Urinary System Flashcards

1
Q

consists of two kidneys, two ureters, one
urinary bladder, and one urethra

A

Urinary system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The kidneys filter blood of wastes and excrete them into a fluid called

A

urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The kidneys also help regulate blood pressure by secreting this enzyme, which activates the renin–angiotensin–aldosterone

A

renin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The kidneys produce two hormones

A

Calcitriol and erythropoietin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

bean–shaped organs located just above the waist between the peritoneum and the posterior wall of the abdomen. Because their position is posterior to the peritoneum of the abdominal cavity, the organs are said to be retroperitoneal

A

kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Near the center of the concave border is an
indentation called the _____ through which the ureter emerges from the kidney along with blood vessels, lymphatic vessels, and nerves

A

hilum of the kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

a smooth, transparent sheet of collagen-rich connective tissue that is continuous with
the outer coat of the ureter. It serves as a barrier against trauma and helps maintain the shape of the kidney.

A

fibrous capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A mass of fatty tissue surrounding the fibrous capsule. It also protects the kidney from trauma and holds it firmly in place within the abdominal cavity

A

perirenal fat capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

a collagenous and elastic dense irregular connective tissue that anchors the kidney to the surrounding structures and to the abdominal wall

A

renal fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A coronal section through the kidney reveals two distinct regions:

A

renal cortex and renal medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The renal medulla consists of several cone-shaped structures

A

renal pyramid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The base (wider end) of each pyramid faces
the renal cortex, and its apex (narrow end), called _____ , points toward the renal hilum of the kidney

A

renal papilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Renal cortex is divided into

A

outer cortical zone and an inner juxtamedullary zone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

portions of the renal cortex that extend between renal pyramids are called

A

renal columns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The renal cortex and renal pyramids of the renal medulla constitute the __ or functional portion of the kidney

A

parenchyma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Within the parenchyma are the functional units of the kidney—about 1 million microscopic structures in each kidney called

A

nephrons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

It is the expanded cavity of the hilum within the kidneys, which contains part of the renal
pelvis, the calyces, and branches of the renal blood vessels and nerves.

A

renal sinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

PATH OF URINE DRAINAGE

A

Collecting duct — Papillary duct — minor calyx —- major calyx —- Renal pelvis — ureter —- urinary bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Structure that delivers the 20 to 25% of the resting cardiac output to the kidneys

A

renal arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Path of blood flow

A

Renal artery — segmental arteries — interlobar arteries — arcuate arteries — cortical radiate arteries — afferent glomerular arterioles — glomerular capillaries —efferent glomerular arteries — peritubular capillaries — peritubular veins — cortical radiate veins — arcuate veins — interlobar veins — renal veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

functional units of the kidneys

A

Nephrons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Two parts of the nephrons

A

renal corpuscle and renal tubule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Part of the nephrons where blood plasma is filtered

A

renal corpuscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

two components of a renal corpuscle

A

glomerulus and glomerular capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Also known as Bowman’s capsule. It is a double-walled epithelial cup that surrounds the glomerular capillaries

A

Glomerular capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Three sections of renal tubule

A

(1) Proximal convoluted tubule, (2) Nephron loop (loop of Henle), and (3) distal convoluted tubule (DCT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

part of the tubule attached to the glomerular capsule

A

PCT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

About 80–85% of the nephrons are

A

cortical nephrons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

The other 15–20% of the nephrons are

A

juxtamedullary nephrons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

the ascending limb of the nephron loop of juxtamedullary nephrons consists of two portions:

A

thin ascending limb and a thick ascending limb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

The visceral layer of the glomerular capsule is
consists of modified simple squamous epithelial cells called

A

podocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

DCT has two different cell types which are the

A

principal cells and intercalated cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Cells which have receptors for both antidiuretic hormone (ADH) and aldosterone

A

principal cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Cells that play a role in the homeostasis of blood pH.

A

Intercalated cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

The three basic processes by the nephrons and collecting ducts to produce urine

A

glomerular filtration, tubular reabsorption,
and tubular secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

first step of urine production, water and most solutes in blood plasma move across the wall of glomerular capillaries, where they are filtered and move into the glomerular capsule and then into the renal tubule

A

Glomerular filtration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

The water and solutes return to the blood as it flows through the peritubular capillaries and vasa recta

A

Tubular reabsorption

38
Q

the renal tubule and duct cells secrete other materials, such as wastes, drugs, and excess ions, into the fluid.

A

Tubular secretion

39
Q

Fluid can leak between the cells in a passive process known as

A

paracellular reabsorption

40
Q

A substance passes from the fluid in the tubular lumen through the apical membrane of a tubule cell, across the cytosol, and out into
interstitial fluid through the basolateral membrane.

A

transcellular reabsorption

41
Q

Which measures the blood nitrogen that is part of the urea resulting from catabolism and deamination of amino acids.

A

blood urea nitrogen (BUN) test

42
Q

The volume of blood that is “cleaned” or cleared of a substance per unit of time, usually expressed in units of milliliters per minute

A

Renal plasma clearance

43
Q

Main solutes in the urine

A

Urea, urobilinogen, creatine phosphate, uric acid

44
Q

transports urine from the renal pelvis of one kidney to the urinary bladder

A

ureters

45
Q

Motion that push urine toward the urinary bladder

A

Peristaltic contractions

46
Q

In the floor of the urinary bladder is a small triangular area called the

A

Trigone

47
Q

Surrounding the mucosa is the intermediate
muscular layer, also called the ____, which consists of three layers of smooth muscle fibers: the inner longitudinal, middle circular, and outer longitudinal layers

A

detrusor muscle

48
Q

Around the opening to the urethra the circular fibers form an internal urethral sphincter; inferior to it is the external urethral sphincter, which is composed of

A

skeletal muscle

49
Q

Discharge of urine from the urinary bladder, called

A

micturition

50
Q

When the volume of urine in the urinary bladder exceeds 200–400 mL, pressure within the bladder increases considerably, and stretch receptors in its wall transmit nerve impulses into the spinal cord. These impulses propagate to the micturition center in sacral spinal cord segments S2 and S3 and trigger a spinal reflex called the

A

micturition reflex.

51
Q

Inflammation of the urinary bladder, frequently caused by the bacterium E. coli.

A

Cystitis

52
Q

The male urethra, which also consists of a deep mucosa and a superficial muscular layer, is subdivided into three anatomical regions:

A

(1) The prostatic urethra passes through the
prostate.
(2) The membranous urethra, the shortest portion, passes through the deep perineal muscles of the perineum.
(3) The spongy urethra, the longest portion, passes through
the penis

53
Q

The prostatic urethra contains the openings

A

(1) ducts that transport secretions from the prostate and
(2) the seminal glands and ductus (vas) deferens

54
Q

The openings of ducts of this gland empty into the spongy urethra

A

bulbourethral glands or Cowper’s glands

55
Q

A lack of voluntary control over micturition is called

A

Urinary Incontinence

56
Q

There are four types of urinary incontinence

A

stress, urge, overflow, and functional

57
Q

the most common type of incontinence in young and middle- aged females, and results from weakness of the deep muscles of the pelvic floor. As a result, any physical stress that increases abdominal pressure, such as coughing, sneezing, laughing, exercising, straining, lifting heavy objects, and pregnancy, causes leakage of urine from the urinary bladder

A

Stress incontinence

58
Q

most common in older people and is characterized by an abrupt and intense urge to urinate followed by an involuntary loss of urine

A

Urge incontinence

59
Q

Refers to the involuntary leakage of small amounts of urine caused by some type of blockage or weak contractions of the musculature of the urinary bladder

A

Overflow incontinence

60
Q

urine loss resulting from the inability to get to a toilet facility in time as a result of conditions such as stroke, severe arthritis, or Alzheimer’s disease.

A

Functional incontinence

61
Q

Drainage tube that transports stored urine from body.

A

Urethra

62
Q

Storage organ that temporarily stores urine until convenient to discharge from body

A

Urinary bladder

63
Q

Regulate blood volume and composition, help regulate blood pressure, synthesize glucose,
release erythropoietin, participate in vitamin D synthesis, excrete wastes in urine.

A

Kidneys

64
Q

Starting in the third week of fetal development, this portion of the mesoderm along the posterior aspect of the embryo, differentiates into the kidneys

A

intermediate mesoderm

65
Q

Intermediate mesoderm is located in paired elevations called

A

urogenital ridges

66
Q

Three pairs of kidneys form within the intermediate mesoderm in succession:

A

pronephros, the mesonephros, and the metanephros

67
Q

The first kidney to form; the most superior of the three and has an associated pronephric duct

A

pronephros

68
Q

pronephric duct empties into the expanded terminal part of the hindgut, which functions as a common outlet for the urinary, digestive, and reproductive ducts.

A

cloaca

69
Q

The second kidney; replaces the pronephros

A

mesonephrons

70
Q

ultimate kidney, develops from the ureteric bud and metanephric mesoderm

A

metanephros

71
Q

collecting ducts, calyces, renal pelvis, and
ureter form from

A

ureteric bud

72
Q

The metanephric mesoderm forms the

A

nephrons

73
Q

The urinary bladder develops from the

A

urogenital sinus

74
Q

only one kidney develops (usually the right) due to the absence of a ureteric bud

A

unilateral renal agenesis

75
Q

the hilum faces anteriorly, posteriorly,
or laterally instead of medially

A

malrotated kidneys

76
Q

one or both kidneys may be in an abnormal position, usually inferior

A

ectopic kidney

77
Q

the fusion of the two kidneys, usually inferiorly, into a single U-shaped kidney

A

horseshoe kidney

78
Q

The crystals of salts present in urine occasionally precipitate and solidify into insoluble stones (kidney stones)

A

renal calculi

79
Q

used to describe either an infection of a part of the urinary system or the presence of large numbers of microbes in urine.

A

urinary tract infection (UTI)

80
Q

inflammation of the kidneys

A

pyelonephritis

81
Q

is an inflammation of the kidney that involves the glomeruli.

A

Glomerulonephritis

82
Q

A condition characterized by proteinuria, protein in the urine, and hyperlipidemia, high blood levels of cholesterol, phospholipids, and triglycerides.

A

Nephrotic syndrome

83
Q

This occurs in nephrotic syndrome because loss of albumin from the blood decreases blood colloid osmotic pressure

A

edema

84
Q

A decrease or cessation of glomerular filtration

A

Renal failure

85
Q

the kidney tubules become riddled with hundreds or thousands of cysts

A

Polycystic Kidney Disease

86
Q

a very important procedure for direct examination of the mucosa of the urethra and urinary bladder and prostate in males; useful for evaluating urinary bladder problems such as cancer and infections.

A

Cystoscopy

87
Q

Excessive urine formation. It may occur in conditions such as diabetes mellitus and
glomerulonephritis

A

polyuria

88
Q

the kidneys abruptly stop working entirely (or almost entirely). Its main feature is the suppression of urine flow, usually characterized either by oliguria daily urine output between 50 mL and 250 mL, or by anuria, daily urine output less than 50 mL.

A

acute renal failure

89
Q

refers to a progressive and usually irreversible decline in glomerular filtration rate (GFR).

A

Chronic renal failure (CRF)

90
Q
A