urine formation Flashcards

1
Q

What is the formula for filtration in the kidneys?
A) GFR ÷ Plasma concentration
B) GFR + Plasma concentration
C) GFR × Plasma concentration
D) GFR − Plasma concentration

A

Answer: C

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2
Q

Which of the following best describes glomerular filtration?
A) Selective for glucose and amino acids
B) Non-selective except for proteins and blood cells
C) Actively controlled process
D) Occurs only in the distal tubule

A

Answer: B

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2
Q

Which of these substances is almost completely reabsorbed in the nephron?
A) Creatinine
B) Urea
C) Glucose
D) Sodium

A

Answer: C

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3
Q

Which waste product is poorly reabsorbed by the tubules?
A) Glucose
B) Amino acids
C) Creatinine
D) Sodium

A

Answer: C

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4
Q

Tubular reabsorption occurs through which two main mechanisms?
A) Osmosis and evaporation
B) Pinocytosis and filtration
C) Passive and active transport
D) Diffusion and ultrafiltration

A

Answer: C

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5
Q

What must occur first for a substance to be reabsorbed?
A) It must be excreted into the lumen
B) It must be transported across the tubular epithelial membrane
C) It must pass through the collecting duct
D) It must bind to albumin

A

Answer: B

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6
Q

Through which two routes can water and solutes be reabsorbed?
A) Osmotic and hydrostatic
B) Renal and hepatic
C) Transcellular and paracellular
D) Arterial and venous

A

Answer: C

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6
Q

Which of the following is a form of primary active transport?
A) Na-glucose co-transport
B) Cl- diffusion
C) Na-K-ATPase
D) Passive osmosis

A

Answer: C

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7
Q

What type of transport involves Na-glucose co-transport?
A) Primary active transport
B) Passive transport
C) Osmotic transport
D) Secondary active transport

A

Answer: D

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8
Q

Which process involves engulfing proteins at the brush border?
A) Osmosis
B) Pinocytosis
C) Active secretion
D) Glomerular filtration

A

Answer: B

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9
Q

After proteins are absorbed via pinocytosis, what happens next?
A) They are excreted
B) They pass through aquaporins
C) They are digested into amino acids
D) They are filtered again

A

Answer: C

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10
Q

What is required for pinocytosis to occur?
A) Osmotic gradient
B) Plasma proteins
C) Energy
D) Glomerular pressure

A

Answer: C

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11
Q

Aquaporins are responsible for:
A) Active sodium transport
B) Passive water reabsorption by osmosis
C) Protein digestion
D) Creatinine excretion

A

Answer: B

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11
Q

Water reabsorption is primarily linked to the reabsorption of which ion?
A) Chloride
B) Calcium
C) Sodium
D) Potassium

A

Answer: C

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12
Q

Urea is reabsorbed:
A) Actively
B) Completely
C) Minimally and passively
D) By co-transport

A

Answer: C

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13
Q

Which of the following is almost not reabsorbed at all?
A) Sodium
B) Chloride
C) Urea
D) Creatinine

A

Answer: D

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14
Q

What percentage of Na and water is reabsorbed in the proximal tubule?
A) 25%
B) 45%
C) 65%
D) 85%

A

Answer: C

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15
Q

Which feature of proximal tubule cells supports high levels of active transport?
A) Few mitochondria
B) Low metabolic activity
C) Brush border enzymes
D) High number of mitochondria

A

Answer: D

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16
Q

What is the normal plasma glucose concentration range?
A) 60–90 mg/dL
B) 80–120 mg/dL
C) 100–150 mg/dL
D) 120–180 mg/dL

A

Answer: B

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17
Q

What type of transport is used to reabsorb glucose on the apical side?
A) Facilitated diffusion
B) Primary active transport
C) Secondary active transport
D) Osmosis

A

Answer: C

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17
Q

Where does glucose reabsorption occur in the nephron?
A) Loop of Henle
B) Distal tubule
C) Collecting duct
D) Proximal tubule

17
Q

What happens when glucose concentration exceeds the tubular transport maximum?
A) It is converted to glycogen
B) It remains in the blood
C) It appears in the urine
D) It is stored in the kidneys

18
Q

What is the average transport maximum for glucose in adults?
A) 150 mg/min
B) 250 mg/min
C) 375 mg/min
D) 500 mg/min

19
Q

The basolateral side of the proximal tubule reabsorbs glucose through:
A) Simple diffusion
B) Facilitated diffusion
C) Active transport
D) Pinocytosis

20
Which factor determines the transport maximum for glucose? A) Blood glucose level B) Number of mitochondria C) Number of transport proteins D) Osmotic pressure
Answer: C
20
What is the usual transport capacity of glucose before saturation? A) 100 mg/min B) 200 mg/min C) 300 mg/min D) 400 mg/min
Answer: C
21
Which substance is reabsorbed passively through the paracellular pathway? A) Glucose B) Chloride C) Potassium D) Creatinine
Answer: B
22
Urea is reabsorbed from the tubule: A) Completely and actively B) Minimally and passively C) By co-transport D) Not at all
Answer: B
23
Which of the following substances is almost not reabsorbed? A) Urea B) Glucose C) Chloride D) Creatinine
Answer: D
24
Which part of the nephron secretes organic acids and bases? A) Ascending loop B) Collecting duct C) Proximal tubule D) Bowman's capsule
Answer: C
25
PAH clearance is used to estimate: A) GFR B) Glomerular pressure C) Renal plasma flow D) Tubular osmolarity
Answer: C
25
Which of these is a substance secreted by the proximal tubule? A) Glucose B) Bile salts C) Sodium D) Water
Answer: B
26
What percentage of PAH is typically cleared from plasma? A) 50% B) 70% C) 90% D) 100%
Answer: C
26
Which process helps regulate potassium and blood pH? A) Glomerular filtration B) Tubular secretion C) Osmosis D) Pinocytosis
Answer: B
27
Tubular secretion is most active in which part of the nephron? A) Collecting duct B) Distal convoluted tubule C) Proximal convoluted tubule D) Loop of Henle
Answer: C
28
Which segment of the loop of Henle is highly permeable to water? A) Thick ascending limb B) Thin ascending limb C) Descending limb D) Cortical collecting duct
Answer: C
29
What is the maximum concentration of filtrate in juxtamedullary nephrons? A) 300 mosm/L B) 600 mosm/L C) 900 mosm/L D) 1200 mosm/L
Answer: D
29
What happens to the filtrate as it descends the thin limb of the loop? A) Becomes more dilute B) Becomes more concentrated C) Freezes D) Stays the same
Answer: B
30
In cortical nephrons, filtrate concentration can reach: A) 200 mosm/L B) 400 mosm/L C) 600 mosm/L D) 800 mosm/L
Answer: C
31
The ascending limbs of the loop of Henle are: A) Highly permeable to water B) Moderately permeable to sodium C) Virtually impermeable to water D) Permeable only to glucose
Answer: C
32
Which part of the loop has the lowest absorptive capacity? A) Thin ascending limb B) Thick ascending limb C) Descending limb D) Collecting duct
Answer: A
33
How much of the filtered water is reabsorbed in the loop of Henle? A) 10% B) 20% C) 30% D) 40%
Answer: B
34
Thick ascending limb reabsorbs what percentage of Na, Cl, and K? A) 15% B) 20% C) 25% D) 30%
Answer: C
34
Which ion is secreted in the thick ascending loop? A) Na⁺ B) Cl⁻ C) K⁺ D) H⁺
Answer: D
35
The 1-Na⁺, 2-Cl⁻, 1-K⁺ co-transporter works by: A) Active ATP-driven transport B) Facilitated diffusion C) Using sodium's downhill gradient D) Passive osmosis
Answer: C
35
Which diuretic inhibits the Na⁺-K⁺-Cl⁻ co-transporter? A) Spironolactone B) Furosemide C) Acetazolamide D) Amiloride
Answer: B
36
Why is there paracellular reabsorption of cations in the thick ascending limb? A) Osmotic pressure B) Tight junction leakage C) Positive luminal charge D) Low protein content
Answer: C
37
What is the first part of the distal tubule associated with? A) Loop of Henle B) Glomerular capsule C) Juxtaglomerular apparatus D) Renal pelvis
Answer: C
38
What percentage of filtered sodium is reabsorbed in the distal tubule? A) 25% B) 5-10% C) 50% D) 20%
Answer: B
38
Which of the following is under hormonal control in the distal tubule? A) Glucose B) Urea C) Water and sodium D) Creatinine
Answer: C