Kidney Functions and Nephron Structure
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Questions and Answers

What triggers the cephalic phase of digestion?

  • Presence of chyme in the small intestine
  • Sight, smell, taste, or thought of food (correct)
  • Stomach distension and presence of proteins
  • Presence of bile in the duodenum
  • Gastrin is released during the intestinal phase of digestion.

    False

    What is the formula for calculating Net Filtration Pressure (NFP)?

    NFP = Glomerular hydrostatic pressure - (Plasma osmotic pressure + Bowman’s capsule pressure)

    CCK, or ______, influences bile release and pancreatic enzyme secretion.

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

    What is the role of Secretin in digestion?

    <p>Stimulates bicarbonate release from the pancreas</p> Signup and view all the answers

    Match the following digestion phases with their triggers:

    <p>Cephalic Phase = Sight, smell, taste, or thought of food Gastric Phase = Stomach distension and proteins Intestinal Phase = Presence of chyme in the small intestine</p> Signup and view all the answers

    What is the primary contraceptive effect of the combination pill?

    <p>It prevents the maturation of ovarian follicles</p> Signup and view all the answers

    What happens to NFP if the glomerular hydrostatic pressure drops to 50 mmHg?

    <p>NFP becomes 5 mmHg, indicating reduced filtration rate.</p> Signup and view all the answers

    The intestinal phase stimulates gastric emptying and digestion in the duodenum.

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

    The combination pill leads to an increase in GnRH release from the hypothalamus.

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

    What substances are primarily reabsorbed in the proximal tubule?

    <p>Glucose, amino acids, sodium, and water</p> Signup and view all the answers

    The combination pill alters the _____________ to effectively prevent pregnancy.

    <p>hormonal feedback loops</p> Signup and view all the answers

    Match the nephron regions with their primary functions:

    <p>Proximal Tubule = Major site for reabsorption Loop of Henle = Concentrates urine Distal Tubule = Final adjustments to urine composition Collecting Duct = Regulates water and sodium balance</p> Signup and view all the answers

    What effect does synthetic progesterone have as part of the combination pill?

    <p>Thickens cervical mucus</p> Signup and view all the answers

    Filtration in the kidneys allows larger molecules such as proteins to pass into Bowman’s space.

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

    What happens during the secretion phase in renal physiology?

    <p>Movement of substances from capillaries into the tubular lumen for excretion</p> Signup and view all the answers

    What is the primary function of the glomerulus?

    <p>Filter plasma into Bowman’s capsule</p> Signup and view all the answers

    The efferent arterioles carry blood towards the glomerulus.

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

    What is the Glomerular Filtration Rate (GFR) in mL/min?

    <p>125</p> Signup and view all the answers

    The final pathway of urine includes the bladder and the ______.

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

    Match the renal process with its definition:

    <p>Filtration = Plasma filtered into Bowman’s capsule Reabsorption = Valuable substances reclaimed into blood Secretion = Waste products actively transported into tubules</p> Signup and view all the answers

    Which structure surrounds the juxtamedullary nephron loops?

    <p>Vasa recta</p> Signup and view all the answers

    Reabsorption occurs only in the PCT.

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

    What is the equation for Net Filtration Pressure (NFP)?

    <p>NFP = GHP - (CHP + GOP)</p> Signup and view all the answers

    What is the primary effect of low ADH levels?

    <p>Decreased water reabsorption</p> Signup and view all the answers

    High ADH levels lead to concentrated urine.

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

    What role does angiotensin II play in blood pressure regulation?

    <p>It increases blood pressure through vasoconstriction.</p> Signup and view all the answers

    Chloride is often co-transported with __________.

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

    Match the following terms with their respective functions:

    <p>ADH = Enhances water reabsorption ACE Inhibitors = Block angiotensin II production Renin = Converts angiotensinogen into angiotensin I Aldosterone = Promotes sodium reabsorption</p> Signup and view all the answers

    What triggers the release of renin?

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

    Cholera toxin leads to excessive sodium absorption in the intestines.

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

    What is the consequence of osmotic imbalances in the intestine?

    <p>Severe dehydration.</p> Signup and view all the answers

    What is the primary effect of increased stomach pH on protein digestion?

    <p>Decreased activity of pepsin</p> Signup and view all the answers

    Trypsin is significantly affected by changes in stomach pH.

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

    What enzyme in the mouth begins carbohydrate digestion?

    <p>Salivary amylase</p> Signup and view all the answers

    The pancreas secretes __________ in response to high blood glucose levels.

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

    Which of the following correctly describes the role of ADH (Vasopressin) in water reabsorption?

    <p>Increases aquaporin-2 channels</p> Signup and view all the answers

    Match the following hormones with their functions:

    <p>Insulin = Decreases blood glucose levels Glucagon = Increases blood glucose levels Vasopressin (ADH) = Promotes water reabsorption Pepsin = Digests proteins</p> Signup and view all the answers

    In type I diabetes, the body relies on __________ for managing blood glucose levels.

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

    What is the role of brush-border enzymes in carbohydrate digestion?

    <p>They break down maltose, maltotriose, and dextrins into glucose.</p> Signup and view all the answers

    What primary fuels does skeletal muscle use during exercise?

    <p>Glucose and fatty acids</p> Signup and view all the answers

    Cortisol decreases gluconeogenesis during stress.

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

    What metabolic pathway breaks down glucose into pyruvate?

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

    During high-intensity exercise, glycolysis provides a rapid source of ATP __________.

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

    Match the type of diabetes with its characteristic.

    <p>Type 1 Diabetes = Insulin deficiency, leading to hyperglycemia Type 2 Diabetes = Insulin resistance and impaired glucose uptake Insulin Excess = Results in hypoglycemia and confusion Fasting = Fatty acids and ketones are primary fuels</p> Signup and view all the answers

    What is a primary effect of exercise on plasma glucose levels?

    <p>Decreases plasma glucose</p> Signup and view all the answers

    Lactate accumulates during anaerobic glycolysis and contributes to muscle fatigue.

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

    What is produced when pyruvate is oxidized in the presence of oxygen?

    <p>Acetyl-CoA</p> Signup and view all the answers

    Study Notes

    Kidney Functions and Nephron Structure

    • General Functions:
      • Filtration: Removes waste products, toxins, and drugs from the blood.
      • Regulation: Maintains fluid balance, electrolytes, and blood pressure.
      • Acid-Base Balance: Regulates blood pH by excreting H+ and reabsorbing bicarbonate (HCO3−).
      • Erythropoiesis Regulation: Releases erythropoietin (EPO) to stimulate red blood cell production.
      • Metabolic and Hormonal Roles: Activates vitamin D and regulates calcium-phosphate metabolism.
    • Filtration Barrier Layers:
      • Fenestrated Endothelium: Allows passage of water and small solutes, but blocks cells like red blood cells.
      • Basement Membrane: Prevents passage of large proteins based on charge and size.
      • Podocyte Filtration Slits: Podocytes with slit diaphragms provide another size-selective barrier.
    • Nephron Segments:
      • Glomerular Capsule (Bowman's Capsule): Collects filtrate from the glomerulus.
      • Proximal Convoluted Tubule (PCT): Reabsorbs most water, glucose, and electrolytes.
      • Nephron Loop (Loop of Henle):
        • Descending Limb: Permeable to water; concentrates filtrate.
        • Ascending Limb: Impermeable to water; reabsorbs Na+ and Cl−.
      • Distal Convoluted Tubule (DCT): Regulates Na+, K+, and pH under hormonal control (e.g., aldosterone).
    • Collecting Duct: Adjusts water reabsorption based on ADH levels; forms concentrated or dilute urine.
    • Nephron and Collecting Duct Relationship: Each nephron connects to a collecting duct, which collects processed filtrate (urine) from multiple nephrons; collecting ducts merge and drain into the renal pelvis.
    • Cortical vs. Juxtamedullary Nephrons:
      • Cortical Nephrons: Located mostly in the cortex; have short loops of Henle; general filtration and reabsorption.
      • Juxtamedullary Nephrons: Extend deep into the medulla; have long loops of Henle; essential for urine concentration.

    Vascular Elements of the Nephron

    • Afferent Arterioles: Deliver blood to the glomerulus.
    • Glomerulus: Network of capillaries that filters plasma into Bowman's capsule.
    • Efferent Arterioles: Carry blood away from the glomerulus.
    • Peritubular Capillaries: Surround cortical nephron tubules, and are part of the exchange site for reabsorption and secretion.
    • Vasa Recta: Surround juxtamedullary nephron loops; maintain the medullary osmotic gradient.

    Key Renal Processes

    • Filtration: Plasma filtered into Bowman's capsule.
    • Reabsorption: Valuable substances (e.g., water, glucose, sodium) reclaimed into the blood.
    • Secretion: Additional waste products actively transported into tubules.

    Determining Urine Volume and Composition

    • Integration of Three Processes: Filtration, reabsorption, and secretion.

    Glomerular Filtration Rate (GFR)

    • Definition: The volume of filtrate produced by the kidneys per minute.

    Water Molecule Pathway

    • Pathway to Urine: Afferent arteriole → Glomerulus → Bowman's capsule → PCT → Loop of Henle → DCT → Collecting duct → Renal pelvis → Ureter → Bladder → Urethra → Excreted.

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    Description

    Explore the essential functions of the kidneys and the intricate structure of nephron segments. This quiz covers topics such as filtration, regulation of body fluids, and the roles of specific cell types in kidney function. Test your understanding of how kidneys maintain homeostasis in the body.

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