Renal Physiology Quiz

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Questions and Answers

What is the primary role of the urinary system in maintaining homeostasis?

  • Regulating the electrolyte balance in the body
  • Regulating the volume and composition of blood (correct)
  • Storing excess nutrients for future use
  • Producing hormones essential for metabolism

Which metabolic waste is considered the most abundant organic waste in the body?

  • Urea (correct)
  • Ammonia
  • Creatinine
  • Uric acid

What is the definition of Net Filtration Pressure (NFP)?

  • The difference between the hydrostatic pressure in glomerular capillaries and the opposing pressures (correct)
  • The volume of urine produced by the kidneys per day
  • The amount of filtrate produced in one renal corpuscle
  • The osmotic pressure of large proteins in the blood

Which pressure directly contributes to the process of filtration in the kidneys?

<p>Glomerular Blood Hydrostatic Pressure (GBHP) (B)</p> Signup and view all the answers

At what glomerular blood hydrostatic pressure (GBHP) does filtration cease?

<p>45 mmHg (B)</p> Signup and view all the answers

What fraction of renal plasma flow (RPF) typically becomes glomerular filtrate?

<p>16% – 20% (B)</p> Signup and view all the answers

What does the Glomerular Filtration Rate (GFR) measure?

<p>The amount of filtrate formed per minute in the kidneys (B)</p> Signup and view all the answers

Which of the following statements about the filtration membrane is true?

<p>It selectively permits water, glucose, and small plasma proteins to pass (A)</p> Signup and view all the answers

What is the normal range for the Glomerular Filtration Rate (GFR)?

<p>105 – 120 ml/min (C)</p> Signup and view all the answers

What percentage of the glomerular filtrate is usually returned to the bloodstream by tubular reabsorption?

<p>99% (C)</p> Signup and view all the answers

What happens to filtration when glomerular blood hydrostatic pressure (GBHP) drops below 45 mmHg?

<p>Filtration decreases due to insufficient pressure. (C)</p> Signup and view all the answers

Which of the following solutes can cross the filtration membrane during glomerular filtration?

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

How does an increase in net filtration pressure (NFP) affect glomerular filtration rate (GFR)?

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

Which of these is a primary component of the filtration membrane that contributes to filtration?

<p>Fenestrations of glomerular endothelial cells (C)</p> Signup and view all the answers

What is the typical daily volume of glomerular filtrate produced by healthy kidneys?

<p>150L – 180L (D)</p> Signup and view all the answers

Which of the following best describes the composition of the filtration membrane?

<p>Made of a sieve-like structure with fenestrations and slits. (B)</p> Signup and view all the answers

What role does Blood Colloid Osmotic Pressure (BCOP) play in glomerular filtration?

<p>It hinders filtration by pulling water back into the capillaries. (A)</p> Signup and view all the answers

Which of the following statements about renal plasma flow (RPF) is true?

<p>RPF is the volume of plasma moving through the kidneys per unit time. (B)</p> Signup and view all the answers

What is a consequence of the renal filtration fraction (FF) being too low?

<p>Reduced filtration efficiency. (A)</p> Signup and view all the answers

What occurs when the Glomerular Blood Hydrostatic Pressure (GBHP) is below 45 mmHg?

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

Which of the following solutes is typically NOT able to cross the filtration membrane?

<p>Blood cells (D)</p> Signup and view all the answers

What happens to tubular reabsorption if the Filtration Fraction (FF) is low?

<p>More urine is produced than normal (C)</p> Signup and view all the answers

What primarily dictates how much filtrate is produced in the kidneys?

<p>Glomerular Blood Hydrostatic Pressure (GBHP) (D)</p> Signup and view all the answers

Which factor does NOT contribute to Net Filtration Pressure (NFP)?

<p>Glomerular Filtration Rate (GFR) (B)</p> Signup and view all the answers

How is creatinine generated in the body?

<p>From the degradation of creatine phosphate in muscles (C)</p> Signup and view all the answers

What is the relationship between Net Filtration Pressure (NFP) and Glomerular Filtration Rate (GFR)?

<p>Increase in NFP leads to an increase in GFR (A)</p> Signup and view all the answers

What is the normal range for the daily volume of urine produced?

<p>1 – 2 L (A)</p> Signup and view all the answers

What primarily affects the composition of the glomerular filtrate?

<p>Size and charge of solutes (B)</p> Signup and view all the answers

What is considered a normal Filtration Fraction (FF) range?

<p>16 – 20% (B)</p> Signup and view all the answers

What happens to glomerular filtration if the Capsular Hydrostatic Pressure (CHP) increases?

<p>It decreases the rate of filtration. (C)</p> Signup and view all the answers

Which substance is classified as a metabolic waste produced from the breakdown of creatine phosphate?

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

What is the function of the filtration slits between podocyte pedicels in the filtration membrane?

<p>To allow only specific small molecules to pass. (C)</p> Signup and view all the answers

What happens to the Glomerular Filtration Rate (GFR) if Net Filtration Pressure (NFP) decreases?

<p>GFR decreases. (C)</p> Signup and view all the answers

What is the consequence of having a low Filtration Fraction (FF)?

<p>It decreases metabolic waste excretion. (B)</p> Signup and view all the answers

What would occur to the glomerular filtration if the GBHP drops to below 45 mmHg?

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

Which of the following best describes the function of the Glomerular Blood Hydrostatic Pressure (GBHP)?

<p>It drives the filtration process. (A)</p> Signup and view all the answers

What is the main reason large negatively charged proteins do not cross the filtration membrane?

<p>They are too large to enter the filtration slits. (B)</p> Signup and view all the answers

What percentage of the glomerular filtrate is typically reabsorbed back into the bloodstream?

<p>99% (C)</p> Signup and view all the answers

Which term describes the measurement of the amount of filtrate formed per minute in the kidneys?

<p>Glomerular Filtration Rate (GFR) (B)</p> Signup and view all the answers

What is the main characteristic of obligatory water reabsorption?

<p>It takes place in the PCT and descending limb of nephron loop. (D)</p> Signup and view all the answers

Which process is responsible for generating an osmotic gradient in the renal interstitial fluid?

<p>Countercurrent Multiplication System (A)</p> Signup and view all the answers

What happens to urine production in the absence of ADH?

<p>Kidneys produce dilute urine. (D)</p> Signup and view all the answers

How does the thick ascending limb of the nephron loop contribute to urine concentration?

<p>It actively pumps Na+, Cl-, and K+ into the interstitial space. (D)</p> Signup and view all the answers

Which of the following is NOT a cause of diabetes insipidus?

<p>Consumption of diuretics like thiazides (B)</p> Signup and view all the answers

What substance is primarily affected in nephrogenic diabetes insipidus?

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

What distinguishes concentrated urine from dilute urine in terms of solute reabsorption?

<p>More solute is reabsorbed than water. (C)</p> Signup and view all the answers

What is the role of the vasa recta in the kidney?

<p>It facilitates the exchange of solutes and water in the renal medulla. (D)</p> Signup and view all the answers

In which part of the nephron does facultative water reabsorption primarily occur?

<p>Distal convoluted tubule and collecting tubule (B)</p> Signup and view all the answers

What is the primary function of the Juxtaglomerular Apparatus (JGA)?

<p>Regulate blood pressure and the filtration rate of the glomerulus (C)</p> Signup and view all the answers

What triggers the release of renin from Juxtaglomerular cells?

<p>Low blood pressure or low renal blood flow (D)</p> Signup and view all the answers

In which part of the nephron is the majority of glucose and amino acids reabsorbed?

<p>Proximal Convoluted Tubule (D)</p> Signup and view all the answers

What happens to GFR when sympathetic nervous system activation occurs during fight-or-flight?

<p>GFR decreases due to vasoconstriction (C)</p> Signup and view all the answers

How does the body respond if GFR is too high?

<p>Substances are lost in urine due to rapid passage (B)</p> Signup and view all the answers

Which hormone is primarily responsible for increasing water reabsorption in the kidneys?

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

What effect does Atrial Natriuretic Peptide (ANP) have on renal function?

<p>Inhibits secretion of renin (C)</p> Signup and view all the answers

What percentage of filtered bicarbonate is typically reabsorbed in the kidneys?

<p>80% to 90% (A)</p> Signup and view all the answers

What happens to potassium reabsorption in the late Distal Convoluted Tubule and Collecting Duct?

<p>Principal cells reabsorb potassium while intercalated cells secrete it (C)</p> Signup and view all the answers

Which process allows for reabsorption of water in the nephron?

<p>Osmosis and the presence of aquaporins (B)</p> Signup and view all the answers

Flashcards

Urea

The most abundant organic waste product, a byproduct of amino acid breakdown.

Creatinine

A waste product of creatine phosphate breakdown in muscles.

Uric acid

Waste formed during the recycling of RNA nitrogenous bases.

Glomerular Filtration

Blood pressure pushes fluid and small solutes across the glomerular capillaries into the Bowman's capsule.

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Filtration Membrane

A barrier that determines what substances can pass from blood into the Bowman's capsule. Composed of fenestrations, basement membrane, and filtration slits.

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Net Filtration Pressure (NFP)

The difference between pressures driving filtration (GBHP) and those opposing it (CHP and BCOP).

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Glomerular Blood Hydrostatic Pressure (GBHP)

Blood pressure in the glomerular capillaries, favoring filtration.

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Filtration Fraction (FF)

The percentage of renal plasma flow (RPF) that becomes glomerular filtrate.

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Glomerular Filtration Rate (GFR)

The amount of filtrate formed per minute by all the renal corpuscles.

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Renal Plasma Flow (RPF)

The volume of plasma passing through the kidneys per unit of time

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What is the primary function of the urinary system in terms of homeostasis?

The urinary system maintains homeostasis by regulating the volume and composition of blood.

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What is the typical concentration of urine?

The urinary system concentrates urine to a range of 855 to 1355 mOsm/L.

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What is urea?

Urea is the most abundant organic waste in urine, a by-product of amino acid breakdown. It's a safer form of ammonia.

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What is creatinine?

Creatinine is a by-product of creatine phosphate breakdown in muscles.

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What is uric acid?

Uric acid is formed during the recycling of nitrogenous bases of RNA.

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What are the 3 processes involved in urine formation?

Urine formation involves three processes: Filtration, Reabsorption, and Secretion.

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What is glomerular filtration?

Glomerular filtration is the process where blood hydrostatic pressure forces water and small solutes from the glomerular capillaries into the Bowman's capsule.

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What is NFP (Net Filtration Pressure)?

Net Filtration Pressure (NFP) is the difference between the forces pushing fluid out of the glomerulus (GBHP) and the forces pushing fluid back in (CHP and BCOP).

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What is the Glomerular Blood Hydrostatic Pressure (GBHP)?

Glomerular Blood Hydrostatic Pressure (GBHP) is the blood pressure within the glomerular capillaries, which promotes filtration.

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What is the Filtration Fraction (FF)?

Filtration fraction (FF) is the percentage of the renal plasma flow (RPF) that becomes glomerular filtrate.

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What is the primary function of the urinary system?

The urinary system maintains homeostasis by regulating blood volume and composition.

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Urine Concentration

The urinary system concentrates urine to a range of 855 to 1355 mOsm/L.

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Metabolic Waste

Substances produced during metabolism that the body needs to eliminate.

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Filtration

The process where blood pressure forces water and small solutes out of the blood into the glomerular capsule.

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Reabsorption

The process where useful substances are reabsorbed back into the blood from the tubules.

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Secretion

The process where waste products are actively transported from the blood into the tubules.

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What is the main function of the urinary system?

The urinary system regulates blood volume and composition to maintain homeostasis.

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How concentrated is urine?

Urine is typically concentrated to 855-1355 mOsm/L.

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What are metabolic wastes?

Metabolic wastes are byproducts of metabolism that the body needs to eliminate.

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What are the 3 processes of urine formation?

Urine formation involves filtration, reabsorption, and secretion.

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What is net filtration pressure (NFP)?

NFP is the pressure difference that drives filtration, influenced by blood pressure and opposing forces from the capsule and proteins.

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What is glomerular filtration rate (GFR)?

GFR is the amount of filtrate formed per minute by all the renal corpuscles. It's a key measure of kidney function.

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Renal Autoregulation

The kidney's ability to maintain a constant GFR despite changes in blood pressure.

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Obligatory Water Reabsorption

Water reabsorption that happens in the PCT and descending limb of the nephron loop, where water movement cannot be prevented. It recovers 85% of the filtrate and cannot be adjusted.

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Facultative Water Reabsorption

Water reabsorption that occurs in the DCT and collecting tubule, allowing precise control by ADH. It reabsorbs the remaining 15% of the filtrate volume to adjust urine concentration.

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Dilute Urine

Urine produced in the absence of ADH, leading to less water reabsorption. It's more dilute than blood plasma, with a concentration as low as 80 mOsm/L compared to 300 mOsm/L of blood.

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Concentrated Urine

Urine produced in the presence of ADH, leading to greater water reabsorption. It's more concentrated than blood plasma due to increased solute concentration.

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Countercurrent Multiplication

A system in the nephron loop that creates an osmotic gradient in the renal medulla, enabling the kidneys to produce concentrated urine. This gradient allows water reabsorption from the tubular fluid.

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Thin Descending Limb

Part of the nephron loop permeable to water but impermeable to salts (Na+, Cl-, K+). It allows water to move out.

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Thick Ascending Limb

Part of the nephron loop permeable to salts (Na+, Cl-, K+) but impermeable to water. It pumps salts out.

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Countercurrent Exchange

The exchange of solutes and water between the blood of the vasa recta and the interstitial fluid of the renal medulla. It helps retain the osmotic gradient created by countercurrent multiplication.

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Diabetes Insipidus

A condition where there's insufficient ADH production or response, leading to excessive dilute urine production and dehydration.

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Central Diabetes Insipidus

A type of diabetes insipidus caused by an inability of the posterior pituitary or hypothalamus to secrete ADH.

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Study Notes

Renal Physiology

  • The urinary system maintains homeostasis by regulating blood volume and composition.
  • Urine is concentrated to 855-1355 mOsm/L.
  • The system excretes solutes, especially metabolic wastes.

Metabolic Wastes

  • Urea:
    • Most abundant organic waste.
    • By-product of amino acid breakdown.
    • Ammonia (a toxic byproduct) is converted into the safer urea.
  • Creatinine:
    • By-product of creatine phosphate breakdown in muscles.
  • Uric acid:
    • Formed during the recycling of RNA's nitrogenous bases.

Urine Formation Processes

  • Filtration: Blood pressure forces water and solutes through glomerular capillaries into the capsular space.
  • Reabsorption: Substances are reclaimed from the filtrate.
  • Secretion: Excess substances are added to the filtrate from the blood.

Glomerular Filtration

  • Filtration occurs only in the glomerulus. The filtrate enters the capsular space.
  • Filtration membrane: Water and small solutes pass through, but blood cells and large proteins do not.
    • Fenestrations: Pores in the glomerular endothelial cells.
    • Basement membrane: Collagen fibers and proteoglycans prevent larger molecules from passing.
    • Filtration slits: Gaps between podocytes (cells that form the inner layer of Bowman's capsule). Permit passage of small molecules.
  • Net Filtration Pressure (NFP):
    • NFP = (GBHP) - (CHP) - (BCOP)
    • Normal NFP = 10 mmHg (GBHP: 55 mmHg, CHP: 15 mmHg, BCOP: 30 mmHg).
    • GBHP is blood pressure; CHP is pressure from fluid in the capsular space; BCOP is osmotic pressure drawing water into the capillaries.
    • Filtration stops if GBHP drops below 45 mmHg, because opposing pressure is 45mmHg.

Filtration Fraction (FF)

  • Renal plasma flow (RPF): The volume of plasma passing through the kidneys per unit time.
  • Filtration fraction (FF): The fraction of RPF that becomes glomerular filtrate (16-20%).
  • Daily glomerular filtrate: ~150-180 liters
  • 99% of filtrate is reabsorbed; ~1-2 liters of urine are produced daily.

Glomerular Filtration Rate (GFR)

  • GFR: Measurement of kidney function; amount of filtrate formed per minute in all renal corpuscles, usually 105-120 ml/min.
  • GFR directly relates to NFP, so increased NFP = increased GFR.
  • Kidney function testing is done using eGFR (estimated GFR).

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