Anatomy of the Kidney

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What is the primary function of the microvilli in the Proximal Convoluted Tubule (PCT) cells?

To increase the surface area for passive transport

What is the role of the filtration slits in the glomerulus?

To facilitate the passage of substances into the capsular space

What is the main function of the basement membrane in the glomerulus?

To facilitate the passage of substances through the filtration slits

What is the primary function of the mitochondria in the PCT cells?

To generate ATP for active transport processes

What is the main function of the tight junctions between adjacent PCT cells?

To limit the escape of large molecules from the tubular lumen into the interstitial space

What is the main characteristic of the PCT cells in terms of permeability?

They are highly permeable to water and many solutes

What is the function of the podocytes in the glomerulus?

To form the filtration membrane along with the capillary endothelium and basement membrane

What is the primary function of the fenestrations in the glomerulus?

To allow the passage of substances through the filtration membrane

Which structure is responsible for collecting urine from the renal pyramids before it is conveyed to the ureter?

Renal pelvis

What is the primary role of the peritubular capillaries in the kidney?

Absorbing water and solutes from tubule cells

Which structure carries blood away from the glomerulus?

Efferent arteriole

Which pathway does blood follow after leaving the vasa recta?

Interlobular veins → arcuate veins → interlobar veins → renal vein

What is the function of the renal columns?

Providing a route for blood vessels and nerves to and from the cortex

Why do the renal pyramids appear striated?

Because they contain parallel bundles of ducts carrying urine

Which blood vessels directly feed into the glomerulus?

Afferent arterioles

What is the sequence of urine flow from the renal pyramids to the bladder?

Minor calyx → major calyx → renal pelvis

Which cells of the Juxtaglomerular Apparatus serve as baroreceptors sensitive to blood pressure?

Granular cells

What structures deliver urine through papillae into minor calyces?

Collecting ducts

Which cells in the JGA possess secretory granules containing renin?

Granular cells

What is the primary function of macula densa cells in the JGA?

Monitor and respond to changes in NaCl concentration

What is the main characteristic of principal cells in the late distal convoluted tubule and cortical collecting duct?

Have few microvilli and basolateral folds

Which cell type in the JGA acts as mechanoreceptors sensing blood pressure in the afferent arterioles?

Granular cells

Which cells are interconnected by gap junctions in the JGA?

Extraglomerular mesangial cells

Where is the juxtaglomerular apparatus located in relation to the afferent and efferent arterioles?

Between the thick ascending loop of Henle and the afferent and efferent arterioles

Which is a function of intercalated cells in the kidneys?

Secretion of hydrogen ions

What is the primary role of the myogenic mechanism in renal autoregulation?

Modifying the contraction of vascular smooth muscle cells in response to changes in blood pressure

What is a key characteristic of principal cells in the medullary collecting duct?

Relatively smooth membranes

What happens to the afferent arteriole when blood pressure decreases?

It dilates to increase blood flow

What primarily regulates the permeability of principal cells to water and solutes?

Hormones

Which of the following best describes the effect of high blood pressure on the afferent arteriole?

The vessel constricts to reduce blood flow

In urine formation, what remains in the blood plasma after filtration?

Proteins

What is the main factor that the tubuloglomerular mechanism responds to?

The osmolarity and/or the rate of filtrate flow in the terminal portion of the ascending loop of Henle

Which of the following statements about urine formation is correct?

It involves filtration, reabsorption, and secretion.

Which cells are sensitive to filtrate NaCl osmolarity in the tubuloglomerular mechanism?

Macula densa cells

Where do large quantities of water and solutes initially pass into during urine formation?

Glomerular capsule

How does the myogenic mechanism help to regulate glomerular blood flow?

By causing reflexive vasoconstriction or dilation of the afferent arteriole in response to blood pressure changes

Which structural feature is NOT common between principal cells and intercalated cells?

Smooth luminal membrane

What percentage of the filtrate ultimately becomes urine?

Less than 1%

This quiz covers the structure and function of the kidney, including the renal medulla, pyramids, and calyxes.

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