Urinary Tract Flashcards

1
Q

what are the layers of the kidneys?

A
  • cortex
  • medulla
  • pelvis
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2
Q

what does the renal cortex contain?

A
  • glomeruli
  • proximal convoluted tubules
  • distal convoluted tubules
  • medullary rays
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3
Q

what are medullary rays?

A

collection of loops of Henle and collecting ducts that originate from the nephrons that have their renal corpuscles in the outer part of the cortex

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4
Q

what does the renal medulla contain?

A
  • loops of Henle

- collecting ducts

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5
Q

what is the glomerulus?

A

tuft of convoluted fenestrated capillaries

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6
Q

what is the glomerulus lined by?

A

podocytes

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7
Q

what are the 3 layers of the glomerular basement membrane?

A
  • fenestrated capillary endothelial cells
  • basement membrane
  • foot processes of podocytes
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8
Q

what are podocytes made of and what do they do?

A
  • made of several proteins

- project onto basement membrane, creating a gap where filtrates can pass through

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9
Q

what are the components of the JGA?

A
  • granular cells
  • macula densa
  • lacis cells
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10
Q

what is the function of the granular cells in the JGA?

A
  • sense blood pressure
  • secrete renin in response to low blood pressure
  • interact with cells of macula densa
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11
Q

what is the function of the macula densa cells in the JGA?

A
  • regulates tubuloglomerular feedback
    • senses NaCl concentration
    • if filtration is slow, more sodium is absorbed
    • sends signal to reduce afferent arteriole resistance & increase glomerular filtration
  • interact with granular cells to cause renin secretion
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12
Q

what does the PCT reabsorb?

A
  • NaCl
  • proteins, polypeptides, AAs
  • glucose
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13
Q

what is the epithelial lining of the PCT?

A

simple cuboidal

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14
Q

describe the structure of the PCT

A
  • round central/basal nuclei
  • brush border of microvilli at apical end on luminal surface
  • lots of mitochondria
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15
Q

what is the epithelial lining of the loops of Henle?

A

thin segments: simple squamous

thick segments: low cuboidal

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16
Q

what is the function of the DCT?

A
  • regulates acid-base

- regulates sodium levels

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17
Q

how does the DCT regulate acid-base?

A
  • secretes H+
  • absorbs HCO3-
    via cellular carbonic anhydrase
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18
Q

how does the DCT regulate sodium levels?

A

exchanges Na+ for K+

mediated by aldosterone

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19
Q

what is the epithelial lining of the DCT?

A

low cuboidal

20
Q

what are the similarities between the PCT and DCT?

A
  • cuboidal epithelium

- lots of mitochondria

21
Q

what are the differences between the PCT and DCT?

A
  • DCT has very few microvilli (=> no prominent brush border)

- DCT is much shorter

22
Q

what are the functions of the collecting duct and which cell performs each function?

A
  • water reabsorption (principal)
  • sodium balance (principal)
  • acid-base balance (intercalated)
23
Q

what are the shape of nuclei in collecting ducts?

A

round central

24
Q

what is the epithelial lining of the collecting ducts?

A

cuboidal

25
Q

what cells are found in the epithelia of collecting ducts?

A
  • principal cells

- intercalated cells

26
Q

what are the functions of the principal cells in the collecting ducts?

A
  • respond to aldosterone by exchanging Na+ for K+

- respond to ADH by increasing insertion of aquaporins into apical membrane

27
Q

what are the functions of the intercalated cells in the collecting ducts?

A

alpha cells: secrete acid

beta cells: secrete bicarbonate

28
Q

what is the function of the renal pelvis?

A

transmits filtrate from nephron to ureter

29
Q

what type of epithelia lines the renal pelvis?

A

urothelium

30
Q

where is urothelium found?

A

collection and drainage parts of urinary tract

31
Q

what is urothelium?

A

multi-layered stratified epithelium

  • umbrella cells on surface
  • overlies pseudostratified layer of polygonal cells
32
Q

what are the functions of urothelium?

A
  • tight intracellular junctions prevent passage of urine

- can stretch in 3 dimensions

33
Q

what is the function of the ureter/

A

convey urine via peristalsis from kidney to bladder

34
Q

what is the ureter lined by?

A

urothelium

35
Q

describe the structure of ureters

A
  • spiral muscular tube

- loose fibrocollagenous adventitia

36
Q

what are the layers of the spiral muscular tube in the ureter?

A
  • smooth muscular coat
  • inner - longitudinal
  • outer - circular
37
Q

what is the bladder lined by?

A

urothelium

38
Q

what are the layers of the bladder?

A
  • lamina propria
  • muscularis mucosa
  • submucosa
  • muscularis propria
  • subserosa
  • serosa
39
Q

where is the muscularis propria most easily discerned in the bladder?

A

bladder neck

40
Q

what creates the valve in the bladder?

A

passage through muscularis propria

41
Q

how long is the urethra in females?

A

4-5cm

42
Q

what is the female urethra lined by?

A

proximally - urothelium

distally - non-keratinising stratified squamous epithelium

43
Q

what glands open into the female urethra?

A

paraurethral and periurethral glands

44
Q

how long is the male urethra?

A

20cm

45
Q

what are the divisions of the male urethra and what are they lined by?

A

prostatic: urothelium
membranous: urothelium
penile:
- proximally: pseudostratified
- distally: stratified squamous

46
Q

describe the blood supply to the kidney

A
  1. abdominal aorta
  2. renal (L1)
  3. anterior & posterior segmental
  4. interlobar
  5. arcuate
  6. interlobular
  7. afferent arterioles (feed into glomerulus)
47
Q

describe the passage of blood leaving the glomerulus

A
  1. efferent arteriole
  2. peritubular capillaries
  3. vasa recta
  4. renal veins
  5. inferior vena cava