Urinary System Exam Notes Flashcards

1
Q

Write a note on the anatomy of the kidney.

6

A

Two kidneys

Left higher than right

Hilus - entry for renal artery and renal nerves -> exit for renal veins and ureter

3 regions;
cortex (nephrons)
Medulla (renal pyramids)
Pelvis

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2
Q

What is the function of the kidneys?

A

Produce urine

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3
Q

Write a note on the anatomy of the nephron.

6

A
Renal corpuscle
Renal tubule - peri tubular capillary runs along side for exchange between the two
- Proximal convoluted tubule
- Loop of Henle
- Distal convoluted tubule
- Collecting system
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4
Q

Write a note on the functions of the nephron.

4

A

Blood is filtered in the nephron (in the glomerulus ->glomeruli capillaries)

The filtrate then travels through the renal tubes where it is modified and turned into urine

Any substance filtered from blood that needs to be reabsorbed from the filtrate in the renal tubule by the peri-tubular capillary

Any substance that was not filtered from blood but needs to be excreted will not be secreted from blood to the filtrate in the renal tubule

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5
Q

Write a note on the histology and anatomy of the proximal convoluted tubule.
(5)

A

Most reabsorption occurs here (filtrate to blood)

Filtrate goes into PCT and fluid similar to plasma comes out

Mostly organic nutrients, sodium and water is reabsorbed

Simple cuboidal epithelium with microvilli

Sodium drives most of the reabsorption as there is high levels in lumen of PCT and low levels in cells

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6
Q

Write a note on the anatomy of the loop of Henle.

3

A

Receives filtrate from PCT

2 regions

  • ascending limb (simple squamous epithelium) -> permeable to water
  • descending limb (simple cuboidal epithelium) ->impermeable to water
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7
Q

Write a note on the anatomy of the Distal convoluted tubule

2

A

Performs final adjustment of urine

Active secretion and absorption occurs here

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8
Q

What is the function of the DCT?

A

Tubular cells actively reabsorb Na+ and Cl- in exchange for potassium or hydrogen ions (secretion)

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9
Q

Write a note on the histology of the DCT.

A

Lined with simple cuboidal epithelium (no microvilli)

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10
Q

Write a note on the functions of the collecting system.

3

A

Re-absorption of sodium ions, bicarbonate and urea

Secretion of hydrogen or bicarbonate ions to control pH

Water and solute loss is regulated by aldosterone and anti-diuretic hormone

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11
Q

Write a note on the anatomy of the ureters.

6

A

Pair of muscular tubes

Extend from kidneys to urinary bladder

They begin at renal pelvis

They are retroperitoneal (attached to posterior abdominal wall)

Pass through bladder at oblique angle

Urethral openings are slit-like to prevent backflow of urine

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12
Q

Write a note on the histology of the ureters.

3

A

Inner mucosa: transitional epithelium and lamina propria

Middle muscular layer: longitudinal and circular bands of smooth muscle

Outer connective tissue layer

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13
Q

Write a note on the anatomy of the urinary bladder.

9

A

A hollow, muscular organ

Functions as a temporary reservoir for urine storage

Can contain up to 1 L of urine

Stabilized by several peritoneal folds

Ligamentous bands anchor urinary bladder to pelvis and pubic bones

Rugae -> folds in mucosa that disappear as bladder fills

Trigone -> triangular area that acts as a funnel

Neck - surrounds urethral opening

Muscular internal urethral sphincter at the neck where smooth muscle fibres provide involuntary control of urine discharge

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14
Q

Write a note on the histology of the urinary bladder.

2

A

Mucosa, submucosa, muscularis layers

Mucosa = transitional epithelium
Muscularis layer = detrusor muscle, inner and outer layers of longitudinal smooth muscle with a circular layer in between

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15
Q

Write a note on the anatomy of the urethra

7

A

Extends from the neck of urinary bladder to the exterior of the body

External urethral sphincter

  • circular band of skeletal muscle
  • acts as a valve
  • voluntary control
  • resting muscle tone
  • permits micturition
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16
Q

Write a note on the histology of the urethra.

4

A

Lamina propria is thick and elastic

Mucous membrane has longitudinal folds

Mucin-secreting cells lie in epithelial pockets

Epithelium is stratified squamous