urinary system part 2 Flashcards

1
Q

what is a filtering device

A

renal corpuscle

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2
Q

what processes and carries away filtered fluid

A

renal tubule

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3
Q

what is the functional unit of the kidney

A

nephron

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4
Q

2 parts of the nephron are

A

renal corpuscle
renal tubule

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5
Q

what does the renal corpuscle contain (2)

A

glomerulus and bowmans capsule

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6
Q

what does the renal tubule contain (4)

A

proximal convulated tubule
loop of henle
distaI convoluated tubule
collecting duct

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7
Q

what are the three steps in urine formation

A
  1. filtration
  2. reabsorption
  3. secretion
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8
Q

out of the three steps in urine formation, which one is to remove unwanted substances from blood

A

filtration

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9
Q

what step moves H2O and nutrients back into the bloodstream

A

reabsorption

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10
Q

in filtration the initial formation of tubular fluid is by?

A

hydrostatic pressure

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11
Q

initial formation of tubular fluid by hydrostatic pressure is where

A

glomerular capillaries

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12
Q

what does the hydrostatic pressure in the glomerular capillaries force

A

ultrafiltrate through filtration membrane

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13
Q

what is the tubular process which returns water, electrolytes, and other substances from the tubular fluid to the blood

A

reabsorptioin

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14
Q

water reabsorption is active or passive

A

passive

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15
Q

reabsorption of other substances may be passive or active or either

A

either

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16
Q

what secreted from blood complete formation of urine

A

waste ions

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17
Q

what is the tubular process which moves substances from the blood to the tubular fluid

A

secretion

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18
Q

what is the result of secretion

A

elimination of substances in urine

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19
Q

the renal corpuscle is entirely in what

A

renal cortex

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20
Q

the renal tubule begins where and then what

A

begings in cortex then to medulla and back into cortex

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21
Q

what does the renal corpuscle: glomerulus and bowmans capsule do

A

filters blood

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22
Q

what does the PCT do

A

returns filtered substances to blood

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23
Q

what does the loop of henle do

A

conserves H2O and solutes

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24
Q

what does the DCT do

A

last ditch effort to rid blood of additional waste products

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25
Q

what does the collecting duct do

A

hormonal regulation of urine concentration

collects from multiple nephrons and sends urine to papillary duct into renal papilla-> minor major calyx-> renal pelvis-> ureter-> urinary bladder-> urethra

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26
Q

what is a twisted capillary network

A

glomerulus

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27
Q

what kind of layers does the glomerular capsule have

A

visceral and parietal

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28
Q

what layer has specialized cells called podocytes

A

visceral layer

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29
Q

what ET does the pariteal layer have

A

simple squamous

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30
Q

blood enters glomerular capillaries and filtered fluid=

A

filtrate

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31
Q

what are 3 unique characteristics to enhance glomerular filtration

A

porous capillaries
porous visceral layer
high pressure

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32
Q

porous capillaries are highly permeable or impearmeable

A

highly permeable (fenestrae)

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33
Q

large proteins/ blood cells=

A

too big

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34
Q

in the porous visceral layer, what is between the podocyte cell processes

A

filtration slits

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35
Q

what is high pressure due to in glomerular filtration

A

due to smaller diameter efferent vs afferent arteriole

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36
Q

what is in the filtration membrane

A

capillary endothelium, basement membrane and podocytes if bowmans

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37
Q

what is the 1st major step in urine production

A

filtration membrane filters blood and filtrate enters lumen

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38
Q

in addition to having high BP in the glomerular capillaries, this capillary bed is special in what way

A

fenestrated capillaries

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39
Q

what does it mean to have fenestrated capillaries

A

the cells of the capillaries have gaos or holes between the cells, so fluid can leak out of these capillaries much more easily than in other body tissues

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40
Q

specialized cells of the bowman capsule (podocytes) do what

A

wrap around the glomerular capillaries forming narrow openings called flitration slits through which the filtered fluid must pass

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41
Q

what combo makes up the filtration membrane of the renal corpuscle

A

capillary fenestrations and filtration slits

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42
Q

fluid escapes rapidly from blood plasma into the space formed by what?

A

bowmans capsule

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43
Q

filtered fluid then travels into what to start the conversion into urine

44
Q

the fluid that entered the PCT cause the fluid to be what

A

ultrafiltrate

45
Q

the small opening through which filtered blood plasma must pass does what

A

prevents big things from getting through

46
Q

what does the ultrafiltrate contain

A

H2O
electrolytes
AA’s
Glc
urea
most toxic substances that might be ingested with food

47
Q

what does ultafiltrate not usually contain

A

proteins
blood cells
other large molecules from the plasma

48
Q

what reabsorbs almost all of the H2O intiallt filtered by the glomerulus

49
Q

what is the basic stratgey of the kidney

A

throw everything out and then reclaim what you need

50
Q

what is the totla GFR from both kidneys

A

180 L/ day

51
Q

what is the fluid loss rate

A

1-2 L/ day

52
Q

glomerular ultrafiltrate must be reabsorbed in what?

A

renal tubule and collecting duct

53
Q

how much ultrafiltrate is lost in the form of urine

54
Q

since H2O has no active transport mechanisms for its movement what occurs

A

All H2O reabsorption must be accomplished by actively transporting Na and causing H2O to follow salt

55
Q

do kidneys require a lot of energy

56
Q

since the bulk of H2O and other needed molecules are reabsorbed in the renal tubule anything not reabsorbed does what

A

it is excreted at high concentration in the urine

57
Q

what is the regulatory structure

A

juxtaglomerular apparatus

58
Q

what does the juxtaglomerular apparatus consist of

A

afferent arteriole cells and specialized cells in DCT

59
Q

what and where are the juxtaglomerlar cells

A

specialized smooth muscle cells

around entry

60
Q

what are specialized cells of DCT

A

macula densa

61
Q

where is macula densa found

A

between afferent and efferent arterioles

62
Q

whay does the macula densa do

A

detects rate of fluid flow in DCT and gives feeback fultration system

63
Q

decreased flow in DCT->

A

dilation of afferent arteriole-> increase GFR and tubular flow

64
Q

what does juxtaglomerular apparatus secrete

65
Q

what does renin do

A

plays a role in regulating filtrate formation and BP

66
Q

rest of nephron action is what

A

fluid modification to finalize urine formation

67
Q

what does the renal tubule consist of

A

PCT
loop of henle
DCT and collecting duct

68
Q

what is Simple Cuboidal ET with Microvilli extending into Lumen (Filtrate) to increase surface area

69
Q

what has a descending and ascending limb

A

loop of henle

70
Q

what is the thin inferior bend that narrows

A

descending limb

71
Q

what kind of ET is the descending limb

A

simple cuboidal and simple squamous

72
Q

ascending limb has what kind of ET

A

simple squamous to simple cuboidal

73
Q

Ascending limb travels closer to what and becomes what

A

travels closer to renal corpuscle becoming DCT as near macula densa

74
Q

what is shorter than PCT

75
Q

what et is DCT

A

simple cubdoidal

76
Q

what do the cells look like in DCT

A

smaller with less microvilli

77
Q

several DCTs attach where

A

collecting duct

78
Q

what ET is collecting duct

A

simple cuboidal

79
Q

what has a large diameter, and forms bulk of medullary rays

A

collecting duct

80
Q

where does the collecting duct span from

A

renal cortex and extend through medulla through renal pyramid tips

81
Q

what are the two nephron types

A

cortical and juxtamedullary

82
Q

renal corpuscles distributed throughout the cortex is what type

83
Q

the nephron in cortical is shorter or longer deeper or superficial

A

shorter and more superficial

84
Q

what capillaries are in the cortical type

A

peritubular capillaries

85
Q

what type is next to medulla

A

juxtamedullary

86
Q

where are the renal corpuscles

A

deep in cortex

87
Q

is the nephronn is juxtamedullary short or long deep or superfiical

A

long and deep into medulla

88
Q

the longer loops in juxtamedullary help with what

A

better adaption to conserve H2O

89
Q

where is the vasa recta cortical or juxt

90
Q

does the efferent arteriole have a high or low oxygen content

91
Q

is the efferent arteriole thick or thin

A

thick so it cant distend like a vein

92
Q

is the diameter for efferent artiole smaller or larger than afferent

93
Q

what capillaries are wrapped around the tubes

A

peritubular

94
Q

where do the peritubular capillaries branch from

A

efferent arterioles

95
Q

peritubular caps are seen with what nephron

A

cortical nephron

96
Q

what do the peritubular caps surround

A

PCT
DCT
loop of henle

97
Q

what are straight tubues, string of pearls

A

vasa recta

98
Q

vasa recta are specialized parts of what and extend where

A

specialized parts of peritubular caps and extend deep into the medulla

99
Q

what does the vasa recta surround

A

loop of henle and collecting duct

100
Q

both peritubular and vasa recta return to where

A

circulation via renal veins

101
Q

the affernet arterioles have resistance which means

A

increases constriction

102
Q

the increased constriction of afferent arterioles means

A

decrease renal blood flow

103
Q

if you have a decrease downstram pressure what happens

A

decreases GFR and urine production

104
Q

afferent arterioles protect glomeruli from what

A

fluctuation in systemic BP

105
Q

if there is a significant drop in BP what happens to afferent arterioles

A

opposite effect with dilation to preseve blood flow to kidney

106
Q

what is released in response to drop in BP

A

juxtaglomerular cells release renin in response to decreased stretch to preserve GFR

107
Q

if there is resistance in efferent arterioles what happens

A

reinforces high glomerular pressure
reduces hydrostatic pressure in peritubular capillaries