front 1 What two structures constitute the renal corpuscle? | back 1 glomerulus and glomerular (Bowman's) capsule |
front 2 What arteries branch off the arcuate arteries? | back 2 cortical radiate (interlobular) arteries |
front 3 In what part of the renal tubule does parathyroid hormone (PTH) promote the reabsorption of calcium ions? | back 3 distal convoluted tubule (DCT) |
front 4 Which of the following is the most likely to cause pyelonephritis? | back 4 infection of the urinary bladder |
front 5 Which vessels supply the cortical tissue of the kidney with blood? | back 5 cortical radiate arteries |
front 6 What region of the male urethra runs through the urogenital diaphragm, extending about 2 cm from the prostate to the beginning of the penis? | back 6 intermediate part of the urethra (membranous urethra) |
front 7 Which capillary bed produces filtrate? | back 7 Glomerulus |
front 8 Which of the following is NOT a cause of anuria? | back 8 vasodilation of afferent arterioles |
front 9 The __________ collect(s) urine, which drains continuously from the papillae; the urine is then emptied into the __________. | back 9 calyces; renal pelvis |
front 10 Glomerular hydrostatic pressure (HPg) is the chief force pushing water and solutes out of the blood and across the filtration membrane. | back 10 TRUE |
front 11 What hormone promotes active tubular secretion of potassium ions in the late distal convoluted tubule (DCT) and collecting ducts? | back 11 Aldosterone |
front 12 In what part of the renal tubule are aquaporins scarce or absent so that water CANNOT be reabsorbed? | back 12 ascending limb of the nephron loop |
front 13 In which kidney region are all renal corpuscles located? | back 13 renal cortex |
front 14 Despite the fact that the kidney's intrinsic controls work to maintain a constant GFR, in some situations the body's extrinsic controls will work to override these intrinsic controls in order to maintain systemic blood pressure. | back 14 TRUE |
front 15 Which statement best describes the effect diuretics have? | back 15 Diuretics increase urinary output. |
front 16 Which pressure is the chief force pushing water and solutes out of the blood and across the filtration membrane of the glomerulus? | back 16 hydrostatic pressure in glomerular capillaries (HPgc) |
front 17 Where does the efferent arteriole of the juxtamedullary nephron carry blood to? | back 17 vasa recta |
front 18 The descending limb of the loop of Henle is permeable to both solutes and water. | back 18 FALSE |
front 19 Which of the following substances is not normally found in filtrate? | back 19 blood cells and large particles |
front 20 What is the primary driving force (pressure) that produces glomerular filtration? | back 20 hydrostatic pressure of blood (blood pressure) |
front 21 Which of the following would only be found in the glomerular filtrate if the glomerular membrane were damaged? | back 21 Protein |
front 22 If the osmotic pressure in the glomerular capillaries increased from 28 mm Hg to 35 mm Hg, would net filtration increase or decrease? | back 22 net filtration would decrease |
front 23 Calculate the net filtration pressure if capillary hydrostatic pressure is 60 mm Hg, capillary osmotic pressure is 25 mm Hg, and capsular hydrostatic pressure is 10 mm Hg. | back 23 25 mm Hg |
front 24 Which hormone(s) is/are required for facultative water reabsorption in the collecting ducts? | back 24 ADH |
front 25 Since most patients with renal failure produce little or no urine, hemodialysis often involves removal of water from the blood. However, side-effects may develop if too much fluid is removed from the blood. Which of the following is NOT one of the potential side-effects? | back 25 vasoconstriction of afferent arterioles |
front 26 Upon reaching what point in the nephron is reabsorption (1) dependent upon the body's needs at the time, and (2) regulated by hormones? | back 26 distal convoluted tubule |
front 27 What is the juxtaglomerular apparatus? | back 27 a system that regulates the rate of filtrate formation and systemic blood pressure |
front 28 The frequency of cystitis in men is lower than in women because ______. | back 28 the male urethra is longer than the female urethra |
front 29 Fenestrated vessels that allow passage of all plasma elements but not blood cells. | back 29 Glomerular capillaries |
front 30 May form meandering vessels or bundles of long straight vessels. | back 30 efferent arterioles |
front 31 High pressure vessels that forces fluid and solutes into the glomerular capsule | back 31 Afferent arterioles |
front 32 Low pressure, porous vessels that reabsorb solutes and water from the tubule cells. | back 32 peritubular capillaries |
front 33 Play a role in urine concentration | back 33 vasa recta |
front 34 Chemicals that enhance urinary output are called __________. | back 34 Diuretics |
front 35 Which part of the brain controls the micturition reflex? | back 35 Pons |
front 36 Which of the following is the functional unit of the kidney? | back 36 Nephron |
front 37 Which vessel is present in the arterial pathway as blood flows into the kidney but NOT present in the venous pathway exiting the kidney? | back 37 Segmental |
front 38 Which of the following best describes glomerular filtration rate (GFR)? | back 38 the volume of filtrate created by the kidneys per minute |
front 39 GFR regulation mechanisms primarily affect which of the following? | back 39 glomerular hydrostatic pressure (HPg) |
front 40 Which of the following are mechanisms of intrinsic control of glomerular filtration (renal autoregulation)? | back 40 myogenic mechanism and tubuloglomerular feedback |
front 41 Macula densa cells of the juxtaglomerular apparatus (JGA) regulate GFR through which intrinsic mechanism? | back 41 tubuloglomerular feedback |
front 42 The myogenic mechanism of renal autoregulation primarily involves smooth muscle in which blood vessels? | back 42 afferent arterioles |
front 43 What does a high concentration of NaCl in the renal tubule at the juxtaglomerular apparatus (JGA) most likely indicate? | back 43 insufficient NaCl reabsorption due to high GFR |
front 44 Through the tubuloglomerular feedback mechanism, how would an increase in filtrate NaCl concentration affect afferent arteriole diameter? | back 44 Afferent arteriole diameter would decrease. |
front 45 Granular cells of the juxtaglomerular apparatus (JGA) regulate GFR through which mechanism? | back 45 renin-angiotensin mechanism |
front 46 Under normal conditions, the large renal arteries deliver one-fourth of the total cardiac output (about 1200 ml) to the kidneys each minute. | back 46 TRUE |
front 47 Where in the nephron does most solute reabsorption occur? | back 47 proximal convoluted tubule |
front 48 A nonfasting urine sample from an individual who has previously ingested donuts and a soft drink showed the presence of sugar (glucose). Which of the following statement explains the presence of the glucose in the urine? | back 48 The individual exceeded the transport maximum. |
front 49 Approximately 80% of the energy used for active transport is devoted to the reabsorption of __________. | back 49 Sodium |
front 50 Urinary incontinence may occur if a person has ______. | back 50 an overactive detrusor muscle |
front 51 The __________ keeps the urethra closed when urine is not being passed from the bladder and prevents leaking between voiding. | back 51 internal urethral sphincter |
front 52 Most solutes that are reabsorbed in the proximal convoluted tubule use which of the following pathways? | back 52 Transcellular |
front 53 During reabsorption of water in the proximal convoluted tubule, what causes water to diffuse from the lumen into the interstitial space? | back 53 an increase in the osmolarity of the interstitium |
front 54 The decreased intracellular concentration of sodium in tubular cells during active transport is caused by which of the following mechanisms? | back 54 the sodium-potassium ATPase pump in the basolateral membrane |
front 55 The active transport of which ion out of proximal convoluted tubule cells causes the reabsorption of both water and solutes? | back 55 Sodium |
front 56 Which of the following transporters in the luminal membrane results in secretion? | back 56 Na+-H+ countertransport |
front 57 What is the limiting factor for the reabsorption of most actively transported solutes in the proximal tubule? | back 57 number of transport carriers in the luminal membrane |
front 58 Hydronephrosis may be caused by all EXCEPT which of the following? | back 58 renal failure |
front 59 Overall, which of the following pressures is ultimately responsible for glomerular filtration? | back 59 net filtration pressure |
front 60 Which of the following is NOT one of the things that must happen for micturition to occur? | back 60 The extrusor muscle must relax. |
front 61 Which of the following is NOT a function of the kidneys? | back 61 producing the hormones melanin and oxytocin |
front 62 Which of the following is NOT a major urine formation process? | back 62 Micturition |
front 63 Polycystic kidney disease always affects both kidneys instead of only the right or left kidney because ______. | back 63 it is a genetic disease |
front 64 Which statement best describes the function of the urethra? | back 64 The urethra transports urine from the bladder to the outside of the body. |
front 65 Which of the following congenital abnormalities of the urinary system is found in male infants only? | back 65 urinary bladder |
front 66 Which of the following is the volume of filtrate formed each minute by all of the glomeruli of the kidneys? | back 66 glomerular filtration rate (GFR) |
front 67 Which of the following is not reabsorbed by the proximal convoluted tubule? | back 67 Creatinine |
front 68 What is the most direct function of the juxtaglomerular apparatus? | back 68 help regulate blood pressure and the rate of blood filtration by the kidneys |
front 69 What type of capillaries make up the glomerulus? | back 69 Fenestrated |
front 70 What would happen if the capsular hydrostatic pressure were increased above normal? | back 70 Net filtration would decrease. |
front 71 The renal corpuscle is made up of ________. | back 71 Bowman's capsule and glomerulus |
front 72 Calculate the net filtration pressure if blood pressure in the glomerulus is unusually high, around 68 mm Hg. | back 72 23 mm Hg |
front 73 The functional and structural unit of the kidneys is the ________. | back 73 Nephron |
front 74 Site at which most of the tubular absorption occurs | back 74 proximal convoluted tubule |
front 75 Site of the filtrate formation | back 75 glomerulus |
front 76 Blood supply that directly receives substances from the tubular cells | back 76 peritubular capillaries |
front 77 Site that drains the distal convoluted tubule | back 77 collecting duct |
front 78 The ________ artery lies on the boundary between the cortex and medulla of the kidney. | back 78 Arcuate |
front 79 Place the following in correct sequence from the formation of a drop of urine to its elimination from the body.
| back 79 3, 6, 2, 1, 5, 4 |
front 80 Which of the following does not describe the juxtaglomerular complex? | back 80 Its macula densa cells produce aldosterone. |
front 81 Which of the three parts of the renal tubule is formed by cuboidal epithelial cells bordered by dense microvilli? | back 81 proximal convoluted tubule |
front 82 Most electrolyte reabsorption by the renal tubules is ________. | back 82 hormonally controlled in distal tubule segments |
front 83 How can an angiotensin converting enzyme inhibitor (ACE inhibitor) such as captopril be effective as an antihypertensive? | back 83 ACE inhibitors reduce blood pressure by causing less aldosterone and antidiuretic hormone to be released, resulting in more water output and a lowering of the blood volume, which lowers the blood pressure. |
front 84 What is the function of the macula densa cells of the juxtaglomerular complex (JGC)? | back 84 The macula densa cells monitor the NaCl content of the filtrate entering the distal convoluted tubule. |
front 85 The leading cause of chronic renal disease is hypertension. | back 85 FALSE |
front 86 Which of the choices below is the salt level-monitoring part of the nephron? | back 86 macula densa |
front 87 Which of the following is not associated with the renal corpuscle? | back 87 a vasa recta |
front 88 What vessel directly feeds into the glomerulus? | back 88 afferent arteriole |
front 89 Where is filtrate produced in the nephron? | back 89 Glomerulus |
front 90 The macula densa cells respond to ________. | back 90 changes in solute content of the filtrate |
front 91 Select the correct statement about the nephrons. | back 91 The parietal layer of the glomerular capsule is simple squamous epithelium. |
front 92 Which cells of the kidney are chemoreceptors that respond to changes in solute content of the filtrate? | back 92 macula densa cells |
front 93 The proximal convoluted tubule is the portion of the nephron that attaches to the collecting duct. | back 93 FALSE |
front 94 Where does antidiuretic hormone (ADH) exert its effects to promote water reabsorption? | back 94 collecting duct |
front 95 An increase in the permeability of the cells of the collecting tubule to water is due to a(n) ________. | back 95 increase in the production of ADH |
front 96 The kidneys are stimulated to produce renin ________. | back 96 by a decrease in the blood pressure |
front 97 Which of the choices below is not a function of the urinary system? | back 97 eliminates solid, undigested wastes and excretes carbon dioxide, water, salts, and heat |
front 98 The chief force pushing water and solutes out of the blood across the filtration membrane is ________. | back 98 glomerular hydrostatic pressure (glomerular blood pressure) |
front 99 The mechanism of water reabsorption by the renal tubules is ________. | back 99 Osmosis |
front 100 Which of the following is not true regarding tubular reabsorption? | back 100 It is a purely passive transport process. |
front 101 Which of the following is the least important influence on reabsorption of a substance in the nephron? | back 101 molecular complexity |
front 102 In the ascending limb of the loop of Henle the ________. | back 102 thick segment moves ions out into interstitial spaces for reabsorption |
front 103 Which of the choices below is the least important role of tubular secretion? | back 103 ridding the body of bicarbonate ions |
front 104 Under normal circumstances, most water is lost in __________. | back 104 Urine |
front 105 Which of the following does NOT impact how much sodium is reabsorbed? | back 105 transport maximum of the renal proximal tubule |
front 106 Which of the following is NOT involved in triggering the thirst mechanism? | back 106 increase in blood pressure |
front 107 Which of the following regulates the secretion of K+ into the filtrate? | back 107 Aldosterone |
front 108 What accounts for the route through which most fluid is lost in a day? | back 108 Urine |
front 109 The body's water volume is closely tied to a powerful water "magnet." What magnet is referred to here? | back 109 ionic sodium |
front 110 What is the effect of hyperventilation on pH? | back 110 respiratory alkalosis |
front 111 A decrease in blood CO2 levels leads to __________. | back 111 an increase in blood pH |
front 112 Which of the following is the only logical explanation for why hypocalcemia increases neuromuscular excitability and causes muscle tetany? | back 112 Low plasma calcium ion concentration increases the permeability of neuron membranes to sodium ions, thereby causing depolarization that in turn increases the likelihood of action potentials being generated. |
front 113 Which chemical buffer system is the only important system in the extracellular fluid (ECF) that resists short-term changes in pH? | back 113 bicarbonate buffer system |
front 114 Hypersecretion of aldosterone results in hypokalemia, which causes hyperpolarization of neurons; this in turn results in ______. | back 114 the need for a stronger than normal stimulus in order to trigger an action potential |
front 115 What is the most common cation found in the interstitial fluid? | back 115 Na+ |
front 116 Which buffer system is the most abundant in the body? | back 116 Protein |
front 117 Where is the majority of water stored in the human body? | back 117 intracellular fluid (ICF) compartment |
front 118 Which of the following creates the greatest osmotic pressure? | back 118 H3PO4 |
front 119 Starvation would cause which of the following acid-base conditions? Also, determine what type of compensation (metabolic or respiratory) there would be. | back 119 metabolic acidosis with respiratory compensation |
front 120 A patient is admitted to the hospital with the following plasma values: pH = 7.2, pCO2 = 55 mmHg, and HCO3¯ = 30 mEq/L. What is the acid base imbalance? | back 120 respiratory acidosis with metabolic compensation |
front 121 A patient is admitted to the hospital with the following plasma values: pH = 7.5, pCO2 = 45 mmHg, and HCO3¯ = 30 mEq/L. What is the acid-base imbalance? | back 121 metabolic alkalosis with no compensation |
front 122 A patient is admitted to the hospital with the following plasma values: pH = 7.2, pCO2 = 25 mmHg, and HCO3¯ = 18 mEq/L. What is the acid base imbalance? | back 122 metabolic acidosis with respiratory compensation |
front 123 Diarrhea can lead to which acid/base disturbance? Assuming compensation, would it be a metabolic or respiratory compensation? | back 123 metabolic acidosis with respiratory compensation |
front 124 Emphysema can lead to which acid/base disturbance? What would be the compensation? | back 124 respiratory acidosis; kidneys will retain more HCO3 and excrete H+ |
front 125 This chemical equation shows the reaction of a strong acid and weak base in the bicarbonate buffer system. Provide the products of the following reaction. HCl + NaHCO3 --> | back 125 H2CO3 + NaCl |
front 126 In order to buffer a strong acid into a weak acid, which has a less dramatic effect on pH, what chemical should be used as the buffer? | back 126 weak base |
front 127 What solute in body fluids determines most of their chemical and physical reactions? | back 127 Electrolytes |
front 128 In a given day, what is the typical value for water intake? | back 128 2500 ml |
front 129 The most common cause of acid-base imbalance is __________. | back 129 respiratory acidosis |
front 130 Which of the following is NOT a hormone involved in water and electrolyte balance? | back 130 Thyroxine |
front 131 Select the person in the following list who would have the highest percentage of water in his or her body. | back 131 a 6-month-old baby boy |
front 132 Which hormone raises blood calcium levels? | back 132 PTH |
front 133 The role of ADH is to __________. | back 133 increase water reabsorption |
front 134 How much water is generated per day from cellular metabolism? | back 134 250 ml |
front 135 What is the most important trigger for aldosterone release? | back 135 renin-angiotensin-aldosterone mechanism |
front 136 Which age group most commonly has fluid, electrolyte, and acid-base balance issues? | back 136 Infants |
front 137 What results from increased levels of aldosterone? | back 137 increased Na+ reabsorption |
front 138 Of the three buffering mechanisms in the body, which is the strongest? | back 138 renal system |
front 139 The bicarbonate buffer system is one of the chemical buffer systems of the body. How would the bicarbonate buffer system work if sodium hydroxide were added to a solution? | back 139 A hydrogen on carbonic acid would dissociate and join the hydroxyl group on the base to form water and sodium bicarbonate. |
front 140 The respiratory system is one of the three systems that regulate acid-base balance in the body. How does it work to decrease an acidosis? | back 140 Carbonic acid is broken down into water and CO2; the CO2 is then exhaled. |
front 141 In a respiratory acidosis the kidney would do which of the following? | back 141 The kidney would reabsorb bicarbonate and secrete hydrogen ions. |
front 142 Ingesting too much antacid would cause which of the following acid-base disturbances? | back 142 metabolic alkalosis |
front 143 Severe anxiety would cause which type of acid-base disturbance? What would be the compensation? | back 143 respiratory alkalosis; kidneys would excrete HCO3 |
front 144 The most abundant cation in intracellular fluid is potassium. | back 144 TRUE |
front 145 Which of the following is an electrolyte? | back 145 Potassium |
front 146 Which of the following is NOT a risk factor for dehydration? | back 146 increased muscle mass |
front 147 A patient is discovered to have a strange craving for iron objects. To try to determine the cause, her physician decides to order tests to determine if this patient might have some type of ______. | back 147 Anemia |
front 148 The most important renal mechanism for regulating acid-base balance of the blood involves __________. | back 148 maintaining HCO3- balance. |
front 149 What type of water imbalance increases the amount of fluid in all compartments? | back 149 hypotonic hydration |
front 150 Which of the following abnormalities would not be observed in a patient who has Addison's disease? | back 150 Hypertension |
front 151 What is the most abundant intracellular anion? | back 151 HPO4^2- |
front 152 What is the most important trigger for aldosterone release? | back 152 renin-angiotensin-aldosterone mechanism |
front 153 Annie has just eaten a large order of heavily salted french fries, some pickled eggs, and some cheese. How will consuming this much salt affect her physiology? | back 153 There will be a temporary increase in blood volume. |
front 154 After traveling from Los Angeles to Denver, Claire finds she is not feeling well and checks into a clinic for help. What is the diagnosis, and what has caused this problem? | back 154 Respiratory alkalosis caused by hyperventilation. Claire is experiencing the effect of the high altitude, breathing faster and deeper to raise her oxygen levels in her blood. |
front 155 Whereas sodium is found mainly in the extracellular fluid, most ________ is found in the intracellular fluid. | back 155 Potassium |
front 156 Respiratory acidosis can occur when ________. | back 156 a person's breathing is shallow due to obstruction |
front 157 The fluid that bathes the cells found in tissues is called __________. | back 157 interstitial fluid |
front 158 A 13-year-old girl is admitted to the psychiatric unit for anorexia. Her body weight is 89 lbs. and height is 64 inches. She admits to frequent self-induced vomiting and abuse of laxatives. She was treated on the medical unit with intravenous fluids. Now that she is on the psychiatric unit she is experiencing fluid retention as evidenced by mild puffiness and bloating. Why did she get these symptoms? | back 158 The abuse of laxatives and self-induced vomiting caused her to be chronically fluid and electrolyte depleted. She developed a compensatory increased production of aldosterone and ADH. |
front 159 A patient is 72 years old and was admitted to the hospital for severe shortness of breath and edema to her lower extremities. She was diagnosed with heart failure. Which side of the heart failed, and how did this cause edema? | back 159 The right side of the heart failed, causing edema in her lower extremities. The failure to pump blood around the pulmonary circulation caused pooling of blood in the systemic circulation, leading to edema. |
front 160 Total body water is not a function of which of the following? | back 160 amount of water ingested |
front 161 An atypical accumulation of fluid in the interstitial fluid | back 161 edema |
front 162 A condition of unusually low levels of plasma resulting in tissue edema. | back 162 Hypoproteinemia |
front 163 A disorder entailing deficient mineralocorticoid hormone production by the adrenal cortex | back 163 Addisons disease |
front 164 Regulates sodium ion concentrations in the extracellular fluid | back 164 Aldosterone |
front 165 A condition due to excessive water intake that results in net osmosis into tissue cells. This leads to severe metabolic disturbances. | back 165 hyponatremia |
front 166 The regulation of potassium balance ________. | back 166 involves aldosterone-induced secretion of potassium |
front 167 Hypoproteinemia is a condition of unusually low levels of plasma proteins. This problem is often characterized by ________. | back 167 tissue edema |
front 168 To remain properly hydrated, water intake must equal water output. | back 168 TRUE |
front 169 Premenstrual edema may be due to enhanced reabsorption of sodium chloride. | back 169 TRUE |
front 170 Potassium balance is controlled mainly by renal mechanisms. | back 170 TRUE |
front 171 Solutes, regardless of size, are able to move freely between compartments because water carries them along the osmotic gradients. | back 171 False |
front 172 Which of the following statements is true regarding fluid shifts? | back 172 Electrolytes have greater osmotic power than nonelectrolytes and therefore have the greatest ability to cause fluid shifts. |
front 173 The most abundant cation in intracellular fluid is sodium. | back 173 FALSE |
front 174 What is the driving force for water intake? | back 174 Thirst |
front 175 Which of the choices below exerts primary control over sodium levels in the body? | back 175 Aldosterone |
front 176 Aldosterone stimulates the reabsorption of sodium while enhancing potassium secretion. | back 176 TRUE |
front 177 Blood analysis indicates a low pH, and the patient is breathing rapidly. Given your knowledge of acid-base balance, which of the following is most likely? | back 177 metabolic acidosis |
front 178 PTH (parathyroid hormone) acts on the __________ to __________ Ca2+ reabsorption. | back 178 DCT; increase |
front 179 Water imbalance, in which output exceeds intake, causing an imbalance in body fluids, is termed dehydration. | back 179 TRUE |
front 180 What receptors does the brain use to detect changes in osmolality? | back 180 Osmoreceptors |
front 181 A patient is breathing slowly and blood pH analysis indicates an abnormally high value. What is the likely diagnosis? | back 181 metabolic alkalosis |
front 182 The fluid link between the external and internal environment is ________. | back 182 Plasma |
front 183 Weak acids are able to act as chemical buffering systems for the body because they partially dissociate. | back 183 TRUE |
front 184 In a given day, what is the typical value for water intake? | back 184 2500 ml |
front 185 When aldosterone release is inhibited, sodium reabsorption cannot occur beyond the distal convoluted tubule. | back 185 TRUE |
front 186 The phosphate buffer system is relatively unimportant for buffering blood plasma. | back 186 TRUE |
front 187 Although the sodium content of the body may be altered, its concentration in the ECF remains relatively stable because of immediate adjustments in water volume. | back 187 TRUE |
front 188 What hormone helps to maintain extracellular fluid (ECF) osmolality when concentrations become too high? | back 188 antidiuretic hormone (ADH) |
front 189 The single most important factor influencing potassium ion secretion is ________. | back 189 potassium ion concentration in blood plasma |
front 190 The term hypotonic hydration refers to ________. | back 190 a condition that may result from renal insufficiency or drinking extraordinary amounts of water |
front 191 Electrolytes determine most of the chemical and physical reactions of body fluids. | back 191 TRUE |
front 192 Atrial natriuretic peptide reduces blood pressure and blood volume by inhibiting nearly all events that promote vasodilation and potassium and water retention. | back 192 FALSE |
front 193 Hypoproteinemia reflects a condition of unusually high levels of plasma proteins and causes tissue edema. | back 193 FALSE |
front 194 Which of the following conditions promotes edema? | back 194 Hypoproteinemia |
front 195 What is the hallmark of hypotonic hydration? | back 195 Hyponatremia |
front 196 What is the most abundant intracellular cation? | back 196 K+ |
front 197 The regulation of sodium ________. | back 197 is linked to blood pressure |
front 198 The normal pH of blood is 7.35-7.45. | back 198 TRUE |
front 199 Which of the following is not a disorder of water balance? | back 199 excessive hydration due to excess ANP secretion |
front 200 Salts are lost from the body in perspiration, and urine only. | back 200 FALSE |
front 201 A patient's anxiety caused her to develop respiratory alkalosis. What breathing technique did the nurse recommend, and why? | back 201 The nurse instructed the patient to breathe slower and deeper, and to breathe into a paper bag. This will increase the patient's blood level of carbon dioxide by eliminating less carbon dioxide from the lungs, and by breathing in the expired air which has a higher concentration of carbon dioxide. As a result, the blood pH will decrease. |
front 202 Which of the following is not a trigger for juxtaglomerular granular cells to release renin? | back 202 increased extracellular fluid water levels |
front 203 A falling blood pH and a rising partial pressure of carbon dioxide due to pneumonia or emphysema indicates ________. | back 203 respiratory acidosis |
front 204 The term alkaline reserve is used to describe the ________ buffer system. | back 204 Bicarbonate |
front 205 Which of the following statements is true regarding fluid shifts? | back 205 Electrolytes have greater osmotic power than nonelectrolytes and therefore have the greatest ability to cause fluid shifts. |
front 206 A patient is admitted to the hospital in complete collapse. His blood pH is 6.8, and his HCO3- is 20 mEq/L. A medical history reveals that this patient is a chronic alcoholic. What diagnosis would you give, and what prognosis? | back 206 The pH and bicarbonate levels and the history of alcoholism indicate metabolic acidosis. The patient will go into a coma and death soon follows. |
front 207 Hypercalcemia causes muscle tetany. | back 207 FALSE |
front 208 Which of the following hormones is important in stimulating water conservation in the kidneys? | back 208 antidiuretic hormone |
front 209 Which portion of the penis is removed through a procedure known as circumcision? | back 209 prepuce (foreskin) |
front 210 What is the role of the corpus luteum? | back 210 to produce hormones that maintain the uterine lining during the first months of pregnancy |
front 211 In cervical cancer, which cancer cells that cover the cervical tip are most likely to be abnormal? | back 211 squamous epithelial cells |
front 212 When a couple is having difficulty conceiving a child, it is necessary to investigate the sperm of the male. | back 212 TRUE |
front 213 Select the correct statement about male sexual response. | back 213 Erection is the result of vascular spaces in the erectile tissues filling with blood. |
front 214 The corpus luteum secretes progesterone only. | back 214 FALSE |
front 215 A 38-year-old male is upset about his low sperm count and visits a "practitioner" who commonly advertises his miracle cures of sterility. The practitioner is a quack who treats conditions of low sperm count with megadoses of testosterone. The patient experiences a huge surge in libido. Would this treatment result in a higher or lower sperm count, and why? | back 215 Lower sperm count. High levels of testosterone inhibit the release of GnRH, inhibiting FSH release, resulting in direct inhibition of spermatogenesis. |
front 216 Gametes are produced by meiosis. | back 216 TRUE |
front 217 Prostate cancer is _______. | back 217 sometimes a slow-growing cancer that may never represent a threat to the patient |
front 218 Sperm is stored in the __________. | back 218 Epididymis |
front 219 Why CAN'T polar bodies be fertilized? | back 219 Polar bodies lack nutrient-containing cytoplasm. |
front 220 The amount of testosterone and sperm produced by the testes is dependent on the influence of FSH alone. | back 220 FALSE |
front 221 The constancy of the chromosome number from one cell generation to the next is maintained through ________. | back 221 Mitosis |
front 222 Which layer of the uterine wall is made of smooth muscle? | back 222 Myometrium |
front 223 A scrotal muscle that contracts in response to cold environmental temperature is the cremaster. | back 223 TRUE |
front 224 What is the pigmented ring of skin situated slightly below the center of each breast? | back 224 Areola |
front 225 What part of the breast produces milk? | back 225 Alveoli |
front 226 The primary function of the testes is to produce testosterone. | back 226 FALSE |
front 227 Which of the following is the site where sperm are stored until they are ejaculated? | back 227 tail of the epididymis |
front 228 Human egg and sperm are similar in that ________. | back 228 they have the same number of chromosomes |
front 229 Sperm are ejaculated from the corpora cavernosa of the penis. | back 229 FALSE |
front 230 A boy who has not passed through puberty sustains an injury to his anterior pituitary such that FSH is no longer released, but LH is normal. After he grows to maturity, one would expect that he would ________. | back 230 be sterile |
front 231 The Pap smear is a test to detect cancerous changes in cells of the cervix. | back 231 TRUE |
front 232 Which of the following inhibits the release of FSH from the anterior pituitary and GnRH from the hypothalamus when the sperm count is high? | back 232 Inhibin |
front 233 The number of chromosomes in a human gamete is __________; this is referred to as the __________ chromosome number. | back 233 23; haploid |
front 234 The most important risk for testicular cancer in young males is ________. | back 234 undescended testes |
front 235 Specifically, what encloses the vestibule which houses the openings of the urethra and vagina? | back 235 labia minora |
front 236 Why are the male testes located in the scrotum outside the body? | back 236 Immature sperm are temperature sensitive. |
front 237 What is the product of spermatogenesis? | back 237 formation of haploid spermatozoa |
front 238 It is necessary for the testes to be kept below body temperature for abundant, viable sperm formation. | back 238 TRUE |
front 239 Which of the following cells is released during ovulation? | back 239 secondary oocyte |
front 240 Which of the following glands are responsible for 60% of the synthesis of semen? | back 240 the seminal glands |
front 241 The molecule that enhances the ability of testosterone to promote spermatogenesis is inhibin. | back 241 FALSE |
front 242 The prostate atrophies as a man ages, and it usually causes no health problems. | back 242 FALSE |
front 243 Which male hormone inhibits the secretion of FSH? | back 243 Inhibin |
front 244 The male urethra serves the urinary system only. | back 244 FALSE |
front 245 Why does meiosis involve two nuclear divisions rather than one, as in mitosis? | back 245 Meiosis reduces the chromosome number by half. |
front 246 The mammary glands belong to which of the following systems? | back 246 integumentary system |
front 247 Ovarian follicles contain mature eggs. | back 247 FALSE |
front 248 What are the two fatty, hair-covered skin folds that run posteriorly from the mons pubis? | back 248 labia majora |
front 249 What part of the female duct system is the usual site of fertilization of the ovulated oocyte? | back 249 uterine (fallopian) tube (oviduct) |
front 250 A human egg or sperm contains 23 pairs of chromosomes. | back 250 FALSE |
front 251 Although effective in treating erectile dysfunction, Viagra has the side effect of reducing systemic blood pressure by causing ______. | back 251 relaxation of muscle tissue in arteries |
front 252 Which layer of the uterus is the site for implantation of a fertilized egg? | back 252 stratum functionalis of the endometrium |
front 253 Which of the following conditions might contribute to an increased probability of having an ectopic pregnancy? | back 253 decreased number of cilia in the uterine tubes |
front 254 Which of the following does NOT add substances to seminal fluid? | back 254 Urethra |
front 255 What is the function of the blood testis barrier? | back 255 to prevent activation of the immune system of the male against the developing sperm |
front 256 Failure to attain erection is called erectile dysfunction. | back 256 TRUE |
front 257 A surge in __________ directly triggers ovulation. | back 257 luteinizing hormone (LH) |
front 258 Nondisjunction may occur due to ______. | back 258 All of the listed responses are correct. |
front 259 The __________ develop into the male duct system. | back 259 mesonephric ducts |
front 260 Why does only one egg, rather than four eggs, develop during oogenesis, given that spermatogenesis results in four sperm formed from one stem cell? | back 260 The unequal cytoplasmic division that results in one egg and three polar bodies ensures that a fertilized egg has ample nutrients for its journey to the uterus. |
front 261 The testes are innervated by the sympathetic division of the ANS only. | back 261 FALSE |
front 262 Viable sperm production is optimal at the body's core temperature. | back 262 FALSE |
front 263 Extremely stressful physical activity in young females can result in excessive bone mass due to large amounts of estrogen production. | back 263 FALSE |
front 264 A varicocele may hinder blood flow through the pampiniform venous plexus; the reduced venous drainage and the resulting elevated testicular temperature may be caused by ______. | back 264 defective venous valves in the testis |
front 265 Select the correct statement about the uterine cycle. | back 265 If fertilization occurs, the corpus luteum is maintained by a hormone secreted by the developing embryo. |
front 266 During vasectomy, what accessory duct is cut as a form of birth control? | back 266 ductus (vas) deferens |
front 267 Dehydroepiandrosterone (DHEA) is the main androgen that is associated with female libido. | back 267 TRUE |
front 268 During the secretory phase of the menstrual cycle ________. | back 268 progesterone levels are at their highest |
front 269 The release of __________ encourages interstitial endocrine cells to release __________. | back 269 luteinizing hormone; testosterone |
front 270 Normally menstruation occurs when ________. | back 270 blood levels of estrogen and progesterone decrease |
front 271 The "master switch" for male reproductive development is ________. | back 271 the SRY gene |
front 272 During the secretory phase of the uterine cycle __________. | back 272 the endometrium prepares for implantation |
front 273 Which of the following is FALSE regarding the vagina of an adult female? | back 273 The pH of the adult vagina is alkaline. |
front 274 Oocytes only complete meiosis II if they are fertilized. | back 274 TRUE |
front 275 Which of these male accessory ducts transports both sperm and urine? | back 275 Urethra |
front 276 The duct system of the male reproductive system does not include the ________. | back 276 corpus spongiosum |
front 277 Which of the following is an effect of estrogen in females? | back 277 promotes oogenesis |
front 278 Genetic variation of individual chromosomes occurs during __________. | back 278 prophase I |
front 279 Which cells produce androgens such as testosterone? | back 279 interstitial endocrine (Leydig) cells |
front 280 Which of the following is housed within the spermatic cord? | back 280 testicular arteries and veins |
front 281 Which of the following keeps the concentration of testosterone in the vicinity of the spermatogenic cells high to stimulate spermatogenesis? | back 281 androgen-binding protein (ABP) |
front 282 During meiosis, what does crossover promote? | back 282 Crossover promotes increased genetic variability among gametes. |
front 283 Why does meiosis involve two nuclear divisions rather than one, as in mitosis? | back 283 Meiosis reduces the chromosome number by half. |
front 284 The cells that produce testosterone in the testis are called ________. | back 284 interstitial endocrine cells |
front 285 At what point during meiosis do homologous chromosomes pair up? | back 285 prophase I |
front 286 The ability of sperm cells to move along the ductus deferens is due to ________. | back 286 peristaltic contractions |
front 287 Effects of estrogen include ________. | back 287 growth of the breasts at puberty |
front 288 If an untrained person induces an abortion and severely punctures the posterior vaginal wall, there is a potential risk of the puncture wound extending onward into the wall of the ______. | back 288 Rectum |
front 289 Which is not a part of the proliferative phase of the female menstrual cycle? | back 289 corpus luteum |
front 290 Occasionally three polar bodies are found clinging to the mature ovum. One came from an unequal division of the ovum, but from where did the other two arise? | back 290 The first polar body has also divided to produce two polar bodies. |
front 291 Which of the following may aggravate the symptoms of a prolapsed uterus? | back 291 All of the listed responses are correct. |
front 292 Which of the following is a correct statement about uterine tubes? | back 292 The infundibulum is the funnel-shaped region near the ovary. |
front 293 Which of the following is an INCORRECT matching of female reproductive structures with their functions? | back 293 uterine tube/transport unfertilized ovum to uterus for removal from the body |
front 294 Which of the following is considered a primary sex organ in females? | back 294 Ovary |
front 295 Amenorrhea can occur in women engaged in extremely strenuous physical activity, and also occurs in women who ______. | back 295 are pregnant |
front 296 Which of the following will occur after ovulation? | back 296 The endometrium enters its secretory phase. |
front 297 Which of the following results from spermiogenesis? | back 297 Sperm |
front 298 At what point during meiosis do homologous chromosomes pair up? | back 298 prophase I |
front 299 The __________ connects the uterus to the vagina. | back 299 Cervix |
front 300 Which hormone promotes the formation of secondary sex characteristics such as the appearance of pubic, axillary, and facial hair, enhanced hair growth on the chest, and a deepening voice? | back 300 Testosterone |
front 301 Which hormone is absolutely necessary for ovulation to occur? | back 301 LH |
front 302 Which of the following occurs during spermiogenesis? | back 302 sperm are produced |
front 303 The ovaries are situated in the peritoneal cavity flanking the uterus. | back 303 TRUE |
front 304 Enzymes that allow sperm to penetrate the egg are located in the __________ of the sperm cell. | back 304 Acrosome |
front 305 The brain-testicular axis ________. | back 305 involves FSH and LH release |
front 306 If embryonic testes do not produce testosterone, a genetic male develops female external genitalia. However, if embryonic testes properly produce testosterone, but a genetic male nevertheless develops female external genitalia, the cause could be ______. | back 306 a mutation in the gene that codes for the testosterone receptor |
front 307 The __________, a layer of the endometrium, is shed during each menstruation and is then regenerated by the __________. | back 307 stratum functionalis; stratum basalis |
front 308 Sperm is produced in the __________ of the testes. | back 308 seminiferous tubules |
front 309 In humans, separation of the cells at the two-cell state following fertilization may lead to the production of twins, which in this case would be ________. | back 309 Identical |
front 310 Spermatogenesis ________. | back 310 involves a kind of cell division limited to the gametes |
front 311 A low secretion of luteinizing hormone (LH) in the normal male adult would cause ________. | back 311 decreased testosterone secretion |
front 312 When it is cold, the scrotum is pulled away from the body. | back 312 FALSE |
front 313 The secretions of the bulbo-urethral glands neutralize traces of acidic urine in the urethra and serve as a lubricant during sexual intercourse. | back 313 TRUE |
front 314 A man who has had a successful orchiectomy may still be able to have children because ______. | back 314 All of the listed responses are correct. |
front 315 Select the correct statement about testosterone control. | back 315 GnRH from the hypothalamus causes FSH and LH release from the anterior pituitary. |
front 316 The ability of a male to ejaculate is due to the action of ________. | back 316 the bulbospongiosus muscles |
front 317 Which of the following hormones stimulates the release of anterior pituitary gonadotropins? | back 317 GnRH |
front 318 The dartos and cremaster muscles are important to the integrity of the male reproductive system. Which of the following is true about the role they play? | back 318 They regulate the temperature of the testes. |
front 319 How do the testes respond to exposure to excessive body warmth? | back 319 They move away from the pelvic cavity. |
front 320 Which structure of the female's external genitalia has erectile tissue like the penis? | back 320 Clitoris |
front 321 Erection of the penis results from ________. | back 321 a parasympathetic reflex |
front 322 The stage in meiosis where chromosomal exchange takes place is telophase. | back 322 FALSE |
front 323 Which of the following phases or processes in the monthly reproductive cycle of the female occur simultaneously? | back 323 regression of the corpus luteum and a decrease in ovarian progesterone secretion |
front 324 Which of the following cells is returned to the basal lamina to continue the pool of dividing germ cells? | back 324 type A daughter cell or spermatogonium |
front 325 The testis is divided into seminiferous tubules which contain the lobules that produce sperm and the ejaculatory duct that allows the sperm to be ejected from the body. | back 325 FALSE |
front 326 Specifically, what encloses the vestibule which houses the openings of the urethra and vagina? | back 326 labia minora |
front 327 Viable sperm production is optimal at the body's core temperature. | back 327 FALSE |
front 328 Which of the following organs is NOT a part of the HPG axis? | back 328 posterior pituitary gland |
front 329 The testicular cells that construct the blood-testis barrier are the ________. | back 329 Sustenocytes |
front 330 Which specific layer of the uterus is shed during menstruation, approximately every 28 days? | back 330 stratum functionalis of the endometrium |
front 331 Which of the following is the haploid cell produced as a result of meiosis I? | back 331 secondary spermatocyte |