front 1 what are the basic differences between cortical and juxtamedullary nephrons? | back 1 Cortical nephrons: most numerous type, renal corpuscles in outer portion of renal cortex, short loops of Henle lying mainly in cortex and penetrate only into outer region of medulla, loop blood supply is from peritubular capillaries
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front 2 why are the kidneys said to be retroperitoneal? | back 2 their position in the body is posterior to the peritoneum of the abdominal cavity. |
front 3 hilus | back 3 Is the place where blood vessels and nerves enter and leave the kidney. |
front 4 what structures pass through the renal hilus? | back 4 Ureter, renal artery, renal vein, lymphatic vessels, nerves |
front 5 What volume of blood enters the renal arteries per minutes? | back 5 At rest, about 20-25% of cardiac output flows through the kidneys. This is on the order of 1200 ml per minute. |
front 6 Where is the juxtaglumerular apparatus located and what is its structure? | back 6 Location: it is where the DCT makes contact with the afferent arteriole
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front 7 When cells of the renal tubules secrete the drug penicillin, is the drug being added to or removed from the bloodstream? | back 7 secreted penecillin is removed from the blood |
front 8 Why is there much greater filtration through glomerular capillaries than through capillaries elsewhere in the body? | back 8 glomerular capillaries present a large surface area for filtration, are about 50 times leakier than capillaries in most other tissues due to their large fenestrations, and glomerular capillary blood pressure is high. |
front 9 Micturition | back 9 -urination
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front 10 What chemical substances are normally present in urine? | back 10 Is a sterile fluid composed mostly of water,nitrogen-containing waste,and electrolytes.Important nitrogenous waste include urea,uric acid,ammonia,and creatinine. |
front 11 In which section of the nephrons and collecting ducts does secretion occur? | back 11 Secretion occurs in the proximal convoluted tubule, the loop of henle, the last part of the distal convoluted tubule, and the collecting duct |
front 12 Which part of the filtration membrane prevents red blood cells from entering the capsular space? | back 12 glomerular fenestrations |
front 13 If the urinary excretion rate of a drug such as penicillin is greater than the rate at which it is filtered at the glomerulus, how else is it getting into the urine? | back 13 by secretion |
front 14 What is the major chemical difference between blood plasma and glomerular filtrate? | back 14 blood plasma: contains blood cells, platelets, most plasma proteins and nutrients.
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front 15 Which portions of the renal tubule and collecting duct reabsorb more solutes than water to produce dilute urine? | back 15 ascending loop of henle and entire collecting duct. |
front 16 Which solutes are the main contributors to the high osmotic gradient of interstitial fluid in the renal medulla? | back 16 Na+, K+ and urea |
front 17 How does filtered glucose enter and leave a PCT cell? | back 17 It enters via Na+ symporters located in the apical membrane and leaves through the basolateral membrane via facilitated diffusion. |
front 18 Besides ADH, which other hormones contribute to the regulation of water reabsorption? | back 18 Angiotensin II and aldosterone |
front 19 Which hormone stimulates reabsorption and secretion by principal cells, and how does this hormone exert its effect? | back 19 Aldosterone-stimulates the principal cells int he collecting ducts to reabsorb more Na+ and Cl- and secrete more K+ with the reabsorption of Na+ and Cl-; when more Na+ and Cl- are reabsorbed, more water is reabsorbed resulting in increased blood volume and a return of blood pressure to normal. |
front 20 How may kidney function be evaluated? | back 20 by urine test or blood test |
front 21 Which hormones are responsible for influencing the renal reabsorption? | back 21 Aldosterone and antidiuretic hormone |
front 22 How does Na+, K+, Cl-ions is transported in a thick ascending limb of the loop of Henle? | back 22 Active NaCl transport in the thick ascending limb is driven by the basolateral Na+-K+-ATPase pump. The activity of this transporter is higher in the thick ascending limb than in other nephron segments, indicating the importance of active Na+ reabsorption at this site [1-3]. The Na+-K+-ATPase pump has two major effects on Na+ handling: it actively transports reabsorbed Na+ out of the cell and back into the systemic circulation via the peritubular capillaries; and it maintains a low cell Na+ concentration that allows luminal Na+ to continue to enter the cell down a concentration gradient [1]. |
front 23 What is the function of the tight junction between tubule cells? | back 23 With its barrier function of epithelia, it has long been suspected that tight junctions may be selectively permeable to some ions, because the permselectivity of the paracellular pathway is variable in different segments of the renal tubule. |
front 24 By what mechanism is water reabsorbed from tubular fluid? | back 24 The proximal tubule cells are most active in reabsorption. Most of the nutrients, 65% of the water and sodium ions, and the bulk of actively transported ions are reabsorbed in the PCT. |