Urinary System CHP 23

25 July 2022
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question
Filtration is a ________________ process that depends on a ___________________ gradient.
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passive; pressure
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The majority of sodium reabsorption occurs at the proximal convoluted tubule. During this process sodium enters the tubule cells at the __________ and exits the tubule cells at the __________.
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luminal membrane facilitated diffusion; basolateral membrane through the sodium potassium pump
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Glucose that is reabsorbed into tubular cells travels __________ its concentration gradient through sodium-glucose symport channels at the luminal membrane. Glucose in tubular cells exits the basolateral membrane into interstitial fluid through the process of ______________________.
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against; facilitated diffusion
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Which nephron loop is impermeable to water and permeable to salts
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Ascending loop / B
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The interstitial fluid within the medulla has a _________ osmolarity than the interstitial fluid within the cortex.
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higher
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The vasa recta is a specialized capillary that branches from the _________ arteriole. The blood flow in the vasa runs ________ to the flow of tubular filtrate within the nephron loop.
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efferent; parallel, but in the opposite direction
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Indicate the pathway of urine formation to urine output by placing each of the structures in the correct sequential order
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-Nephron -Collecting tubule -Collecting duct -Papillary duct -Minor calyx -Major calyx -Renal pelvis -Ureters -Bladder -Urethra
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Indicate whether an increase in each factor would cause an increase or decrease in urine volume -Blood pressure -Antidiuretic hormone (ADH) -Aldosterone -Atrial natriuretic peptide (ANP)
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Increase: -Blood pressure -Atrial natriuretic peptide (ANP) Decrease: -Antidiuretic hormone (ADH) -Aldosterone
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Place the vessels in the correct order to represent the arterial circulation leading up to the glomerulus
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-Aorta -Renal artery -Segmental artery -Interlobar artery -Arcuate artery -Cortical radiate artery -Afferent arteriole -Glomerulus
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There are four major stages in the _________ of urine.
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Formation
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The first stage (forming urine) involves creating a filtrate in the _________.
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Glomerulus
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Second, the filtrate flows through the tubules and useful substances are ____________ .
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Reabsorbed
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Waste products will then be _______ by the tubules.
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Secreted
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The last stage is water _________, occurring in the renal tubule.
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Conservation
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The effects of angiotensin II on tubular reabsorption.
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-Constricts afferent and especially efferent arterioles -Maintains or increases glomerular blood pressure and glomerular filtration -Reduces blood pressure in peritubular capillary -Reduces resistance to tubular reabsorption -Tubular reabsorption increases -Urine volume is less but concentration is high
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Tubular ______ and secretion occurs with varying solutes in the renal tubules.
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reabsorption
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In the ____, there is secretion of urea, H+, creatine, and uric acid.
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PCT
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Conversely, there is a noticeable reabsorption of ____________ , amino acids, urea, and vitamins in the same region of the tubule.
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glucose
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Once in the nephron loop, the _______ limb reabsorbs water.
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descending
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Heading up the ______ limb, urea is secreted.
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ascending
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In the DCT, ___ can be reabsorbed and secreted heading into the collecting duct.
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K+
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Characteristics of the ascending limb
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-Filtrate osmolarity decreases as it passes through -Active pumping of sodium -Impermeable to water
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Characteristics of the descending limb
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-Filtrate osmolarity increases as it passes through -Permeable to water -Impermeable to solutes
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Circumstances that would promote an increase in blood pressure
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-Increased release of renin -Vasoconstriction -Increased production of angiotensin II -Increased activity of ACE -Increasing levels of aldosterone -Increased activation of the thirst mechanism
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Circumstances which would promote a decrease in blood pressure
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-Vasodilation -Declining levels of ADH -Decreased sodium reabsorption
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Components of the renal tubule
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-Distal convoluted tubule -Collecting duct -Proximal convoluted tubule -Nephron loop
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Components of the renal vasculature
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-Glomerulus -Arcuate arteries and veins -Cortical radiate arteries and veins -Segmental arteries -Renal arteries and veins -Vasa recta -Peritubular capillaries
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Which of the following statements is/are true regarding renal innervation?
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-The renal plexus issues nerve fibers into the renal parenchyma -Sympathetic stimulation causes the kidneys to secrete renin in response to low blood pressure.
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Descriptions regarding the composition and properties of urine.
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-Urine is more dense than distilled water -The most abundant solute in urine is a nitrogenous waste -Urine is approximately 95% water -Hematuria (blood in urine) may indicate trauma to the kidney -It is possible for urine to be hypertonic compared to blood plasma -The oder of urine can be influenced by different good
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Production of urine by the ______ begging to fill the urinary bladder
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Kidney
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The fullness of the urinary bladder is detected by __________.
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Stretch receptors
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Sensory nerve impulses travel along the ________ to the _______ spinal cord.
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pelvic nerve; sacral
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Efferent impulses excite the ________ and relax the __________ urethral
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detrusor; internal urethral
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The kidneys secrete an enzyme called ______ that aid in the regulation of blood pressure.
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Renin
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A patient with advanced kidney disease is likely to be suffering from ___________, which is an unusually high blood urea nitrogen (BUN) level
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azotemia
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A disease that results in the breakdown of muscle tissue would result in an increase in the presence of ______ in the blood, which the liver would convert to ______ and would be excreted in the urine.
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ammonia ; urea
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After a few days of visiting a ski resort at an elevation of 7000 feet, the kidneys would secrete _________ to increase red blood cell production. This would give the blood a higher oxygen-carrying capacity.
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erythropoietin