Urinary System Flashcards

1
Q

What body fluid composition does the urinary system maintain?

A

water/ions

base/acid

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

How does the urinary system eliminate waste?

A

Cellular metabolism, phagocytosis, foreign chemicals, drugs and food additives

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

What minor endocrine function does the urinary system have?

A

secretes erythropoietin/renin to reg. bp

activates vitamin D which helps calcium absorption in SI

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

Urea

A

nitrogenous waste from protein; bulk of urine

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

Waste of muscle activities

A

Creatinine

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

Waste of nucleic acid

A

Uric acid

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

Hemoglobin breaks down and forms what waste?

A

bilirubin and other urochromes

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

PH in urine is…

A

variable/not constant 4.6-8

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

what could it mean if PH of urine is too high

A

infection or renal failure

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

what could is mean is PH of urine is too low

A

diabetes, mellitus, emphysema, starvation

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

what other systems help to remove waste besides urinary?

A

integumentary, respiratory and digestive

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

waste of respiratory

A

h2o and co2

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

waste of integumentary

A

nitrogen compounds, water and electrolytes (main function of sweat is temp regulation)

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

waste of digestive

A

digestive waste, bile pigments, heavy metal salts

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

what is urinary MOST important for?

A

water and electrolyte (ion) balance

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

What glands sit on top of kidneys

A

adrenal aka suprarenal

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

kidney location

A

retroperitoneal

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

urinary epithelium

A

transitional epi. or urothelium

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

traits of urothelium

A

impermeable to urine which is sterile but could be toxic, prevents water from being drawn into hypertonic urine, interdigitating cell junctions that make distension (stretching/expanding possible)

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

how many layers in ureters and names

A

3- mucosa, muscularis, adventitia

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

what does the mucosa layer consist of

A

transitional epi, lamina propria (connective tissue)

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

what does muscularis layer consist of

A

smooth muscle: inner-longitudinal, outer- circular (another longitudinal layer on outside in lower 1/3 of ureter)

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

what does the adventitia consist of

A

BV, lymphatics, nerves

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

what muscle is in bladder

A

detrusor muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
how many mL will bladder hold until feel like peeing
300 mL (can be consciously overridden- holds 3X more)
26
two muscles at bottom of bladder that control urine being released and type of muscle
internal sphincter- smooth muscle- INVOLUNTARY | external sphincter- striated muscle- VOLUNTARY
27
orifice
opening
28
bladder layers
same as ureters except bladder has 3 muscular layers, same as bottom 1/3 ureter
29
position of urethra in female
anterior to vag opening, posterior to clit
30
3 regions of male urethra
prostatic, membranous, penile (spongy)
31
what does urethra secrete
mucous into urethral canal
32
micturition
voiding or urination
33
incontinence
loss of bladder control
34
general overview of how bladder expands (distension)
activation of stretch receptors trigger visceral reflex arch
35
how do efferent impulses get to bladder
pelvic splanchnic nerves (parasympathetic)
36
result of efferent impulses to bladder
detrusor contracts, internal sphincter relaxes (external can override)
37
what in kidney collect urine
calyces and pelvis
38
lobe in kidney
cortex capsule and pyramid
39
where is most urine produced
in nephrons in the cortex
40
What does each nephron consist of?
glomerulus, renal tubules (Bowman's capsule, distal/proximal tubules, loop of Henle)
41
renal corpuscle
glomerulus + Bowman's capsule
42
What do the thin walls of the glomerulus (capillaries) act as?
semi-permeable membrane
43
What is the filtrate from the glomerulus free of?
protein and RBC bc too big
44
Glomerulus mechanism
basically passive under some pressure
45
What may happen if you have very low blood pressure
the glomerular filtration stops, kidneys shut down
46
Where does reabsorption of filtrate take place
distal/proximal tubules
47
the two layers of Bowman's capsule
outer: continuous with proximal part of renal tubule (simple squamous) inner: podocytes- branching processes closely assoc. with glomerular capillaries; filtration slits btwn processes
48
spaces between pedicles
filtration slits
49
what should you never have in urine?
protein, glucose, or blood; indicates diabetes or kidney problems
50
part of glomerulus that means windows in german
fenestrae
51
glomerular hydrostatic pressure in glomerulus
hydrostatic= pushing up against BV from inside; PROMOTES outward flow/ encourages filtration
52
osmotic pressure of blood in glomerulus
opposes outward flow
53
Glomerular capsule fluid pressure
opposed outward flow
54
3 types of pressure involved in glomerular filtration and whether they oppose/promote outward flow
hydrostatic- promote osmotic- oppose glomerular capsid fluid- oppose
55
What pressure in the glomerulus wins
the hydrostatic, that's how we filter the blood outward
56
pressure from the renal artery to the renal vein (decreases/increases)?
decreases
57
distal convoluted tubule in comparison to afferent arterial
they are leveled
58
where does filtrate in the efferent arterioles lead to in cortical nephron
to peritubule capillaries (adjacent to proximal and distal tubules), veins, interlobular, arcuate, interlobar, segmented, renal vein, vena cava, heart
59
where does the filtrate that goes through renal tubules go
into renal pyramids to ureters
60
vasa recta
in juxtamedullary nephrons, when filtrate leaves glomerulus via efferent arteriole it goes to peritubular capillaries then to these specialized veins that go around loop of henle (urine concentration) then to veins and back to heart
61
main purpose of glomerulus in nephron
produce protein free filtrate (2/3 gets reabsorbed)
62
main function of PCT and loop of henle
reabsorbs Na, K, and glucose by active transport, reabsorb Cl by diffusion, obligatory water reabsorption by osmosis, secretion of certain drugs by active transport (ex- penicillin)
63
when PCT and loop of henle "reabsorb" things like Na, what does this mean/where?
reabsorption out to the peritubular capillaries
64
when PCT and loop of henle "secrete" certain drugs what does this mean
secretion into tubules
65
main purpose of DCT
reabsorb Na by active transport, secrete H and K
66
main purpose of collecting tubules
reabsorb water by osmosis, ADH also controls reabsorption of water
67
how does DCT know if Na levels are too low?
macula densa
68
macula densa
sensitive to decreased concentration of Na (aka decreased bp)
69
juxtaglomerular cells
cuff of smooth muscle around afferent arteriole containing renin granules
70
juxtaglomerular apparatus
macula densa + juxtaglomerular cells
71
two situations renin will be released into bloodstream by juxtamedullary apparatus
if there's a fall in systemic pressure or decreased Na bc where Na goes, water follows
72
what senses fall in systemic pressure in the juxtaglomerular apparatus
pressure receptor (juxtaglomerular cells) in wall of afferent arteriole
73
what sense decreased Na in juxtaglomerular apparatus
chemoreceptors (Macula Densa) in distal convoluted tubule
74
renin pathway
renin --> angiotensinogen (plasma protein) --> angiotensin I (polypeptide) --> angiotensin II (potent vasoconstrictor)
75
aldosterone
sodium retaining hormone released in adrenal cortex for vasoconstriction
76
how does aldosterone increase BP
promotes reabsorption of Na (water follows) expanding blood volume (pressure), made by hypothalamus released by pituitary