Renal Physiology: Glomerular Filtration Forces
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Questions and Answers

What is the primary function of the peritubular capillary beds and vasa recta?

  • To filter blood and form urine
  • To contract and regulate blood pressure
  • To supply oxygen to the renal tubules
  • To absorb substances from the renal tubules (correct)

What is the relationship between the afferent and efferent arterioles and the glomerulus?

  • Afferent arterioles and efferent arterioles are both connected to the glomerulus
  • Afferent arterioles bring blood to the glomerulus, efferent arterioles take blood away (correct)
  • Afferent arterioles and efferent arterioles are not connected to the glomerulus
  • Afferent arterioles take blood away from the glomerulus, efferent arterioles bring blood to the glomerulus

What is the role of the podocytes in the visceral layer of Bowman's capsule?

  • They have extensions (pedicels) that form the filtration slits (correct)
  • They produce the filtrate that is collected in Bowman's space
  • They secrete hormones to regulate blood pressure
  • They contract to regulate blood flow through the glomerulus

Which of the following is a unique feature of the kidney's vascular system?

<p>The existence of a portal system where capillaries are fed and drained by arterioles (A)</p> Signup and view all the answers

What is the purpose of the negative charge on the surface of the podocyte pedicels?

<p>To provide a selectively permeable barrier for the filtration of blood (C)</p> Signup and view all the answers

What is the purpose of Bowman's space in the nephron?

<p>To provide a site for the initial filtration of blood (B)</p> Signup and view all the answers

What is the composition of the filter membrane in the kidney?

<p>Endothelium, basement membrane, podocytes (A)</p> Signup and view all the answers

What is the function of the negatively charged pedicel membranes in the filtration process?

<p>Blockage of small proteins (C)</p> Signup and view all the answers

What is the pore diameter of glomerular capillaries?

<p>~70nm (C)</p> Signup and view all the answers

When fluid is forced through capillary fenestrations in the kidney, where does it pass into?

<p>Bowman’s space (D)</p> Signup and view all the answers

What components are prevented from crossing endothelium in the kidney filtrate?

<p>Blood cells, platelets, most proteins (B)</p> Signup and view all the answers

What determines the degree of filtration in Bowman’s capsule?

<p>Net filtration pressure (C)</p> Signup and view all the answers

What is the net filtration pressure given the provided data: glomerular blood hydrostatic pressure = 60mm, blood colloid osmotic pressure = 32mm, and capsular hydrostatic pressure = 18mm?

<p>$10\ \mathrm{mm}$ (C)</p> Signup and view all the answers

If the glomerular blood hydrostatic pressure increases, what would happen to the net filtration pressure?

<p>It would increase (C)</p> Signup and view all the answers

What structure encircles the afferent and efferent arterioles, allowing regulation of pressure within the glomerulus?

<p>Smooth muscle cells (C)</p> Signup and view all the answers

If a kidney stone blocks a renal calyx, how would this affect the filtration pressure in the nephrons emptying into it?

<p>Filtration pressure would decrease (D)</p> Signup and view all the answers

What would be the effect of constricting the afferent arteriole on the glomerular blood hydrostatic pressure?

<p>It would decrease (A)</p> Signup and view all the answers

If both the afferent and efferent arterioles are constricted, what would be the effect on the glomerular blood hydrostatic pressure?

<p>The effect cannot be determined (D)</p> Signup and view all the answers

Study Notes

Filtration Membrane

  • Composed of: fenestrated endothelium of glomerular capillaries, basement membrane, and podocytes
  • Podocytes form the visceral membrane of the glomerular capsule
  • Pedicels of adjoining podocytes interdigitate, forming filtration slits
  • Surface of pedicels is negatively charged

Glomerular Capillaries

  • Fenestrated capillaries with pore diameter of ~70nm
  • 100X more permeable than continuous body capillaries
  • Provide a large surface area for filtration
  • Prevent blood cells, platelets, and most proteins from crossing endothelium
  • Allow water and most solutes to cross

Pressure Filtration

  • Means of forcing fluids and dissolved substances through a membrane
  • In the kidney, fluid is forced through capillary fenestrations into Bowman's space
  • Degree of filtration depends on the net filtration pressure

Peritubular Capillary Beds and Vasa Recta

  • Low-pressure capillaries adapted for absorption
  • Arise from efferent arterioles and surround renal tubules
  • Empty into the renal venous system
  • Vasa recta capillaries of juxtamedullary nephrons have similar properties

Glomerulus

  • Group of renal capillaries connecting afferent and efferent arterioles
  • Afferent arterioles bring blood to the glomerulus, efferent arterioles take blood away
  • Unlike veins, arterioles contain smooth muscle, which can contract and affect blood pressure

Bowman's Capsule

  • Encircles a glomerulus
  • Has two layers of epithelium separated by Bowman's space
  • Inner layer of epithelium is in intimate contact with glomerular capillaries
  • Visceral layer (filtration membrane) has specialized cells (podocytes) with many extensions (pedicels)

Net Filtration Pressure

  • Determined by: glomerular blood hydrostatic pressure, capsular hydrostatic pressure, and blood colloid osmotic pressure
  • Calculated as: gbhp - (bcop + chp) = 10mm
  • Net filtration pressure would increase if gbhp was higher and decrease if gbhp was lower
  • If a kidney stone blocked a renal calyx, filtration pressure in the nephrons emptying into it would decrease

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Description

Learn about the forces involved in glomerular filtration, including glomerular blood hydrostatic pressure, capsular hydrostatic pressure, and blood colloid osmotic pressure. Understand how arterioles regulate pressure within the glomerulus.

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