Kidney Function and Structure Quiz

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Questions and Answers

What is the primary function of the kidneys?

  • Blood clotting
  • Hormone production
  • Urine formation (correct)
  • Immune response

The kidneys are located inside the abdominal cavity.

False (B)

What term describes the study of kidney function?

renal physiology

The kidneys receive ______ of the cardiac output at any given time.

<p>20–25%</p> Signup and view all the answers

Match the following kidney structures with their functions:

<p>Renal artery = Controls blood flow into the kidneys Renal cortex = Where blood-filtering units (nephrons) begin Urinary bladder = Stores urine Ureters = Transports urine to the bladder</p> Signup and view all the answers

Which of the following correctly describes the renal capsule?

<p>A protective covering with three layers of connective tissue or fat (C)</p> Signup and view all the answers

The ureters carry urine from the kidneys to the urinary bladder.

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

What happens to filtrate after it leaves Bowman’s capsule?

<p>It is modified by reabsorption and secretion. (C)</p> Signup and view all the answers

How much blood do the kidneys pump each minute in resting individuals?

<p>1.2 liters (approximately 5 cups)</p> Signup and view all the answers

Secretion is a nonspecific process that adds substances to the filtrate.

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

What is the term for the first step in urine formation?

<p>Filtration</p> Signup and view all the answers

The percentage of renal plasma flow that filters into the tubule is called the __________.

<p>filtration fraction</p> Signup and view all the answers

Which substance typically does NOT filter into the nephron?

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

Match each pressure with its role in glomerular filtration:

<p>Capillary blood pressure = Forces fluid through the leaky endothelium Capillary colloid osmotic pressure = Opposes filtration Capsule fluid pressure = Also opposes filtration</p> Signup and view all the answers

Approximately one-fifth of the plasma that flows through the kidneys filters into the nephrons.

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

What is the average capillary blood pressure in the glomerulus that favors filtration?

<p>55 mm Hg</p> Signup and view all the answers

What is the role of renin in the renin-angiotensin-aldosterone system?

<p>It converts angiotensinogen to angiotensin I (D)</p> Signup and view all the answers

Angiotensin II promotes vasodilation to lower blood pressure.

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

What hormone do the kidneys produce in response to low oxygen levels?

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

The kidneys activate vitamin D into its active form known as ______.

<p>calcitriol</p> Signup and view all the answers

Match the following terms with their descriptions:

<p>Aldosterone = Promotes sodium reabsorption and potassium excretion ADH = Regulates water excretion based on body needs Gluconeogenesis = Synthesis of glucose from non-carbohydrate sources EPO = Stimulates production of red blood cells in the bone marrow</p> Signup and view all the answers

What process occurs only in the renal corpuscle of the nephron?

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

Aldosterone is released in response to increased potassium levels in the blood.

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

What is the primary function of nephrons in the kidneys?

<p>To filter, reabsorb, and secrete substances</p> Signup and view all the answers

What is the average glomerular filtration rate (GFR)?

<p>125 mL/min (D)</p> Signup and view all the answers

The colloid osmotic pressure inside glomerular capillaries is lower than that of the fluid in Bowman's capsule.

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

What causes fluid movement back into the capillaries?

<p>Colloid osmotic pressure</p> Signup and view all the answers

The hydrostatic fluid pressure in Bowman’s capsule averages ______ mm Hg, opposing filtration.

<p>15</p> Signup and view all the answers

Which of the following primarily determines the filtration pressure?

<p>Renal blood flow and blood pressure (C)</p> Signup and view all the answers

Match the components influencing the filtration coefficient with their descriptions:

<p>Surface area of glomerular capillaries = Available area for fluid filtration Permeability of filtration slits = Ease of fluid passage through barriers</p> Signup and view all the answers

What happens if most of the filtrate is not reabsorbed during its passage through the nephron?

<p>Blood plasma would run out in 24 minutes. (A)</p> Signup and view all the answers

Rapid fluid filtration into the tubules occurs because of the low pressure in the glomerular capillaries.

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

What is a primary factor that affects the glomerular filtration rate (GFR)?

<p>Urinary pathway obstruction (A)</p> Signup and view all the answers

GFR remains relatively constant across a wide range of blood pressures, typically between 80 mm Hg and 180 mm Hg.

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

What happens to GFR if there is vasoconstriction in the afferent arteriole?

<p>GFR decreases</p> Signup and view all the answers

The __________ response allows vascular smooth muscle to react to changes in pressure.

<p>myogenic</p> Signup and view all the answers

Match the following factors with their respective effects on GFR:

<p>Increased afferent resistance = Decreased GFR Increased efferent resistance = Increased GFR Obstruction in urinary pathways = Decreased GFR Renal arteriolar pressure increase = Potential increase in GFR</p> Signup and view all the answers

Which of the following correctly describes the impact of efferent arteriolar resistance on GFR?

<p>It increases GFR (C)</p> Signup and view all the answers

Increased renal blood flow always leads to an increase in GFR.

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

What is the average GFR in a healthy individual?

<p>180 L/day</p> Signup and view all the answers

What is the main function of tubuloglomerular feedback?

<p>To influence GFR through changes in fluid flow (C)</p> Signup and view all the answers

Vasodilation of the afferent arteriole is more effective at maintaining GFR than vasoconstriction.

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

What happens to the afferent arteriole when blood pressure decreases?

<p>The arteriole becomes maximally dilated.</p> Signup and view all the answers

The region between the afferent and efferent arterioles in the nephron is called the __________ apparatus.

<p>juxtaglomerular</p> Signup and view all the answers

Match the following components with their roles in kidney autoregulation:

<p>Macula densa = Transmits information about fluid flow Granular cells = Release renin Afferent arteriole = Regulates blood flow to glomerulus Efferent arteriole = Drains blood from glomerulus</p> Signup and view all the answers

What physiological change occurs in response to increased blood pressure in the myogenic response?

<p>Vascular smooth muscle contracts (A)</p> Signup and view all the answers

A decrease in GFR helps the body conserve blood volume.

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

Smooth muscle in the afferent arteriole is sensitive to __________ changes.

<p>pressure</p> Signup and view all the answers

Flashcards

What is renal physiology?

The study of kidney function.

Where are the kidneys located?

Paired organs located on either side of the spine, just above the waist.

What is a ureter?

A smooth muscle tube that carries urine from the kidneys to the bladder.

What is micturition?

The process of expelling urine from the bladder.

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What is the renal cortex?

The outer layer of the kidney where the nephrons (blood-filtering units) are located.

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What is the renal capsule?

A protective layer of connective tissue and fat surrounding the kidney.

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What is the renal artery?

A large blood vessel that supplies blood to the kidneys.

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What is the significance of blood flow to the kidneys?

The kidneys receive approximately 20-25% of the cardiac output despite comprising only 0.4% of body weight.

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Renin-Angiotensin-Aldosterone System (RAAS)

The kidneys' mechanism for regulating blood pressure, involving renin, angiotensin, and aldosterone.

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Renin

An enzyme produced by the kidneys that initiates the RAAS by converting angiotensinogen to angiotensin I.

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Aldosterone

A hormone produced by the adrenal glands that regulates sodium and potassium balance, leading to increased blood pressure.

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Erythropoietin (EPO)

A hormone produced by the kidneys in response to low oxygen levels, stimulating red blood cell production.

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Vitamin D Activation

The process by which the kidneys convert inactive vitamin D to its active form, essential for calcium absorption.

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Gluconeogenesis

The process where the kidneys synthesize glucose from non-carbohydrate sources, like amino acids, during fasting or stress.

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Nephrons

Tiny filtering units within the kidneys responsible for blood purification.

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Filtration

The process where blood pressure forces fluid from the glomerulus into Bowman's capsule.

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Glomerular Filtration

The process by which water and solutes move from the glomerular capillaries into Bowman's capsule.

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Reabsorption

The movement of substances from the renal tubules back into the blood.

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Glomerular Filtration Pressure (PGC)

The pressure driving fluid out of the glomerular capillaries into Bowman's capsule.

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Capsular Hydrostatic Pressure (PBC)

The hydrostatic pressure in Bowman's capsule, opposing filtration.

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Glomerular Osmotic Pressure (Ï€GC)

The osmotic pressure exerted by proteins in the glomerular capillaries, opposing filtration.

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Glomerular Filtration Rate (GFR)

The ability of the glomerulus to filter blood.

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Autoregulation of GFR

The ability of the kidneys to maintain a relatively constant GFR despite fluctuations in blood pressure.

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Myogenic Response

The intrinsic ability of vascular smooth muscle to respond to pressure changes.

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Secretion

The process by which substances from the blood are selectively added into the filtrate in the nephron tubule.

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Capillary Blood Pressure

The pressure exerted by the blood flowing through the glomerular capillaries, pushing fluid out into Bowman's capsule.

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Capsule Fluid Pressure

The pressure exerted by the fluid within Bowman's capsule, resisting the movement of fluid into the capsule.

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Capillary Colloid Osmotic Pressure

The pressure created by plasma proteins in the blood, drawing water back into the capillaries.

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Filtration Fraction

The percentage of plasma that flows through the kidneys that gets filtered into the nephrons.

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Peritubular Capillaries

The small blood vessels surrounding the nephron tubules, where reabsorption and secretion occur.

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Net Filtration Pressure

The force that drives fluid out of the glomerular capillaries into Bowman's capsule. It is the difference between the hydrostatic pressure in the capillaries and the opposing pressures (colloid osmotic pressure and hydrostatic pressure in Bowman's capsule).

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Hydrostatic Pressure in Bowman's Capsule (Pfluid)

The pressure exerted by the fluid within Bowman's capsule. It opposes the movement of fluid from the capillaries into the capsule.

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Colloid Osmotic Pressure

The pressure created by the presence of proteins in the blood plasma. It draws fluid back into the capillaries.

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Hydrostatic Pressure in Glomerular Capillaries

The pressure exerted by the blood within the glomerular capillaries. It pushes fluid out of the capillaries and into Bowman's capsule.

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Filtration Coefficient

The surface area of the glomerular capillaries available for filtration and the permeability of the filtration slits. These factors determine how easily fluid can pass through the capillary walls.

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Afferent and Efferent Arterioles in Glomerular Filtration

The afferent arteriole is wider than the efferent arteriole, leading to increased pressure in the glomerulus, which drives filtration.

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What is tubuloglomerular feedback?

A paracrine signaling mechanism in the kidney where the flow of fluid through the Loop of Henle influences the glomerular filtration rate (GFR).

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What is the myogenic response?

A mechanism that helps regulate blood flow through the afferent arteriole, similar to autoregulation in other arterioles.

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Describe how the myogenic response affects blood flow.

The afferent arteriole constricts in response to increased blood pressure, reducing blood flow to the glomerulus and preventing a rise in GFR.

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How does the myogenic response respond to decreased blood pressure?

The afferent arteriole dilates when blood pressure decreases, increasing blood flow to the glomerulus to help maintain GFR. However, dilation is less effective than constriction.

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What is the juxtaglomerular apparatus (JGA)?

A specialized structure in the kidney where the end of the ascending limb of the loop of Henle comes close to the afferent and efferent arterioles, enabling communication between them.

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What is the macula densa?

A specialized group of cells in the juxtaglomerular apparatus located in the thick ascending limb of the loop of Henle. They sense changes in fluid flow and deliver signals to the afferent arteriole.

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What are granular cells (also known as juxtaglomerular cells or JG cells)?

Specialized smooth muscle cells found in the walls of the afferent arteriole, adjacent to the macula densa. They release renin in response to certain stimuli.

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Explain tubuloglomerular feedback.

When the macula densa detects increased fluid flow, it signals the afferent arteriole to constrict, reducing GFR. This is part of autoregulation and helps maintain stable glomerular filtration.

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Study Notes

Kidney Anatomy and Function

  • The urinary system includes the kidneys and accessory structures.
  • Renal physiology is the study of kidney function.
  • Kidneys are located on either side of the spine, in the retroperitoneal space, between the 11th and 12th ribs.
  • Kidneys receive 20-25% of cardiac output, despite making up only 0.4% of total body weight.
  • Kidneys are covered by a capsule of connective tissue that protects and stabilizes them.
  • Renal arteries supply blood to the kidneys, and renal veins carry blood away.
  • The renal cortex is the outer layer, containing nephrons (blood-filtering units) and renal corpuscles.
  • The renal medulla is the inner layer, primarily composed of nephrons with their tubules.
  • Renal tubules transport urine to the renal pelvis.
  • Urine is formed as water and solutes are removed from plasma within nephrons. These nephrons are modified through the tubules.
  • The ureters carry urine from each kidney to the bladder.
  • The bladder expands and stores urine until it contracts, expelling urine through the urethra.
  • Urine production is called micturition or urination.
  • Kidneys filter blood, removing waste and excess substances to produce urine

Kidney Structural Components

  • The kidney is made of specialized cells organised into the renal cortex and renal medulla
  • The renal corpuscle combines the glomerulus and bowman's capsule together as a blood-filtering unit
  • The filtrate which is produced is then further processed and modified by tubular structures
  • The filtrate, now called urine, exits the kidney through the ureter and into the bladder

Kidney Filtration

  • Filtration occurs in the renal corpuscle and involves the filtering of water and small solutes from the blood into the Bowman's capsule
  • The process is selective, allowing passage of small molecules but preventing large proteins or blood cells from entering the filtrate.
  • The three filtration barriers (endothelium, basement membrane, and podocytes) prevent substances unwanted from reaching the filtrate
  • Capillary blood pressure, colloid osmotic pressure, and fluid pressure in Bowman's capsule interplay to influence the rate of filtration.

Kidney Reabsorption and Secretion

  • Reabsorption is the process where filtered substances move out of the filtrate and into the blood of peritubular capillaries.
  • This process takes place along the renal tubule.
  • Reabsorption is selective, with different molecules being reabsorbed at different parts of the tubule. This enables cells to reuse substances in the body
  • Secretion is the process where substances that were not initially filtered from the blood are secreted into the filtrate.
  • Secretion occurs at different parts of the tubules and has an active transport mechanism.

Kidney Function

  • Maintaining fluid balance
  • Maintaining electrolyte balance
  • Controlling blood pressure
  • Producing hormones (e.g., erythropoietin, vitamin D)
  • Regulating acid-base balance

Kidney Regulation

  • The renin-angiotensin-aldosterone system (RAAS) regulates blood pressure
  • Autoregulation mechanisms maintain a relatively constant glomerular filtration rate (GFR) despite variations in blood pressure.
  • Factors like blood pressure, filtration coefficient, and the concentration of plasma proteins affect the GFR.
  • Tubuloglomerular feedback involves the macula densa cells detecting changes in filtrate composition and signal neighboring cells to adjust glomerular filtration.
  • Myogenic response of afferent arteriolar smooth muscle and the tubuloglomerular feedback mechanism enable autoregulation and maintain homeostasis
  • The kidneys receive hormones such as ADH that regulate water reabsorption in the collecting ducts
  • The kidneys manage water and electrolyte balance, and are therefore fundamental to homeostasis

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