic-ter-ish-ion)

208
Q

A tube that carries urine from the bladder to the outside.

A

Urethra

209
Q

It is lined with mucous membrane that contains numerous mucus-secreting glands.

A

Urethra

210
Q

The ___ layer of the urethra contracts and helps expel urine during micturition.

A

muscular

211
Q

The detrusor muscle of the urinary bladder and the internal sphincter have ___ receptors. Activation of the these receptors causes the detrusor muscle to contract and the sphincter to relax; this action causes the bladder to expel the urine.

A

muscarinic (musk-a-rin-ick)

212
Q

When the kidneys fail, they no longer make urine (renal ___). The blood is not cleansed of its waste, and substances that should have been excreted in the urine remain in the blood. This condition is called uremia (ur-re-me-a), which literally means urine in the blood. Uremia (ur-re-me-a) may be prevented and treated with the use of an artificial kidney, a form of ___. The artificial kidney consists of a cylinder filled with a plasma-like solution called the ___sate. The patient’s blood is passed through a series of tiny tubes immersed in the ___sate. Waste products in the blood, such as potassium, creatinine, uric acid, and excess water, diffuse out of the tubes into the ___sate. The blood is thereby cleansed of these waste products and returned to the patient.

A

suppression

dialysis

dialy-sate x3

213
Q

A second form of dialysis is peri___ dialysis. With this procedure, the peri___ cavity of the patient is used as the cylinder of an artificial kidney, and dialysate is infused into the peri___ cavity. Waste products diffuse from the patient’s blood into the dialysate. The dialysate eventually drains out of the peri___ cavity and is discarded.

A

peri-toneal x3

214
Q

The glomerular filtration rate (GFR) declines with age. As a result, the older person excretes drugs more slowly and is at risk for drug overdose. The decrease also makes it difficult for the older person to excrete excess blood volume, so any intravenous fluids must be administered slowly and carefully. Over___ is a common cause of heart failure in older adults.

A

Over-hydration