A&P II Chapter 25 Reading

24 July 2022
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question
Polycystic kidney disease always affects both kidneys instead of only the right or left kidney because ______.
answer
it is a genetic disease
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Hydronephrosis may be caused by all EXCEPT which of the following?
answer
renal failure
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Which of the following is the most likely to cause pyelonephritis?
answer
infection of the urinary bladder
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Identify the functional area of the kidney at letter B.
Identify the functional area of the kidney at letter B.
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renal pyramid
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Which letter represents the region that combines several minor calyces to form two or three major calyces?
Which letter represents the region that combines several minor calyces to form two or three major calyces?
answer
C
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The area at C will eventually drain urine into the __________.
The area at C will eventually drain urine into the __________.
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ureter
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Which arteries branch off the arcuate arteries?
Which arteries branch off the arcuate arteries?
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cortical radiate arteries
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Which vessels are most intimate with the nephron loop and serve as a point to collect ions and water back into the blood?
Which vessels are most intimate with the nephron loop and serve as a point to collect ions and water back into the blood?
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vasa recta
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Which vessels supply the cortical tissue of the kidney with blood?
Which vessels supply the cortical tissue of the kidney with blood?
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cortical radiate arteries
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Which of the following is the site where we would expect to see the majority of the nephron loops?
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renal pyramid
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Which of the following is NOT a function of the kidneys?
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to regulate body fluid by controlling excretion from sweat glands
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Which statement does NOT accurately describe the renal gross anatomy?
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The left kidney is lower in position because of crowding by the liver.
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The __________ collect(s) urine, which drains continuously from the papillae; the urine is then emptied into the __________.
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calyces; renal pelvis
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Efferent arterioles supply blood to the glomerulus.
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False
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What two structures constitute the renal corpuscle?
What two structures constitute the renal corpuscle?
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glomerulus and glomerular (Bowman's) capsule
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Which part of the renal tubule is lined with cuboidal epithelial cells bordered by dense microvilli?
Which part of the renal tubule is lined with cuboidal epithelial cells bordered by dense microvilli?
answer
proximal convoluted tubule
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In which kidney region are all renal corpuscles located?
In which kidney region are all renal corpuscles located?
answer
renal cortex
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Which of the following is NOT a characteristic of the cortical nephrons?
Which of the following is NOT a characteristic of the cortical nephrons?
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Their nephron loop is closely wrapped with vasa recta.
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Where does the efferent arteriole of the juxtamedullary nephron carry blood to?
Where does the efferent arteriole of the juxtamedullary nephron carry blood to?
answer
vasa recta
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Which capillary bed produces filtrate?
Which capillary bed produces filtrate?
answer
glomerulus
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What is the function of the macula densa cells of the juxtaglomerular complex (JGC)?
What is the function of the macula densa cells of the juxtaglomerular complex (JGC)?
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monitoring the NaCl content of the filtrate
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Which cells of the juxtaglomerular complex secrete renin?
Which cells of the juxtaglomerular complex secrete renin?
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granular cells
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Which of these cells is located interspersed between the capillaries of the glomerulus?
Which of these cells is located interspersed between the capillaries of the glomerulus?
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glomerular mesangial cells
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What is the juxtaglomerular complex?
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a system that regulates the rate of filtrate formation and systemic blood pressure
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Which of the following processes would be considered as a secretory rather than an excretory activity?
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aldosterone release by the adrenal glands
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Which of the following is NOT a major urine formation process?
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micturition
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Which of the following is NOT a cause of anuria?
answer
vasodilation of afferent arterioles
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What is the chief force pushing water and solutes out of the blood and across the filtration membrane of the glomerulus?
What is the chief force pushing water and solutes out of the blood and across the filtration membrane of the glomerulus?
answer
hydrostatic pressure in glomerular capillaries (HPgc)
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Suppose that a patient has a failing liver and is unable to make normal levels of albumin for the blood plasma. If all other factors remain the same, what would be the effect on the amount of filtrate produced?
answer
Filtrate production would increase.
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Calculate the net filtration pressure if blood pressure in the glomerulus is unusually high, around 68 millimeters of mercury (mm Hg).
Calculate the net filtration pressure if blood pressure in the glomerulus is unusually high, around 68 millimeters of mercury (mm Hg).
answer
23 mm Hg
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Which pressure accounts for the other three?
answer
net filtration pressure
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Capsular hydrostatic pressure is the chief force pushing water and solutes out of the blood and across the filtration membrane.
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False
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A relatively large afferent arteriole on one side of the glomerulus compared to a relatively smaller efferent arteriole creates an increase in hydrostatic pressure that drives glomerular filtration.
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True
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Secondary active transport of solutes involves all of the following EXCEPT __________.
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energy expenditure
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What hormone promotes active tubular secretion of potassium ions into, along with sodium reabsorption from, filtrate in the distal convoluted tubule (DCT) and collecting ducts?
What hormone promotes active tubular secretion of potassium ions into, along with sodium reabsorption from, filtrate in the distal convoluted tubule (DCT) and collecting ducts?
answer
aldosterone
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What area of the nephron is responsible for the reabsorption of most of the water from the filtrate as well as most nutrients?
What area of the nephron is responsible for the reabsorption of most of the water from the filtrate as well as most nutrients?
answer
proximal convoluted tubule
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In what part of the renal tubule does parathyroid hormone (PTH) promote the reabsorption of calcium ions?
In what part of the renal tubule does parathyroid hormone (PTH) promote the reabsorption of calcium ions?
answer
distal convoluted tubule (DCT)
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Where in the nephron does most solute reabsorption occur?
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proximal convoluted tubule
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Approximately 80% of the energy used for active transport is devoted to the reabsorption of __________.
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sodium
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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.
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True
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Upon reaching what point in the nephron is reabsorption (1) dependent upon the body's needs at the time and (2) regulated by hormones?
answer
distal convoluted tubule
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The ascending limb of the loop of Henle is permeable to water.
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False
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Which of the following promotes the formation of dilute urine?
Which of the following promotes the formation of dilute urine?
answer
decreased osmolality of extracellular fluids
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Vasa recta blood osmolality is critical to maintaining the countercurrent mechanisms of the nephron. Where is vasa recta blood osmolality the highest?
Vasa recta blood osmolality is critical to maintaining the countercurrent mechanisms of the nephron. Where is vasa recta blood osmolality the highest?
answer
in the deep medulla
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Where does antidiuretic hormone (ADH) exert its effects to promote water reabsorption?
Where does antidiuretic hormone (ADH) exert its effects to promote water reabsorption?
answer
collecting duct
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Which hormone(s) is/are required for facultative water reabsorption in the collecting ducts?
answer
ADH
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External chemicals that enhance urinary output are called __________.
answer
diuretics
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The longer the nephron loop descends into the medulla, the less concentrated the urine will be.
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False
question
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?
answer
vasoconstriction of afferent arterioles
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A nonfasting urine sample from an individual who had previously ingested donuts and a soft drink showed the presence of sugar (glucose). Which of the following statements explains the presence of glucose in the urine?
answer
The individual exceeded the transport maximum.
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Which of these should NOT normally appear in urine?
answer
glucose
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When renal calculi obstruct a ureter, pain is perceived to radiate from the lower back to the anterior abdominal wall on the same side. This is an event that ______.
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is called referred pain
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The frequency of cystitis in men is lower than in women because ______.
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the male urethra is longer than the female urethra
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Urinary incontinence may occur if a person has ______.
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an overactive detrusor muscle
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Why is it difficult for someone to defecate when stressed?
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The external anal sphincter under conscious (voluntary) control does not receive a brain signal to relax.
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Which of the following best describes the function of the urethra?
Which of the following best describes the function of the urethra?
answer
transport of urine from the bladder to the outside of the body
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What region of the male urethra runs through the urogenital diaphragm, extending about 2 centimeters from the prostate to the beginning of the penis?
What region of the male urethra runs through the urogenital diaphragm, extending about 2 centimeters from the prostate to the beginning of the penis?
answer
intermediate part of the urethra (membranous urethra)
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What defines the trigone of the urinary bladder?
What defines the trigone of the urinary bladder?
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the ureter entrances and the opening to the urethra
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Which urinary structure serves as the transporter for urine toward the bladder?
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ureter
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Which part of the brain controls the micturition reflex?
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pons
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The __________ is a skeletal muscle under conscious control that allows urine to leave the bladder.
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external urethral sphincter
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Which of the following is NOT one of the things that must happen for micturition to occur?
answer
The extrusor muscle must relax.
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Which of the following would NOT inhibit micturition?
answer
detrusor contraction
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Given the correlation between urine color and urine concentration, which of the following statements is true about Max's urine?
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Max's urine is most dilute before exercise.
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Max needs to drink more water before exercise to avoid dehydration.
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False
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Antidiuretic hormone (ADH), which regulates urine concentration and dilution, is __________.
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lowest before Max exercises
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Max is curious about the protein content of his urine. Which of these statements provides an accurate basis for Tracey's response, explaining normal conditions?
answer
Few proteins are small enough to pass through the glomerular membrane, but the few that do are reabsorbed. So, proteins are not usually present in urine.
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Tracey knows that the large pizza Max consumed just prior to collecting his third urine sample caused a transient increase in his blood glucose levels. What can be accurately said about the relationship between glucose in the blood and the amount of glucose filtered through the glomerular membrane?
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The higher the blood glucose concentration, the more glucose is filtered through the glomerular membrane.
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Tracey explains to Max that his transiently elevated blood glucose leads to "spilling" of glucose into his urine. Why does this happen?
answer
Reabsorption of glucose is limited by transport proteins.
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During strenuous exercise, Max's body produces lactic acid and his blood pH begins to decline. His kidneys go to work to preserve acid-base balance by doing all of the following EXCEPT __________.
answer
reabsorbing hydrogen