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Anatomy Final-CH25

front 1

the region that combines several minor calyces to form two or three major calyces?

back 1

The minor and major calyces collect urine and distribute it onward through the urinary tract.

front 2

What two structures constitute the renal corpuscle?

back 2

glomerulus and glomerular (Bowman's) capsule

front 3

Which part of the renal tubule is lined with cuboidal epithelial cells bordered by dense microvilli?

back 3

proximal convoluted tubule

front 4

In which kidney region are all renal corpuscles located?

back 4

renal cortex

front 5

Where does the efferent arteriole of the juxtamedullary nephron carry blood to?

back 5

vasa recta

front 6

Which capillary bed produces filtrate?

back 6

glomerulus

front 7

What is the function of the macula densa cells of the juxtaglomerular complex (JGC)?

back 7

monitoring the NaCl content of the filtrate

front 8

The __________ collect(s) urine, which drains continuously from the papillae; the urine is then emptied into the __________.

back 8

calyces; renal pelvis

front 9

What is the juxtaglomerular complex?

back 9

a system that regulates the rate of filtrate formation and systemic blood pressure

front 10

The glomerulus differs from other capillaries in the body in that it ________.

back 10

is drained by an efferent arteriole

front 11

Which of the following does not describe the juxtaglomerular complex?

back 11

Its macula densa cells produce aldosterone.

front 12

describe the juxtaglomerular complex

back 12

It regulates the rate of filtrate formation.
It helps control systemic blood pressure.
Its granular cells produce renin.

front 13

The filtration membrane includes all except ________.

back 13

renal fascia

front 14

The position of the kidneys behind the peritoneal lining of the abdominal cavity is described by the term retroperitoneal.

back 14

true

front 15

The proximal convoluted tubule is the portion of the nephron that attaches to the collecting duct.

back 15

false

front 16

Which of the following substances is not normally found in filtrate?

back 16

blood cells and large particles

front 17

substances found in filtrate

back 17

water and small solutes
ions, such as sodium and potassium
nitrogenous waste particles, such as urea

front 18

What is the primary driving force (pressure) that produces glomerular filtration?

back 18

hydrostatic pressure of blood (blood pressure)

front 19

Which substance would be found in higher concentration if the membrane were damaged?

back 19

protein

front 20

If the osmotic pressure in the glomerular capillaries increased from 28 mm Hg to 35 mm Hg, would net filtration increase or decrease?

back 20

net filtration would decrease

front 21

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 21

25 mm Hg

front 22

Which of the following statements about ADH (antidiuretic hormone) is correct?

back 22

ADH is released by the posterior pituitary gland.

front 23

What is the osmolarity of the filtrate at the end of the proximal tubule?

back 23

isotonic – 300 mOsm

front 24

In overhydration, what would be the levels of ADH (high, normal, or low) and what would be the osmolarity of the urine?

back 24

ADH – low; 100 mOsm (urine)

front 25

In severe dehydration or blood loss, what would be the levels of ADH and what would be the urine flow rate?

back 25

ADH – high; low urine flow rate (0.25 ml/min)

front 26

Which of the following best describes glomerular filtration rate (GFR)?

back 26

the volume of filtrate created by the kidneys per minute

front 27

GFR regulation mechanisms primarily affect which of the following?

back 27

glomerular hydrostatic pressure (HPg)

front 28

Which of the following are mechanisms of intrinsic control of glomerular filtration (renal autoregulation)?

back 28

myogenic mechanism and tubuloglomerular feedback

front 29

Macula densa cells of the juxtaglomerular apparatus (JGA) regulate GFR through which intrinsic mechanism?

back 29

tubuloglomerular feedback

front 30

The myogenic mechanism of renal autoregulation primarily involves smooth muscle in which blood vessels?

back 30

afferent arterioles

front 31

What does a high concentration of NaCl in the renal tubule at the juxtaglomerular apparatus (JGA) most likely indicate?

back 31

insufficient NaCl reabsorption due to high GFR

front 32

Through the tubuloglomerular feedback mechanism, how would an increase in filtrate NaCl concentration affect afferent arteriole diameter?

back 32

Afferent arteriole diameter would decrease.

front 33

Granular cells of the juxtaglomerular apparatus (JGA) regulate GFR indirectly through which mechanism?

back 33

renin-angiotensin mechanism

front 34

What is the chief force pushing water and solutes out of the blood and across the filtration membrane of the glomerulus?

back 34

hydrostatic pressure in glomerular capillaries (HPgc)

front 35

Where does antidiuretic hormone (ADH) exert its effects to promote water reabsorption?

back 35

collecting duct

front 36

Where in the nephron does most solute reabsorption occur?

back 36

proximal convoluted tubule

front 37

Capsular hydrostatic pressure is the chief force pushing water and solutes out of the blood and across the filtration membrane.

back 37

false

front 38

The ascending limb of the loop of Henle is permeable to water

back 38

false

front 39

The __________ is a skeletal muscle under conscious control that allows urine to leave the bladder.

back 39

external urethral sphincter

front 40

Which of the following is NOT one of the things that must happen for micturition to occur?

back 40

The extrusor muscle must relax.

front 41

things that must happen for micturition to occur?

back 41

The external urethral sphincter must open.
The detrusor muscle must contract.
The internal urethral sphincter must open.

front 42

Which of the following is NOT a cause of anuria?

back 42

vasodilation of afferent arterioles

front 43

causes of anuria

back 43

renal failure
obstruction in the urethra
vasodilation of afferent arterioles
heart failure

front 44

The kidneys are stimulated to produce renin ________.

back 44

by a decrease in the blood pressure

front 45

Place the following in correct sequence from the formation of a drop of urine to its elimination from the body.

back 45

nephron -> collecting duct -> minor calyx -> major calyx -> ureter -> urethra

front 46

Reabsorption of high levels of glucose and amino acids in the filtrate is accomplished by ________.

back 46

secondary active transport

front 47

If the Tm for a particular amino acid is 120 mg/100 ml and the concentration of that amino acid in the blood is 230 mg/100 ml, the amino acid will ________.

back 47

appear in the urine

front 48

Excretion of dilute urine requires ________.

back 48

impermeability of the collecting tubule to water

front 49

In the ascending limb of the loop of Henle the ________.

back 49

thick segment moves ions out into interstitial spaces for reabsorption

front 50

In the kidneys, the countercurrent mechanism involves the interaction between the flow of filtrate through the loop of Henle of the juxtamedullary nephrons (the countercurrent multiplier) and the flow of blood through the limbs of adjacent blood vessels (the countercurrent exchanger). This relationship establishes and maintains an osmotic gradient extending from the cortex through the depths of the medulla that allows the kidneys to vary urine concentration dramatically.

back 50

true

front 51

Water reabsorption through the proximal convoluted tubule is termed obligatory water reabsorption, whereas water reabsorption through the distal convoluted tubule is termed facultative water reabsorption.

back 51

true

front 52

Glomerular filtration is an ATP-driven process.

back 52

false

front 53

In the absence of hormones, the distal tubule and collecting ducts are relatively impermeable to water.

back 53

true

front 54

Aldosterone is a hormone that causes the renal tubules to reclaim sodium ions from the filtrate.

back 54

true

front 55

An excessive urine output is called anuria.

back 55

false

front 56

Tubular secretion is effective in controlling blood pH.

back 56

true

front 57

Approximately 80% of the energy used for active transport is devoted to the reabsorption of __________.

back 57

sodium

front 58

Under normal conditions, the proximal convoluted tubule (PCT) reabsorbs all of the glucose, lactate, and amino acids in the filtrate and 65% of the Na+ and water.

back 58

true

front 59

Which urinary structure serves as the transporter for urine toward the bladder?

back 59

ureter

front 60

The path urine takes after it is formed until it leaves the body is the urethra, urinary bladder, and finally the ureter.

back 60

false

front 61

The urinary bladder is composed of ________ epithelium.

back 61

transitional

front 62

The act of emptying the bladder is called voiding.

back 62

true