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47 Questions

Urea and uric acid are products of the breakdown of ____.

Proteins

When a female patient develops cystitis, the most likely cause is from ____.

Wiping front to back

Yolanda has been diagnosed several times in the last year with cystitis. She asks the practitioner if there is anything she can do to prevent future episodes of cystitis. What is the best response to her question?

Always clean the perineal area from front to back.

You would anticipate that a patient who has had ____ may develop cystitis.

An indwelling urinary catheter

When taking a urine sample from a patient for testing, you notice it is cloudy. This could indicate ____.

Poor cleansing when collecting the urine

An immune disorder is a possible cause for which disease?

Glomerulonephritis

Renal calculi could result from ____.

Obstruction in the tubules

How does pyelonephritis begin?

As an infection in the kidneys

Which of these urinary diseases is likely to be treated with corticosteroids?

Glomerulonephritis

The portion of the renal cortex that extends between the pyramids is the ____.

Renal column

Which of the following is the outermost layer of the kidneys?

Renal cortex

What are the muscular tubes that carry urine to the bladder called?

Ureters

Which of these is the medial depression of a kidney?

Hilum

What is the name for the hormone that regulates blood pressure?

Renin

The kidneys are in which position when compared to the peritoneal cavity?

Retroperitoneal

Which of these is a hormone that helps to regulate red blood cell production?

Erythropoietin

The ____ contains the renal artery, renal vein, and ureter.

Hilum

The expansion of the ureter inside the kidneys is the ____.A) renal pelvis

Renal pelvis

The middle portion of the kidneys is the ____.A) renal pelvis

Renal medulla

Which of the following is composed of a mass of capillaries called a glomerulus and is where blood filtration occurs?

Renal corpuscle

The group of capillaries that forms the renal corpuscle is called the ____.A) renal tubule

Glomerulus

Located between the proximal and distal tubules is the ________.

loop of Henle

Which section of the tubule is connected to the glomerulus?

Renal corpuscle

Which structure surrounds each glomerulus?

Bowman's capsule

What are the tiny vessels that surround the tubules?

Peritubular capillaries

The ____ deliver blood to the peritubular capillaries.

afferent arterioles

Which process of urine formation decreases when the blood pressure decreases, and increases when the blood pressure increases?

Glomerular filtration

The ____ join with other, similar structures from other nephrons to form collecting ducts.

Distal Convoluted Tubules

During the ____ process of urine formation, substances move from the blood into the renal tubules.

Glomerular filtration

During ____, the hormone ADH controls the amount of water the body keeps.

Tubular reabsorption

Which of the following occurs in the renal corpuscles?

Glomerular filtration

The filtrate flows into the proximal convoluted tubule during which process of urine formation?

Glomerular filtration

During which process of urine formation do drugs and hydrogen ions enter the filtrate?

Tubular secretion

In which process of urine formation are nutrients, ions, and water returned to the body?

Tubular reabsorption

Substances such as drugs, ions, and waste products are moved during the ____ process of urine formation and are eliminated in urine.

Tubular secretion

Which urinary system structure takes urine away from the bladder?

Urethra

The ____ use(s) a peristaltic action to take urine to the bladder.

Ureters

The detrusor muscle is part of the __.

Bladder

Which of the following describes acute renal failure?

Can be caused by nervous system disorders

Which of the following does not describe acute kidney failure?

May cause excessive urine production

Which of the following describes chronic renal failure?

Commonly caused by high blood pressure or diabetes

Which of the following does not describe chronic renal failure?

Surgical repair of obstructions may correct failure

Carol recently had surgery to repair a urinary sphincter. Since then, she has had trouble with urinary incontinence. The physician has assured her that this will be a temporary condition, but she wants to know what she can do to help alleviate this problem. Which of the following is your best reply?

You can do Kegel exercises to increase your control of the urinary sphincters.

Donna came to the office today complaining of back pain, fever, nausea, and blood in her urine. She has a recent history of bladder infection. The physician diagnoses pyelonephritis. Which of the following would you expect the physician to prescribe?

Pain medication and antibiotics

You are working at an urgent care clinic when a patient is brought in by several of his friends. He is conscious but seems very confused. At first, the friends say they're worried because he had too much to drink, but then they admit that he was using drugs also. The patient's hands are shaking, and when he wipes his nose with a tissue, you can see blood on the tissue. Which of the following conditions would the physician likely be most concerned about?

Renal calculi

Which of the following removes metabolic waste products from the blood?

Kidneys

In the kidneys what combines with water and ions to form urine?

Metabolic wastes

Study Notes

Urea and Uric Acid

  • Urea and uric acid are products of the breakdown of proteins.

Cystitis Causes

  • Cystitis is most likely caused by fecal contamination in female patients.
  • Fecal contamination can occur due to wiping from back to front.
  • Other risk factors for cystitis include dehydration, indwelling urinary catheter, and multiple sexual partners.

Preventing Cystitis

  • To prevent cystitis, always clean the perineal area from front to back.
  • There is no need to limit fluid intake or avoid using public toilets.

Cystitis Indicators

  • Cloudy urine may indicate cystitis.
  • Cloudy urine may also be due to poor cleansing when collecting the urine.

Renal Diseases

  • Glomerulonephritis is caused by an immune disorder.
  • Renal calculi can result from obstruction in the tubules or dehydration.
  • Renal calculi are not caused by overhydration or bladder infections.

Urinary Tract Infections

  • Pyelonephritis begins as an infection in the kidneys.
  • Bladder infections can lead to pyelonephritis.

Urinary Diseases and Treatments

  • Glomerulonephritis is likely to be treated with corticosteroids.
  • Corticosteroids are not typically used to treat cystitis, acute renal failure, polycystic kidneys, or incontinence.

Kidney Structure

  • The renal cortex is the outermost layer of the kidneys.
  • The renal column is the portion of the renal cortex that extends between the pyramids.
  • The renal pelvis is a funnel-shaped structure that collects urine.
  • The renal medulla is the inner layer of the kidneys.
  • The renal papilla is the point where the nephrons empty into the renal pelvis.
  • The renal sinus is the medial depression of a kidney.
  • The hilum is the region where the renal artery, renal vein, and ureter enter the kidney.

Ureteral Function

  • Ureters are the muscular tubes that carry urine to the bladder.

Hormones and Blood Pressure

  • Renin is the hormone that regulates blood pressure.
  • Erythropoietin, cortisol, prolactin, and oxytocin are not directly involved in regulating blood pressure.

Kidney Anatomy and Functions

  • The kidneys are located in a retroperitoneal position compared to the peritoneal cavity.
  • Erythropoietin is a hormone that helps regulate red blood cell production.

Kidney Structure

  • The hilum contains the renal artery, renal vein, and ureter.
  • The renal pelvis is the expansion of the ureter inside the kidneys.
  • The renal medulla is the middle portion of the kidneys.

Blood Filtration

  • The renal corpuscle is composed of a mass of capillaries called a glomerulus and is where blood filtration occurs.
  • The glomerulus is a group of capillaries that forms the renal corpuscle.

Urine Formation and Nephron Structure

  • The collecting ducts are formed by the joining of similar structures from other nephrons.
  • Distal convoluted tubules are located between the proximal and distal tubules.
  • The loop of Henle is located between the proximal and distal tubules.
  • The renal corpuscle is not connected to the glomerulus, but rather the glomerular capsule is.
  • The glomerulus is surrounded by Bowman's capsule.
  • Peritubular capillaries are the tiny vessels that surround the tubules.
  • Efferent arterioles deliver blood to the peritubular capillaries.

Glomerular Filtration and Blood Pressure

  • Glomerular filtration is the process of urine formation that decreases when the blood pressure decreases, and increases when the blood pressure increases.

Nephron Structure and Function

  • The collecting ducts are formed by the union of similar structures from multiple nephrons.
  • The correct structures that join to form collecting ducts are not afferent arterioles, which are blood vessels that supply the glomerulus.
  • The correct structures that join to form collecting ducts are not efferent arterioles, which are blood vessels that drain the glomerulus.
  • The correct structures that join to form collecting ducts are not peritubular capillaries, which are tiny blood vessels that surround the nephron tubules.
  • The correct structures that join to form collecting ducts are not proximal convoluted tubules, which are the initial tubular segments of the nephron.
  • The correct structures that join to form collecting ducts are distal convoluted tubules, which are the final tubular segments of the nephron.

Urine Formation Processes

  • Substances move from the blood into the renal tubules during glomerular filtration.
  • The hormone ADH controls the amount of water the body keeps during tubular reabsorption.
  • Glomerular filtration occurs in the renal corpuscles.
  • The filtrate flows into the proximal convoluted tubule during glomerular filtration.
  • Drugs and hydrogen ions enter the filtrate during tubular secretion.
  • Nutrients, ions, and water are returned to the body during tubular reabsorption.
  • Substances such as drugs, ions, and waste products are moved and eliminated in urine during tubular secretion.
  • Elimination and micturition are separate processes from urine formation.

Urinary System Structure

  • Ureters take urine away from the kidney and towards the bladder.
  • Urethra takes urine away from the bladder and out of the body.

Transport of Urine

  • Ureters use a peristaltic action to take urine to the bladder.

Bladder Structure

  • The detrusor muscle is part of the bladder.

Acute Renal Failure

  • Acute renal failure occurs when kidneys suddenly lose function.
  • Can result from poisons and/or alcohol abuse, hemorrhaging, food poisoning, or other causes.
  • May be treated with surgical repair of obstructions.

Chronic Renal Failure

  • Chronic renal failure occurs when kidneys slowly lose function over time.
  • Commonly caused by high blood pressure or diabetes.
  • Can result from poisons and/or alcohol abuse.
  • May cause symptoms such as headache, mental confusion, and frequent seizures.

Key Differences

  • Acute renal failure is characterized by sudden loss of kidney function, while chronic renal failure is characterized by gradual loss of function over time.
  • Acute renal failure may cause excessive urine production, while chronic renal failure does not.

Urinary System

  • The kidneys remove metabolic waste products from the blood.
  • The kidneys combine metabolic wastes with water and ions to form urine.

Incorrect Options

  • Ureters, urinary bladder, urethra, and renal pelvis do not remove metabolic waste products from the blood.
  • Red blood cells, erythropoietin, and red bone marrow are not involved in forming urine.
  • Renin is not related to forming urine.

This quiz covers various topics in physiology and health, including the breakdown of nutrients and the causes of cystitis. It is suitable for students in biology, nursing, or medicine.

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