Nephrology Chapter Quiz
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Questions and Answers

What type of nephrons primarily receive their blood supply from peritubular capillaries that arise from efferent arterioles?

  • Juxtamedullary nephrons
  • Nephrons with thin loops
  • Nephrons with long loops
  • Nephrons with short loops (correct)

Which segment of the loop of Henle is found in the ascending limbs of juxtamedullary nephrons?

  • Both thin and thick segments (correct)
  • Only thick segment
  • Only thin segment
  • Neither thin nor thick segments

What structure do several distal convoluted tubules of nephrons empty into?

  • Minor calyces
  • Collecting duct (correct)
  • Renal pelvis
  • Vasa recta

Which type of nephron is characterized by having their renal corpuscles located deep in the cortex, close to the medulla?

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

What do collecting ducts converge into before draining into the renal pelvis?

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

What is the total amount of plasma filtered daily in the renal corpuscle?

<p>180 L (A)</p> Signup and view all the answers

Which substance is completely filtered but not reabsorbed in the nephron?

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

What is the net filtration pressure in the renal corpuscle?

<p>10 mmHg (B)</p> Signup and view all the answers

Which hormone is a potent vasoconstrictor affecting glomerular filtration rate?

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

What is the main regulatory effect of angiotensin II on renal function?

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

What is the approximate amount of glucose reabsorbed daily in the nephron?

<p>162 g (C)</p> Signup and view all the answers

How much water is typically returned to the blood from the filtrate per day?

<p>178-179 L (B)</p> Signup and view all the answers

Which substance is primarily passively filtered and reabsorbed about half of it?

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

Which hormone is released by the posterior pituitary in response to low blood flow?

<p>Antidiuretic hormone (ADH) (A)</p> Signup and view all the answers

What effect does Antidiuretic hormone (ADH) have on the kidneys?

<p>Increases water reabsorption (D)</p> Signup and view all the answers

Which hormone promotes the reabsorption of calcium ions (Ca2+) in the kidneys?

<p>Parathyroid hormone (PTH) (C)</p> Signup and view all the answers

What is the primary role of aldosterone in the kidneys?

<p>Increase sodium reabsorption (D)</p> Signup and view all the answers

What action does parathyroid hormone (PTH) have on phosphate reabsorption?

<p>Inhibits phosphate reabsorption (A)</p> Signup and view all the answers

Which of the following hormones is least involved in regulating blood pressure?

<p>Parathyroid hormone (PTH) (C)</p> Signup and view all the answers

Which hormone is responsible for decreasing renal blood flow in response to increased blood pressure?

<p>Atrial natriuretic peptide (ANP) (B)</p> Signup and view all the answers

What aspect of principal cells is affected by the absence of ADH?

<p>They become almost impermeable to water. (A)</p> Signup and view all the answers

What is the primary function of the kidneys in relation to blood?

<p>Removal of toxins and metabolic wastes (B)</p> Signup and view all the answers

Which component is NOT part of a nephron?

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

What characterizes cortical nephrons compared to other nephron types?

<p>They make up 80-85% of nephrons (A)</p> Signup and view all the answers

Which structure filters blood to form urine?

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

What is the blood supply to the kidneys primarily delivered by?

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

What hormone regulates blood pressure and kidney function?

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

Which of the following is a function of the kidney?

<p>Regulation of blood volume and pH (C)</p> Signup and view all the answers

Where are the kidneys located in relation to the diaphragm?

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

Which ion is primarily regulated by the kidneys?

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

Which of the following statements about the left and right kidneys is true?

<p>The right kidney is lower than the left (A)</p> Signup and view all the answers

What is the primary effect of atrial natriuretic peptide (ANP)?

<p>Increases glomerular filtration by relaxing the glomerulus (B)</p> Signup and view all the answers

Which route involves sodium reabsorption via a sodium-potassium pump?

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

What percentage of filtered Na+ and K+ is reabsorbed in the thick ascending limb of the Loop of Henle?

<p>20-30% (A)</p> Signup and view all the answers

In the proximal convoluted tubule, which substance is NOT primarily reabsorbed?

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

Which statement is true regarding sodium reabsorption mechanisms in the kidney?

<p>Sodium can be absorbed through secondary active transport (C)</p> Signup and view all the answers

What role does carbonic anhydrase (CA) play in the reabsorption in the proximal convoluted tubule?

<p>Converts bicarbonate to carbon dioxide (A)</p> Signup and view all the answers

Which hormone is NOT mentioned as affecting the reabsorption of sodium and water?

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

What is primarily reabsorbed in the second half of the proximal convoluted tubule?

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

Which of the following substances is actively secreted in the distal convoluted tubule?

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

What type of junction allows for paracellular reabsorption?

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

Which process provides energy for sodium reabsorption in renal tubules?

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

What percentage of filtered water is reabsorbed in the thick ascending limb of the Loop of Henle?

<p>15-20% (D)</p> Signup and view all the answers

What role does the peritubular capillary play in renal reabsorption?

<p>It absorbs reabsorbed substances from the tubules (D)</p> Signup and view all the answers

Which statement is true regarding reabsorption in the proximal convoluted tubule?

<p>Sodium is reabsorbed primarily through cotransport mechanisms. (B)</p> Signup and view all the answers

Flashcards

Kidneys

Paired, bean-shaped organs responsible for filtering blood, regulating blood volume and composition, and producing hormones.

Nephron

The functional unit of the kidney, responsible for forming urine.

Renal Corpuscle

The initial filtering component of a nephron, consisting of the glomerulus and Bowman's capsule.

Renal Tubule

The part of the nephron that extends from the renal corpuscle, responsible for reabsorbing water and nutrients back into the blood.

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Glomerular Filtration

The process by which blood is filtered through the glomerulus into Bowman's capsule.

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Tubular Reabsorption

The process by which substances are reabsorbed back into the blood from the renal tubule.

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Tubular Secretion

The process by which substances are secreted from the blood into the renal tubule.

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Renin

The hormone produced by the kidneys that helps regulate blood pressure and kidney function.

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Erythropoietin

The hormone produced by the kidneys that stimulates red blood cell production.

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Vitamin D Activation

The kidneys activate vitamin D, which is important for calcium absorption in the intestines.

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Juxtamedullary nephrons

These nephrons have long loops of Henle that extend deep into the medulla, and consist of both thin and thick segments in their ascending limbs. They receive blood supply from vasa recta, which arise from peritubular capillaries.

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Cortical nephrons

These nephrons have short loops of Henle, only consisting of a thick segment in their ascending limbs. They receive blood supply from peritubular capillaries that arise from efferent arterioles.

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Vasa recta

These blood vessels run parallel to the loops of Henle in the medulla, supplying blood to the nephrons and helping to maintain the concentration gradient in the kidney.

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Peritubular capillaries

These capillaries surround the tubules of the nephron in the cortex, providing them with blood supply and taking away reabsorbed substances.

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Collecting ducts

These ducts collect urine from multiple nephrons and transport it to the renal pelvis. They unite and converge into larger papillary ducts which eventually drain into the ureters.

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What is a nephron?

The functional unit of the kidney, responsible for forming urine by filtering blood and reabsorbing essential components.

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What is the renal corpuscle?

The initial filtering component of a nephron, consisting of the glomerulus and Bowman's capsule.

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What is glomerular filtration?

The process by which small molecules like water, glucose, and electrolytes move from the blood in the glomerulus into Bowman's capsule.

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What is the glomerular filtration rate (GFR)?

A measure of how well the kidneys are functioning by determining the amount of blood filtered by the glomeruli each minute.

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What is net filtration pressure?

The pressure difference across the glomerular capillary wall that drives filtration. It's calculated as the difference between the glomerular capillary pressure, the hydrostatic pressure in Bowman's capsule, and the osmotic pressure of the blood.

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How does angiotensin II affect glomerular filtration?

The hormone angiotensin II constricts both the afferent and efferent arterioles, reducing blood flow and glomerular filtration rate.

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How is glomerular filtration regulated?

The glomerular filtration rate is regulated by hormones and other factors like blood pressure and blood flow.

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Antidiuretic Hormone (ADH)

A hormone released from the posterior pituitary gland in response to low blood flow in the brain. It increases water permeability of principal cells in the distal convoluted tubule and collecting duct, promoting water reabsorption and concentrating urine.

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Parathyroid Hormone (PTH)

A hormone released from the parathyroid glands. It stimulates calcium reabsorption in the early distal convoluted tubule and inhibits phosphate reabsorption in the proximal convoluted tubule, promoting calcium uptake and phosphate excretion.

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Angiotensin II

A potent vasoconstrictor hormone produced by the liver, acting on blood vessels to increase blood pressure. It also stimulates thirst and aldosterone release, contributing to sodium and water retention.

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Aldosterone

A hormone produced by the adrenal cortex. It acts on the kidneys to increase sodium reabsorption and potassium excretion, promoting water retention and elevating blood pressure.

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Atrial Natriuretic Peptide (ANP)

A hormone released by the heart's atria. It promotes sodium and water excretion, reducing blood volume and lowering blood pressure.

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What is Atrial Natriuretic Peptide (ANP)?

A hormone secreted by the atria of the heart when blood pressure increases. ANP promotes the relaxation of the glomerulus, increasing the surface area available for filtration, and ultimately decreasing blood volume.

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What is Glomerular Filtration Regulation?

The mechanisms that regulate the rate at which blood is filtered through the glomerulus, ensuring proper filtration and waste removal.

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What is tubular reabsorption?

The movement of substances from the renal tubules back into the bloodstream. This is essential for reabsorbing valuable nutrients, water, and essential electrolytes.

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What is tubular secretion?

The transport of substances from the bloodstream into the renal tubules, where they are ultimately excreted in urine. This is important for removing waste products and regulating blood pH.

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What is paracellular reabsorption?

The movement of substances between the cells of the tubular epithelium, passing through the tight junctions connecting these cells.

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What is transcellular reabsorption?

The movement of substances across tubular epithelial cells, going through the cell membrane and cytoplasm.

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What happens in the Proximal Convoluted Tubule (PCT)?

The proximal convoluted tubule (PCT) is the first segment of the renal tubule where most reabsorption occurs. This includes essential nutrients such as glucose, amino acids and electrolytes. Water is also reabsorbed here.

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How is sodium reabsorbed in the PCT?

Sodium (Na+) is actively pumped out of the PCT cells into the interstitial fluid. This creates a concentration gradient, driving the reabsorption of other substances such as glucose, amino acids, and water.

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How does sodium reabsorption relate to H+ secretion?

Sodium reabsorption in the PCT can be linked to secreting hydrogen ions (H+). This process is crucial for regulating blood pH.

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How is bicarbonate reabsorbed in the PCT?

Bicarbonate ions (HCO3-) are reabsorbed in the PCT. This is important for maintaining blood pH. The process involves carbonic anhydrase, which converts CO2 and water into carbonic acid, which then dissociates into H+ and HCO3- ions.

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What happens in the second half of the PCT?

In the second half of the Proximal Convoluted Tubule, reabsorption of certain substances happens passively, driven by the concentration gradient created by active reabsorption in the first half.

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What is the role of the Loop of Henle?

The loop of Henle plays a significant role in regulating water and electrolyte balance. The thick ascending limb actively reabsorbs sodium, chloride, and other electrolytes, while relatively little water is reabsorbed.

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What is the role of the Distal Convoluted Tubule (DCT)?

The distal convoluted tubule (DCT) fine-tunes electrolyte balance, primarily by reabsorbing sodium and secreting potassium. This contributes to regulating blood pressure and volume.

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What is the role of the Collecting Duct?

The collecting duct further regulates water reabsorption and electrolyte excretion. The action of hormones like aldosterone and antidiuretic hormone (ADH) plays a crucial role here. Aldosterone stimulates sodium reabsorption and potassium secretion, while ADH promotes water reabsorption.

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Study Notes

MPharm Programme - Renal (PHA115)

  • This is a renal physiology lecture for MPharm students
  • The presenter is Dr. Praveen Bhugra
  • The course code is PHA115

Learning Objectives

  • Students will be able to describe the organs and function of the urinary system
  • Students will understand the anatomy of the kidney, including location, internal and external structure, blood and nerve supply, and function
  • Students will know the detailed structure of the nephron and its blood supply
  • Students will understand renal physiology, including urine formation mechanisms, glomerular filtration, tubular reabsorption, tubular secretion, and hormonal regulation for homeostasis

Urinary System

  • Kidneys produce urine and help regulate body fluids
  • Ureters transport urine to the bladder
  • The urinary bladder is a reservoir for urine
  • The urethra carries urine to the exterior

Urinary System Anatomy

  • Kidneys are paired, bean-shaped organs
  • Located along the back body wall beneath the diaphragm, adjacent to the vertebral column
  • Right kidney is lower than the left due to the liver's location
  • Right, Left renal artery, Right, Left ureter, Urinary bladder, Urethra are key organs

Kidney Structure

  • Renal cortex, Renal medulla, Renal columns, Renal pyramid within the renal medulla, Renal papilla, Renal capsule
  • PATH OF URINE DRAINAGE: Collecting duct -> minor calyx (8-18) -> major calyx (2-3) -> renal pelvis -> ureter -> urinary bladder

Blood and Nerve Supply

  • Renal arteries deliver approximately one-quarter of cardiac output (1200 ml) to kidneys each minute
  • Arterial and venous paths in kidneys are similar
  • Nerve supply is via sympathetic fibers from the renal plexus

Blood Supply of Kidney

  • Cortical radiate vein, Cortical radiate artery, Arcuate vein, Arcuate artery, Interlobar vein, Interlobar artery, Segmental arteries, Renal vein, Renal artery, Renal pelvis, Ureter, Renal medulla, Renal cortex

Renal Blood Supply

  • Aorta, Inferior vena cava, Renal artery, Segmental artery, Interlobar artery, Arcuate artery, Cortical radiate artery, Afferent arteriole, Glomerulus (capillaries), Efferent arteriole
  • Peritubular capillaries and vasa recta

Functions of the Kidney

  • Removal of toxins, metabolic wastes, and excess ions from the blood
  • Regulation of blood volume, chemical composition, and pH
  • Gluconeogenesis during prolonged fasting
  • Endocrine functions, Renin, Erythropoietin, Activation of vitamin D

Nephron

  • Structural and functional units that form urine
  • Approximately 1 million nephrons per kidney
  • Renal corpuscle: initial filtering component
  • Renal tubule: extends from renal corpuscle, Proximal convoluted tubule, Distal convoluted tubule, Loop of Henle, Collecting duct
  • Cortical nephrons (80-85%) with short loops of Henle
  • Juxtamedullary nephrons (15-20%) with long loops of Henle reaching deep into medulla
  • Filtration, reabsorption, secretion occur

Nephrons

  • Distal convoluted tubules empty into collecting ducts
  • Collecting ducts converge into papillary ducts
  • Papillary ducts drain into minor calyces, major calyces, renal pelvis, and ureters

Functions of Nephron and Kidney

  • Filtration: plasma is filtered into the nephron
  • Reabsorption: fluids and substances are reabsorbed into the blood
  • Secretion: substances are secreted from the blood into the fluid

Renal Corpuscle

  • Glomerular (Bowman's) capsule and glomerulus
  • Afferent and efferent arterioles, Podocytes, Mesangial cells, Macula densa cells
  • Filtration membrane comprises the endothelium of glomerular capillaries, basement membrane, podocytes' foot processes
  • Glomerular filtration pressure

Glomerular Filtration

  • Water, proteins, glucose, urea, creatinine filtered from blood
  • Key factors influence GFR

Glomerular Filtration Regulation

  • Two hormones: Angiotensin II (vasoconstrictor), Atrial Natriuretic Peptide (ANP)

Reabsorption Routes

  • Transcellular (passes through cell)
  • Paracellular (passes between cells)
  • Reabsorption in PCT, Loop of Henle, Distal convoluted tubule, Collecting duct

Hormones and Homeostasis

  • Hormones regulate sodium, chloride, calcium, water reabsorption as well as potassium secretion by renal tubules
  • Key hormones: Angiotensin II, Antidiuretic Hormone (ADH), Aldosterone, Atrial natriuretic peptide (ANP), Parathyroid hormone (PTH)
  • Mechanism of action for each hormone

Further Reading - Textbooks Suggested

  • Ross and Wilson Anatomy & Physiology in Health and Illness
  • Gerard Tortora and Byran Derrickson Principles of Anatomy & Physiology
  • Frederic H. Martini Fundamentals of Anatomy & Physiology
  • Lauralee Sherwood Human Physiology From Cells to Systems
  • Robert G. Carroll Elsevier's Integrated Physiology

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Test your knowledge on the structure and function of nephrons with this quiz. You'll explore topics including blood supply, filtration pressures, and hormonal regulation in renal physiology. Perfect for students diving into nephrology and kidney function.

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