Human Anatomy: Urinary System Overview

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Questions and Answers

Where are the kidneys located in the body?

  • Intra-abdominal, at the level of L2 to L4 vertebrae
  • Subcutaneous, anterior to the abdominal cavity
  • Retroperitoneal, between T12 and L3 vertebrae (correct)
  • Intrathoracic, adjacent to the lungs

What is the primary reason the right kidney is positioned lower than the left kidney?

  • It is closer to the heart
  • The presence of major blood vessels
  • The diaphragm limits its position
  • The liver pushes it slightly downward (correct)

What is the approximate size of an adult kidney?

  • 5 inches long and 3 inches wide
  • 3 inches long and 2.5 inches wide
  • 4 inches long and 2.2 inches wide (correct)
  • 6 inches long and 2 inches wide

What structure serves as the entry and exit point for the renal artery, vein, lymphatics, and ureters?

<p>Hilum (D)</p> Signup and view all the answers

What is the average weight of a kidney in ounces?

<p>5.5 ounces (B)</p> Signup and view all the answers

What is the primary function of the ureters?

<p>To propel urine from kidneys to the bladder (A)</p> Signup and view all the answers

What substance is primarily eliminated by the urinary system as a waste product?

<p>Urea (C)</p> Signup and view all the answers

What is the lining of the ureters made of?

<p>Transitional epithelium (A)</p> Signup and view all the answers

What complication can arise from kidney stones impacting the ureters?

<p>Hydronephrosis (C)</p> Signup and view all the answers

Which hormone produced by the urinary system is responsible for stimulating red blood cell production?

<p>Erythropoietin (C)</p> Signup and view all the answers

How does the urinary system help maintain fluid and electrolyte balance?

<p>By balancing water, sodium, potassium, and chloride levels (D)</p> Signup and view all the answers

What is the approximate length of the ureters?

<p>12 inches (A)</p> Signup and view all the answers

What role does renin play in the urinary system?

<p>Regulates blood pressure (A)</p> Signup and view all the answers

Which muscular action is used by the ureters to move urine?

<p>Peristalsis (C)</p> Signup and view all the answers

Which function of the urinary system supports acid-base balance?

<p>Excretion of hydrogen ions and reabsorption of bicarbonate (C)</p> Signup and view all the answers

What is the primary role of the detrusor muscle in the bladder?

<p>Contracting during urination (A)</p> Signup and view all the answers

How does the length of the male urethra compare to the length of the female urethra?

<p>The male urethra is longer. (B)</p> Signup and view all the answers

What structure forms the triangular area in the bladder known as the trigone?

<p>The opening of the urethra and two ureters (A)</p> Signup and view all the answers

What is the maximum urine capacity of the bladder?

<p>1 liter (D)</p> Signup and view all the answers

Which of the following correctly describes the external urethral sphincter?

<p>Voluntary muscle controlling urine release (D)</p> Signup and view all the answers

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

<p>Filters blood (B)</p> Signup and view all the answers

Which structure is responsible for collecting urine from the renal pyramids?

<p>Renal Pelvis (B)</p> Signup and view all the answers

Which region of the kidney is primarily involved in the filtration process?

<p>Renal Cortex (B)</p> Signup and view all the answers

What occurs during the reabsorption process in the nephron?

<p>Water and substances are returned to the blood (B)</p> Signup and view all the answers

What is the purpose of the renal capsule?

<p>Surrounds the kidney for protection (B)</p> Signup and view all the answers

What happens during glomerular filtration?

<p>Blood pressure pushes substances into Bowman's capsule. (D)</p> Signup and view all the answers

Which substance is primarily reabsorbed in the proximal convoluted tubule?

<p>Glucose (C)</p> Signup and view all the answers

During tubular secretion, which of the following is added to the filtrate?

<p>Hydrogen ions (C)</p> Signup and view all the answers

What is the final pathway of urine after it has formed?

<p>Collecting ducts, renal pelvis, urethra. (B)</p> Signup and view all the answers

Which of the following is NOT part of the filtrate composition during glomerular filtration?

<p>Blood cells (C)</p> Signup and view all the answers

What condition is characterized by the presence of blood in urine?

<p>Hematuria (A)</p> Signup and view all the answers

Which disorder indicates a complete absence of urine production?

<p>Anuria (A)</p> Signup and view all the answers

Which diagnostic test is primarily used to detect infections and abnormal substances in urine?

<p>Urinalysis (UA) (C)</p> Signup and view all the answers

What is the main cause of nephrolithiasis?

<p>Mineral crystallization (A)</p> Signup and view all the answers

What does oliguria commonly indicate?

<p>Signs of kidney failure (C)</p> Signup and view all the answers

What does a high level of BUN indicate?

<p>Kidney dysfunction (A)</p> Signup and view all the answers

Which imaging method is used to visualize the urinary tract using contrast dye?

<p>IVP (A)</p> Signup and view all the answers

What is the primary purpose of a creatinine clearance test?

<p>To assess glomerular filtration rate (B)</p> Signup and view all the answers

Which procedure involves the direct removal of waste products from the blood for patients with kidney failure?

<p>Hemodialysis (C)</p> Signup and view all the answers

What type of imaging does a KUB provide?

<p>X-ray imaging without contrast (C)</p> Signup and view all the answers

What is the main purpose of peritoneal dialysis?

<p>To remove waste products from the blood (B)</p> Signup and view all the answers

How often is peritoneal dialysis typically performed each week?

<p>Three times a week (D)</p> Signup and view all the answers

What characterizes Continuous Ambulatory Peritoneal Dialysis (CAPD)?

<p>It is a manual procedure done during the day. (D)</p> Signup and view all the answers

What is azotemia associated with?

<p>Excess nitrogen in the blood (B)</p> Signup and view all the answers

Which statement correctly describes vesicoureteral reflux?

<p>It involves the backflow of urine from the bladder to the ureters. (B)</p> Signup and view all the answers

Flashcards

What is the primary function of the urinary system in terms of waste?

The urinary system removes waste products like urea, creatinine, and uric acid from the blood.

How does the urinary system maintain fluid balance?

The urinary system regulates the amount of water and electrolytes, such as sodium, potassium, and chloride, in the body.

What hormones does the urinary system produce?

The kidneys produce erythropoietin, renin, and calcitriol, which are hormones that regulate red blood cell production, blood pressure, and calcium levels.

How does the urinary system contribute to acid-base balance?

The urinary system helps maintain the correct pH balance in the blood, by excreting hydrogen ions and reabsorbing bicarbonate.

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How does the urinary system form urine?

The kidneys filter waste products from the blood and form urine for excretion.

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Kidney Location

The kidneys are located in the back of the abdominal cavity, between the 12th thoracic (T12) and 3rd lumbar (L3) vertebrae.

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Right Kidney Position

The right kidney sits slightly lower than the left kidney due to the presence of the liver on the right side.

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Kidney Hilum

The hilum is a concave indentation on the medial aspect of the kidney where the renal artery, renal vein, ureter, and lymphatics enter and exit the kidney.

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Kidney Size

The kidneys are approximately 4 inches long and 2.2 inches wide, weighing around 5.5 ounces.

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Renal Artery and Vein

The renal artery carries oxygenated blood to the kidneys, while the renal vein carries deoxygenated blood away from the kidneys.

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What is the hilum?

The entry and exit point for blood vessels, nerves, and the ureter.

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What is the renal cortex?

The outer layer of the kidney responsible for filtering blood.

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What is the renal medulla?

The inner region of the kidney containing structures for urine transport.

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What is a nephron?

The functional unit of the kidney responsible for urine production.

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What is the glomerulus?

Filters blood in the nephron, pushing water and waste into Bowman's capsule.

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What are ureters?

Two muscular tubes, about 12 inches long, that transport urine from the kidneys to the bladder.

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What kind of tissue lines the ureters?

A type of tissue lining the ureters, allowing them to stretch and accommodate urine flow.

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What process moves urine through the ureters?

Muscle contractions that move substances along a tube, like urine through the ureters.

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What is hydronephrosis?

A condition where the kidneys swell due to a blockage, usually caused by a kidney stone.

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What are kidney stones?

A hard deposit in the kidneys that can block the ureters, causing hydronephrosis.

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Detrusor Muscle

A smooth muscle layer that contracts to expel urine.

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Trigone

A triangle-shaped region at the base of the bladder where the ureters and urethra connect.

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Rugae

Folds in the bladder lining that allow it to expand and store urine.

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Urethra

A muscular tube that carries urine from the bladder to the outside of the body.

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External Urethral Sphincter

A ring of muscle that surrounds the urethra and allows for voluntary control of urination.

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What causes Nephrolithiasis?

Kidney stones are formed when minerals crystallize in the kidneys.

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What is Cystitis?

It's an inflammation of the urinary bladder, often caused by a bacterial infection.

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Describe Pyelonephritis.

A bacterial infection usually causes inflammation of both the kidney and renal pelvis.

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What does Proteinuria indicate?

Proteinuria indicates kidney damage as it involves the presence of protein in the urine.

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What is Hematuria?

Hematuria means blood in the urine and can be caused by various factors like infection, trauma, and even kidney stones.

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What is Glomerular Filtration?

This is the first step of urine formation. Here, blood pressure forces water, salts, glucose, and waste products from the capillaries in the glomerulus into Bowman's capsule.

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What is Tubular Reabsorption?

This is the second step of urine formation. As filtrate travels through the proximal convoluted tubule, 99% of the water, glucose, and electrolytes are reabsorbed back into the bloodstream.

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What is Tubular Secretion?

This is the third step of urine formation. Unwanted waste products, like potassium and hydrogen ions, are actively transported from the blood into the filtrate in the renal tubules.

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How does urine get excreted?

This is the final step of urine formation. Once the filtrate is processed, it becomes urine and travels through the collecting ducts, renal pelvis, ureters, bladder, and finally exits the body through the urethra.

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What is the main function of the glomerulus during urine formation?

In this process, blood pressure forces water, salts, glucose, and waste products from the capillaries in the glomerulus into Bowman's capsule.

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Peritoneal Dialysis

A method of removing waste products from the blood using the peritoneal membrane in the abdomen as a filter.

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CAPD (Continuous Ambulatory Peritoneal Dialysis)

Manually performed during the day, using a catheter to deliver and drain dialysis fluid.

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CCPD (Continuous Cycling Peritoneal Dialysis)

Automated process performed overnight, using a machine to cycle dialysis fluid.

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Vesicoureteral Reflux

Refers to the backflow of urine from the bladder to the ureters.

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Micturition

The act of urinating, expelling urine from the bladder.

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What does a BUN test measure?

This test analyzes the amount of urea in your blood, indicating possible problems with your kidneys.

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What does creatinine clearance assess?

This is a measure of how well your kidneys are filtering your blood.

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What technique uses contrast dye to see the urinary tract?

A special X-ray using contrast dye to visually examine the urinary tract, including kidneys, ureters, and bladder.

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What is cystoscopy?

A procedure where a scope is used to visually inspect the inside of the bladder.

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What is hemodialysis?

This process removes waste products from the blood for patients with kidney failure, using a machine to filter the blood.

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