Kidney Anatomy and Physiology Quiz
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Questions and Answers

What is the primary role of the nephrons in the kidney?

  • Filter blood and maintain fluid balance (correct)
  • Transport urine to the renal pelvis
  • Support the renal columns structure
  • Regulate blood pressure through arteries
  • Which anatomical structure serves to separate the lobes of the kidney?

  • Renal papillae
  • Renal fat pad
  • Renal columns (correct)
  • Cortex
  • How do cortical nephrons differ from juxtamedullary nephrons?

  • Cortical nephrons reside mainly in the medulla
  • Juxtamedullary nephrons are more abundant
  • Juxtamedullary nephrons extend deep into the medulla (correct)
  • Cortical nephrons have longer loops of Henle
  • What is the range of normal kidney weight in males?

    <p>125 to 175 g (B)</p> Signup and view all the answers

    What composes the fibrous capsule that encloses each kidney?

    <p>Dense, irregular connective tissue (A)</p> Signup and view all the answers

    What is the primary function of antidiuretic hormone (ADH) in renal physiology?

    <p>To promote the recovery of water and decrease urine volume (D)</p> Signup and view all the answers

    How does the body respond when plasma osmolarity increases due to mild dehydration?

    <p>Stimulation of ADH release from the posterior pituitary (D)</p> Signup and view all the answers

    What is the role of angiotensin-converting enzyme (ACE) in the regulation of blood pressure?

    <p>To convert angiotensin I into angiotensin II (A)</p> Signup and view all the answers

    What is the primary action of natriuretic hormones on renal function?

    <p>Inhibiting aldosterone release and promoting sodium excretion (A)</p> Signup and view all the answers

    What mechanism regulates blood flow in the kidneys through the response of smooth muscle to stretch?

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

    What role do juxtaglomerular cells play in regulating glomerular filtration rate?

    <p>They relax to increase filtration when blood osmolarity is low. (C)</p> Signup and view all the answers

    What is the primary function of the proximal convoluted tubule (PCT) in the nephron?

    <p>To actively transport essential solutes like sodium and glucose. (A)</p> Signup and view all the answers

    Which statement accurately describes the filtration slits formed by podocytes?

    <p>They form a sieve-like barrier that selectively filters based on size. (B)</p> Signup and view all the answers

    What is the significance of the nephron's portal system?

    <p>It connects two capillary beds through an arteriole. (C)</p> Signup and view all the answers

    What are the secondary functions of nephrons aside from filtration, reabsorption, and secretion?

    <p>Controlling blood pressure and producing red blood cells. (C)</p> Signup and view all the answers

    What primary function does angiotensin II serve in the body?

    <p>It regulates blood pressure by increasing it. (C)</p> Signup and view all the answers

    Which part of the nephron is responsible for the majority of water reabsorption?

    <p>Proximal convoluted tubule (C)</p> Signup and view all the answers

    What mechanism does the sodium-potassium pump utilize for ion transportation?

    <p>Active transport (B)</p> Signup and view all the answers

    What is the effect of antidiuretic hormone (ADH) on the collecting ducts?

    <p>Stimulates the insertion of aquaporin channels into the membrane. (A)</p> Signup and view all the answers

    Which statement about the loop of Henle is correct?

    <p>The ascending loop is impermeable to water. (C)</p> Signup and view all the answers

    What is the primary role of carbonic anhydrase in the kidneys?

    <p>To catalyze the reaction forming bicarbonate and hydrogen ions (C)</p> Signup and view all the answers

    What effect does the pumping of sodium by the sodium-potassium ATPase pump have in the ascending loop of Henle?

    <p>It creates an electrochemical gradient for chloride reabsorption (C)</p> Signup and view all the answers

    What role does parathyroid hormone play in calcium regulation?

    <p>It stimulates the hydroxylation of calcidiol to calcitriol. (A)</p> Signup and view all the answers

    During the passage through the loop of Henle, how does osmolarity change?

    <p>It can vary from isotonic to hypertonic and then to hypotonic (B)</p> Signup and view all the answers

    What is the primary mechanism by which baroreceptors in the aorta and carotid sinuses regulate blood pressure?

    <p>They control sympathetic nervous system responses. (B)</p> Signup and view all the answers

    What is the outcome of the actions of the countercurrent multiplier system?

    <p>It concentrates solutes deeper in the renal medulla (D)</p> Signup and view all the answers

    Which diuretic mechanism is primarily involved when caffeine increases urine production?

    <p>Promotion of vasodilation in the nephron. (A)</p> Signup and view all the answers

    How does aldosterone affect sodium reabsorption in the distal convoluted tubule?

    <p>It increases the number of sodium-potassium ATPase pumps on the basal membrane (D)</p> Signup and view all the answers

    How does potassium balance change with sodium reabsorption in the kidneys?

    <p>Increased sodium reabsorption leads to more potassium secretion. (C)</p> Signup and view all the answers

    What is the main reason for converting ammonia into urea in the liver?

    <p>Urea is more soluble and less toxic than ammonia. (C)</p> Signup and view all the answers

    What is the primary consequence of renal failure on erythropoiesis?

    <p>Reduced production of erythropoietin (EPO) (C)</p> Signup and view all the answers

    Which kidney function is primarily responsible for regulating osmolarity?

    <p>Water retention and excretion (C)</p> Signup and view all the answers

    What is the definition of chronic kidney disease (CKD)?

    <p>Kidney damage lasting three months or more (C)</p> Signup and view all the answers

    What lab result would indicate a potential sign of kidney disease?

    <p>Urine protein to creatinine ratio exceeding 30mg/g (D)</p> Signup and view all the answers

    Which condition is characterized by high levels of protein in urine and swelling?

    <p>Nephrotic syndrome (B)</p> Signup and view all the answers

    Which ethnic group is reported to be most affected by kidney failure in the United States?

    <p>African American (B)</p> Signup and view all the answers

    What essential role does vitamin D play in regards to calcium?

    <p>Promotes calcium absorption in the digestive tract (A)</p> Signup and view all the answers

    What is the leading cause of chronic kidney disease in the United States?

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

    Which of the following is not a function of the kidneys?

    <p>Stimulating cognitive function (A)</p> Signup and view all the answers

    How does a drop in serum osmolarity affect the body?

    <p>Causes widespread edema (C)</p> Signup and view all the answers

    Flashcards

    Renal Cortex

    The outer region of the kidney, containing renal corpuscles, proximal convoluted tubules, and distal convoluted tubules.

    Renal Medulla

    The inner region of the kidney, containing the renal pyramids and renal papillae. It plays a role in urine concentration.

    Renal Papillae

    Bundle of collecting ducts in the medulla that transport urine from nephrons to the kidney's calyces for excretion.

    Nephron

    The functional unit of the kidney, responsible for filtering blood and regulating fluid and electrolyte balance.

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    Glomerulus

    Specialized capillaries located within the renal corpuscle of the nephron. They filter blood under high pressure.

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    Renal Corpuscle

    The structure within the nephron where blood filtration occurs, consisting of a network of capillaries called the glomerulus surrounded by Bowman's capsule.

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    Juxtaglomerular Apparatus (JGA)

    A specialized region within the nephron responsible for the production of renin, a hormone crucial in blood pressure regulation. It consists of cells from the distal convoluted tubule (macula densa) and cells in the afferent arteriole (juxtaglomerular cells).

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    Proximal Convoluted Tubule (PCT)

    The primary active transporter in the nephron, responsible for reabsorbing essential nutrients like glucose, amino acids, and water back into the bloodstream. The cells lining it have a brush border to increase surface area for absorption.

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    Renin

    A hormone produced by the juxtaglomerular cells of the kidney in response to low blood pressure. Angiotensinogen is cleaved by renin to form angiotensin I, which is then converted to angiotensin II, a potent vasoconstrictor, raising blood pressure.

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    Macula Densa

    The specialized cells located in the distal convoluted tubule (DCT) of the nephron. They directly sense sodium concentrations in the tubular fluid, releasing signaling molecules that influence blood flow and pressure.

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    What is the role of Angiotensin II in blood pressure regulation?

    Angiotensin II is a powerful vasoconstrictor that increases blood pressure by narrowing blood vessels. It also stimulates the release of aldosterone, a hormone that increases sodium and water reabsorption by the kidneys, further boosting blood pressure.

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    What is the primary function of the Loop of Henle?

    The loop of Henle, consisting of descending and ascending limbs, is a crucial part of the nephron, responsible for concentrating urine. The descending limb is permeable to water but not solutes, while the ascending limb is permeable to solutes but not water. This difference allows for the establishment of a concentration gradient within the kidney.

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    What is GFR?

    The glomerular filtration rate (GFR) is the volume of fluid filtered from blood plasma into Bowman's capsule per minute. It reflects the overall efficiency of kidney function.

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    What is Tubular Reabsorption?

    Reabsorption is the process by which essential substances, like water, glucose, and amino acids, are taken back into the blood from the filtrate in the nephron. This occurs through various mechanisms, including active transport, diffusion, and facilitated diffusion.

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    What is Tubular Secretion?

    Secretion is the process where waste products like toxins, drugs, and excess ions are moved from the blood into the filtrate in the nephron. This process helps remove unwanted substances from the body.

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    Antidiuretic Hormone (ADH)

    A hormone produced by the posterior pituitary gland that regulates water reabsorption in the kidneys.

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    Angiotensin II

    A potent vasoconstrictor that plays a key role in raising blood pressure. It stimulates aldosterone release and promotes sodium reabsorption.

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    Atrial Natriuretic Hormone (ANH)

    A 28-amino acid peptide produced by the heart atria that promotes sodium and water excretion, lowering blood pressure.

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    Endothelins

    They are a family of vasoconstrictors produced by endothelial cells of the renal blood vessels. They can be elevated in diabetic kidney disease.

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    Descending Loop of Henle: Water Permeability

    The descending loop of Henle is freely permeable to water, but not to solutes. The increase in osmolarity of the surrounding interstitial fluid causes water to move out of the descending loop via aquaporin channels, concentrating the urine inside the descending loop.

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    Ascending Loop of Henle: Solute Transport

    The ascending loop of Henle actively transports solutes, mainly sodium, out of the tubule, but it is impermeable to water. This creates a hypotonic filtrate and contributes to the hyperosmotic environment in the kidney medulla.

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    Countercurrent Multiplier System

    The countercurrent multiplier system describes the interaction between the descending and ascending loops of Henle, where solutes are actively pumped out of the ascending limb, creating a concentration gradient that drives water reabsorption in the descending limb.

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    Distal Convoluted Tubule (DCT) Functions

    The distal convoluted tubule (DCT) recovers calcium from the filtrate and is also the site of aldosterone action. Aldosterone stimulates the sodium-potassium ATPase pump, increasing sodium reabsorption and contributing to water reabsorption by creating an osmotic gradient.

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    Collecting Duct: Osmolarity Regulation

    The collecting duct plays a vital role in regulating urine volume and osmolarity. It can reabsorb more or less water depending on the body's hydration status, helping to maintain normal osmolarity.

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    What are non-renal excretable drugs?

    Large molecules that cannot be filtered by the kidneys and are not readily eliminated from the body.

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    What is osmolarity regulation?

    The process by which the kidneys regulate the amount of water and electrolytes in the blood.

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    What is nephrotic syndrome?

    A condition marked by very high levels of protein in the urine.

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    What is polycystic kidney disease?

    A type of kidney disease caused by genetic mutations that lead to the formation of cysts in the kidneys.

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    What is erythropoietin (EPO)?

    A hormone produced by the kidneys that stimulates the production of red blood cells.

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    What is glomerular filtration rate (GFR)?

    The rate at which the kidneys filter blood.

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    What is chronic kidney disease (CKD)?

    A condition where the kidneys are not functioning properly, leading to a build-up of waste products in the blood.

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    What are the stages of Chronic Kidney Disease?

    The stages of chronic kidney disease are determined by GFR and other factors.

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    What are the main causes of CKD?

    Diabetes and hypertension are the leading causes of chronic kidney disease in the United States.

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    How do the kidneys regulate Vitamin D?

    The kidneys play a crucial role in regulating vitamin D.

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    What is the function of parathyroid hormone (PTH)?

    A hormone produced by the parathyroid glands in response to low blood calcium levels. It acts on the kidney to promote the conversion of calcidiol to calcitriol (active vitamin D), which increases calcium absorption in the gut. It also blocks phosphate reabsorption in the kidneys, leading to increased phosphate loss in urine and ultimately, higher blood calcium levels.

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    How do baroreceptors regulate blood pressure?

    Baroreceptors are pressure-sensitive receptors located in the aorta and carotid sinuses. They detect changes in blood pressure and send signals to the brain, which then adjusts blood vessel diameter and heart rate to regulate blood pressure. When blood pressure increases, baroreceptors signal the brain to dilate blood vessels and decrease heart rate, lowering blood pressure. When blood pressure decreases, baroreceptors signal the brain to constrict blood vessels and increase heart rate, raising blood pressure.

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    What is a diuretic?

    A compound that increases urine volume. Diuretics are often prescribed to reduce blood pressure by decreasing blood volume. Common examples include hydrochlorothiazide, which inhibits sodium reabsorption in the kidneys, and caffeine, which promotes vasodilation and increases glomerular filtration rate.

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    How does sodium affect blood pressure?

    Sodium plays a major role in regulating blood volume and pressure. Excess sodium can lead to increased water retention, hypertension (high blood pressure), and edema (swelling). The renin-angiotensin-aldosterone system and ADH (antidiuretic hormone) are key mechanisms that regulate sodium levels in the body.

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    What is the role of chloride in the body?

    Chloride is a major anion in the extracellular fluid and is important for acid-base balance. It is closely associated with sodium and its regulation mirrors that of sodium. In the stomach, chloride combines with hydrogen ions to form hydrochloric acid, which aids in digestion.

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    Study Notes

    Kidney Anatomy and Physiology

    • Kidney Size and Weight: Kidneys weigh 125-175g in males and 115-155g in females. They are approximately 11-14 cm long, 6 cm wide, and 4 cm thick on average.
    • External Anatomy: Directly covered by a fibrous capsule of dense, irregular connective tissue for shape and protection. This fibrous capsule is followed by an adipose tissue layer called the renal fat pad for shock absorption.

    Internal Kidney Anatomy

    • Renal Cortex and Medulla: The outer region is the cortex, the inner region is the medulla.
    • Renal Columns: Connective tissues that radiate from the cortex through the medulla, separating the structures within the medulla. They divide the kidney into 6-8 lobes, supporting blood vessels. Renal columns and pyramids form the kidney lobes.
    • Renal Pyramids and Papillae: Renal papillae are bundles of collecting ducts that transport urine made by nephrons to the calyces for excretion.

    Nephrons and Vessels

    • Nephrons (Functional Unit): About 1.3 million nephrons per kidney, cleanse blood & balance circulation components. There are two main types of nephrons. Cortical nephrons have short loops of Henle; juxtamedullary nephrons have long loops that extend into the medulla.
    • Renal Blood Vessels: Renal artery branches into segmental arteries, interlobular arteries, arcuate arteries, and cortical radiate arteries and then into afferent arterioles. Afferent arterioles lead to about 1.3 million nephrons in each kidney.
    • Glomerulus and Bowman's Capsule (Renal Corpuscle): A highpressure capillary tuft (glomerulus) surrounded by the Bowman's capsule, filter blood based on particle size, producing glomerular filtrate. The glomerulus drains into the efferent arteriole, which forms a capillary network (peritubular capillaries/vasa recta) around the nephron tubule for substance recovery. This type of capillary bed is called a portal system.

    Nephron Function

    • Filtration, Reabsorption, Secretion: The nephron population balances plasma and eliminates toxins in urine via:
    • Filtration: Captures fluid based on particle size, into Bowman's capsule.
    • Reabsorption: Returns important solutes and water to the blood circulation from the nephrons (e.g., water, sodium, glucose).
    • Secretion: Removes excess solutes and waste from the blood circulation into the renal tubular lumen.

    Parts of the Nephron

    • Renal Corpuscle: Consists of the glomerulus and Bowman's capsule, with the external part (parietal layer) consisting of simple squamous epithelium and the internal part (visceral layer) consisting of podocytes with pedicels.
    • Juxtaglomerular Apparatus (JGA): Specialized cells monitor fluid and filtration rate (GFR). Macula densa cells release paracrine signals (ATP and adenosine) in response to sodium concentration changes, influencing the juxtaglomerular cell contraction/relaxation for blood flow regulation. Juxtaglomerular cells regulate blood flow to the glomerulus.
    • Proximal Convoluted Tubule (PCT): Cuboidal cells with high mitochondria and microvilli for reabsorption and secretion maximization, regulating sodium, chloride, glucose, and other substances.
    • Loop of Henle: Descending & Ascending limbs, important for water and solute reabsorption, creating a concentration gradient for urine.
    • Descending Loop: Primarily permeable to water.
    • Ascending Loop: Impermeable to water, actively pumps sodium.
    • Distal Convoluted Tubule (DCT): Cuboidal cells that recover calcium via parathyroid hormone, and sodium.
    • Collecting Ducts: Receive filtrate from multiple nephrons, further modify it, adjust fluid composition.

    Urine Production

    • Glomerular Filtration Rate (GFR): Volume of filtrate formed per minute (approximately 125ml/min in men, 105ml/min in women). 180 liters in men, 150 in women per day = 99% is reabsorbed , only 12 liters per day of urine is produced.
    • Net Filtration Pressure (NFP): Determines filtration rates. Changes in osmolarity or capillary pressure affect the amount of filtrate formed.

    Reabsorption and Secretion Mechanisms

    • Mechanisms: Active transport, diffusion, facilitated diffusion, and osmosis move substances across nephron membranes for reabsorption or secretion. Bicarbonate/acid-base balance is another important role that the nephrons play.

    Kidney Regulation

    • Sympathetic Nerves: Decrease blood flow to the kidneys during stress or activity.
    • Autoregulation: Myogenic and tubuloglomerular feedback mechanisms balance blood flow. Myogenic mechanisms change diameter in response to stretch to regulate blood flow in the kidney.
    • Endocrine Regulation: Renin-angiotensin-aldosterone system, ADH, natriuretic hormones, parathyroid hormone. These regulate blood pressure, fluid volume, and other important factors.

    Chronic Kidney Disease

    • Definition and Stages: Kidney damage lasting for >3 months with decreased GFR.
    • Tests for diagnosis: Taking comprehensive health history, labs (CMP, urinalysis, urine albumin), and other testing (ultrasound), and imaging.
    • Causes: Diabetes, hypertension, polycystic kidney disease, infections, toxic drugs, autoimmune diseases (lupus, Goodpasture syndrome,), heavy metal poisoning, rare genetic conditions.
    • Management: Primarily treating underlying causes, diet (DASH), managing blood pressure, avoiding nephrotoxic drugs.

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    Description

    Test your knowledge on the anatomy and physiology of kidneys. This quiz covers the size, structure, and internal components of the kidneys, including nephrons and blood vessels. Dive into the intricate details of kidney function and anatomy.

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