Urinary System Pt 2 Flashcards

1
Q

This is where the majority (-70%) of the glomerular filtrate is
reabsorbed.

–The ______ is the first segment of the renal
tubule. It begins at the urinary pole of the glomerulus.

A

proximal convoluted tubule

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2
Q

The convoluted portion of the tubule leads into a straight segment
that descends into the medulla within a medullary ray and becomes
________

A

the loop of Henle.

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3
Q

(loop on henle) empties into the _____ and Continuous with PCT in cortex

A

distal convoluted tubule (DCT)

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4
Q

The loop of Henle forms a _____ that dips down into the
medulla.

A

hair-pin structure

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5
Q

The Loop of Henle contains four segments:

A

the pars recta (the straight/thick descending limb
of proximal tubule), the thin descending limb, the thin ascending limb, and
the thick ascending limb.

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6
Q

Thick & thin denote the ____ in both the
descending and ascending limbs (loop of henle)

A

epithelial change (cuboidal to squamous)

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7
Q

The loop of Henle serves to create high osmotic pressure in the renal
medulla via the ____

A

counter-current multiplier system

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8
Q

The loop of Henle serves to create ______ in the renal
medulla via the counter-current multiplier system

A

high osmotic pressure

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9
Q

The loop of Henle serves to create high osmotic pressure in the renal
medulla via the counter-current multiplier system. Such high osmotic
pressure is important for the reabsorption of water in the later segments of
the renal tubule, helps create ___

A

hypertonic urine (excretion of excess solutes).

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10
Q

Loop of Henle surrounded by
peritubular capillary
network, ____

A

vasa recta

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11
Q

Functions to generate high osmotic
pressure in ECF of renal medulla
via Na-K pumps in thick ascending
limb of loop of Henle

A

Countercurrent multiplier

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12
Q

Countercurrent multiplier – Functions to generate high osmotic
pressure in ECF of renal medulla
via ____ in thick ascending
limb of loop of Henle

A

Na-K pumps

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13
Q

Higher extracellular [Na] in
medulla combined with water
resorption by proximal convoluted
tubule in cortex ➔ ____

A

cortico-
medullary interstitial gradient

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14
Q

Produces counter current
(exchange) multiplier system of
urine concentration—results in
production of ___

A

hypertonic urine

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15
Q

(Distal convoluted tubule) Continuation of thick ascending
limb of Loop of Henle; present
within cortex
* Simple cuboidal epithelium
with short apical microvilli, but
lacks ___

A

distinct brush border

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16
Q

Responsible for active
resorption of Na & Cl, coupled
with secretion of H & K ions

A

(Distal convoluted tubule)

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17
Q

(Distal convoluted tubule) Controlled by 2 cell types:
* ____—resorb Na &
water, secrete K
* ____ – mediate
H+ and HCO3 − secretion,
and Cl− and K+ reabsorption.
Important Regulators of Acid-
Base Balance

A

principal cells & intercalated cells

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18
Q

—resorb Na &
water, secrete K

A

principal cells

19
Q

mediate
H+ and HCO3 − secretion,
and Cl− and K+ reabsorption.
Important Regulators of Acid-
Base Balance

A

intercalated cells

20
Q

(Distal convoluted tubule) Controlled by ____

A

aldosterone
(adrenal mineralocorticoid)

21
Q

Combined baroreceptor (pressure) & chemoreceptor ([ion])
* Specialized areas of afferent arteriole & distal convoluted tubule

A

juxtaglomerular apparatus (JGA)

22
Q

juxtaglomerular apparatus (JGA): Used to regulate systemic blood pressure via ______

A

renin-angiotensin-aldosterone system
(RAAS)

23
Q

Three main components of JGA:

A

Macula densa, Juxtaglomerular cells, Extraglomerular mesangial cells

24
Q

thickened region on one side of distal convoluted tubule
Contains densely packed cuboidal to columnar epithelial cells
Chemoreceptor sensitive to changes in [Na] in filtrate.
Decrease in systemic BP ➔ decrease in filtrate ➔ decrease [Na]

A

Macula densa

25
Act as baroreceptors; detect changes in blood pressure Produce renin in response to ↓ blood pressure (converts angiotensinogen to angiotensin I)
juxtaglomerular cells (modified smooth Mm cells in wall of afferent arteriole)
26
(converts angiotensinogen to angiotensin I)
renin
27
(Lacis cells or polkissen cells) Flattened cells surrounding afferent and efferent arterioles Exact function unclear; provide structural support & phagocytosis May assist in tubular glomerular feedback (by transmitting signals from cells of macula densa to intraglomerular mesangial cells) whose contraction/relaxation may change glomerular filtration rate.
Extraglomerular mesangial cells
28
____ acts as sensor, regulating juxtaglomerular function by monitoring Na+ & Cl- levels in the DCT
Macula densa
29
Decrease blood volume/pressure elicits secretion of renin by JG cells
Macula densa
30
Macula densa: Decrease blood volume/pressure elicits secretion of ____ by ___ cells
renin by JG cells
31
____ causes suprarenal glands to secrete aldosterone
Angiotensin
32
_____ are a group of medications indicated for the treatment of hypertension (high blood pressure).
Angiotensin-converting enzyme (ACE) inhibitors
33
COLLECTING TUBULES receive isotonic urine from ___
DCT
34
COLLECTING DUCTS receive isotonic urine from ____
collecting tubules
35
Collecting ducts open at ____ into minor calyx
papilla
36
Collecting ducts: Play important role in final concentration of ____
urine (interstitium & vasa recta)
37
(collecting ducts) Epithelium responsive to ____ released by the posterior pituitary.
antidiuretic hormone (ADH, Vasopressin)
38
Epithelium responsive to antidiuretic hormone (ADH, Vasopressin) released by the posterior pituitary. * Epithelial cells contain aquaporin 2 (AQP-2) transmembrane proteins * ADH-regulated * Mutations in AQP-2 (do not respond to ADH) linked to congenital nephrogenic diabetes insipidus
**
39
ADH – water is lost from collecting ducts ➔ ___ urine
hypertonic
40
Without ADH – ducts remain impermeable to water ➔ ___ urine
iso-/ hypotonic
41
Hollow tube with muscular walls * All lined by transitional epithelium * Designed to be distensible * Withstand contact with fluid containing toxic substances
ureter
42
* Surface layer of balloon cells linked by desmosomes & tight junctions *Lined by Urothelium * Stratified
urinary bladder
43