Renal Physiology Quiz

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Questions and Answers

What structure is responsible for wrapping around the capillaries of the glomerulus?

  • Proximal convoluted tubule
  • Visceral layer of the glomerular capsule (correct)
  • Distal convoluted tubule
  • Parietal layer of the glomerular capsule

Which nephron type is primarily involved in concentrating urine due to its structure?

  • Juxtamedullary nephron (correct)
  • Distal convoluted nephron
  • Proximal convoluted nephron
  • Cortical nephron

What is the approximate diameter of the renal corpuscle?

  • 200 um (correct)
  • 300 um
  • 100 um
  • 400 um

Which part of the nephron is primarily responsible for reabsorbing nutrients and water?

<p>Proximal convoluted tubule (D)</p> Signup and view all the answers

Which structure follows the collecting duct in the flow of urine?

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

What is the primary function of the glomerular capillaries in the renal corpuscle?

<p>To filter blood and form urine (A)</p> Signup and view all the answers

Which layer of the renal corpuscle restricts the passage of large proteins while allowing smaller proteins through?

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

Which type of cells are found in the juxtaglomerular complex?

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

What is the composition of the three layers involved in filtration within the renal corpuscle?

<p>Capillary endothelium, basal lamina, glomerular epithelium (B)</p> Signup and view all the answers

Which characteristic of the glomerular capillaries allows them to filter blood efficiently?

<p>They are fenestrated (C)</p> Signup and view all the answers

What is the functional unit of the kidney?

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

Which structure is located at the tip of the renal pyramid?

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

Which of the following structures is part of the renal blood supply?

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

What connects the renal pelvis to the minor calyx?

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

Which layer surrounds the kidney's outer portion?

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

What are the sections between the renal pyramids called?

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

Which vessel carries blood away from the kidney?

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

What is the name of the area surrounding the renal pyramids?

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

Which function is NOT performed by the urinary system?

<p>Produces red blood cells (A)</p> Signup and view all the answers

What organ temporarily stores urine prior to elimination?

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

How do the kidneys contribute to vitamin D metabolism?

<p>They synthesize calcitriol (C)</p> Signup and view all the answers

Which of the following correctly describes the position of the left kidney?

<p>Positioned higher than the right kidney (C)</p> Signup and view all the answers

What is the function of the ureters in the urinary system?

<p>Transport urine to the bladder (A)</p> Signup and view all the answers

Which of these does NOT protect the kidneys?

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

What is the primary role of the renal veins?

<p>Drain deoxygenated blood from the kidneys (A)</p> Signup and view all the answers

Which layer of fat surrounds the kidneys for protection?

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

Which of the following components transports urine to the exterior of the body?

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

What is the function of the suprarenal glands?

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

What type of cells make up the glomerular epithelium?

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

Which structure prevents the passage of large plasma proteins during filtration?

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

What substance is NOT typically found in the glomerular filtrate?

<p>Red blood cells (C)</p> Signup and view all the answers

What feature of podocytes allows for filtration?

<p>Extensions called filtration slits (A)</p> Signup and view all the answers

Which component of the filtration membrane primarily blocks the passage of blood cells?

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

What is a function of the juxtaglomerular cells?

<p>Secretion of hormones (D)</p> Signup and view all the answers

What structures help the podocytes maintain the structure of the filtration apparatus?

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

Which substances are predominantly reabsorbed after filtration?

<p>Vitamins and amino acids (C)</p> Signup and view all the answers

What main function does the nephron perform regarding water from the filtrate?

<p>Reabsorbs more than 80% of the water (A)</p> Signup and view all the answers

Which type of nephron is primarily located in the cortex of the kidney?

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

What percentage of nephrons in the kidney are juxtamedullary nephrons?

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

What is the main structural feature of the glomerulus in the nephron?

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

What additional processing does the nephron perform after reabsorption?

<p>Secretes missed waste into the filtrate (C)</p> Signup and view all the answers

Which statement correctly describes juxtamedullary nephrons?

<p>They have a longer nephron loop. (C)</p> Signup and view all the answers

Which structure is primarily responsible for urine processing in the nephron?

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

What does the term 'cortical' refer to in the context of nephron classification?

<p>The location in the kidney (B)</p> Signup and view all the answers

Flashcards

What is the functional unit of the kidney?

The nephron is the basic structural and functional unit of the kidney responsible for filtering blood and producing urine.

What is the cortex of the kidney?

The outer layer of the kidney, containing the glomeruli and proximal and distal convoluted tubules of nephrons.

What is the medulla of the kidney?

The inner layer of the kidney, containing the loops of Henle and collecting ducts of nephrons.

What is the renal pyramid?

A triangular-shaped structure in the medulla of the kidney, containing the loops of Henle and collecting ducts.

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What is the renal pelvis?

A funnel-shaped structure in the kidney that collects urine from the calyces.

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What is the hilum of the kidney?

The indented region on the medial side of the kidney where blood vessels, nerves, and the ureter enter and exit.

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What is the renal artery?

Blood vessel that carries oxygenated blood to the kidney.

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What is the renal vein?

Blood vessel that carries deoxygenated blood away from the kidney.

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What are the main functions of the urinary system?

The urinary system regulates plasma ion concentrations, blood volume, blood pressure, blood pH, eliminates waste, synthesizes calcitriol (active form of Vitamin D), prevents dehydration, and aids the liver in detoxifying poisons.

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What are the main components of the urinary system?

The kidneys produce urine, ureters transport urine to the bladder, the bladder stores urine, and the urethra conducts urine to the outside of the body.

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Where are the kidneys located?

The kidneys are located on either side of the vertebral column, the right kidney is slightly lower than the left due to the position of the liver.

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What is the function of the suprarenal glands?

The suprarenal glands, also known as adrenal glands, produce hormones that regulate various bodily functions, including stress response, blood pressure, and electrolyte balance.

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How are the kidneys protected?

The kidneys are protected by layers of connective tissue: the fibrous capsule, perirenal fat, renal fascia, and pararenal fat.

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What is the difference between the right and left kidneys?

The right kidney is slightly lower than the left kidney due to the presence of the liver on the right side of the body.

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What is the function of the ureters?

The ureters are tubes that transport urine from the kidneys to the urinary bladder.

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What is the function of the urinary bladder?

The urinary bladder is a muscular sac that stores urine until it is released from the body.

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What is the function of the urethra?

The urethra is a tube that carries urine from the bladder to the outside of the body.

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Cortical Radiate Artery

A small artery that branches off from an arcuate artery and supplies blood to the renal cortex.

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Arcuate Artery

An artery that arches across the boundary between the renal cortex and medulla, supplying blood to the nephrons.

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Cortical Radiate Vein

A small vein that collects blood from the renal cortex and drains into an arcuate vein.

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Arcuate Vein

A vein that runs along the boundary of the renal cortex and medulla, collecting blood from the cortical radiate veins.

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Glomerulus

A network of capillaries within the nephron that filters blood to produce filtrate.

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Cortical Nephron

A type of nephron located mostly in the renal cortex, with a short nephron loop.

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Juxtamedullary Nephron

A type of nephron located near the boundary of the renal cortex and medulla, featuring a long nephron loop.

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Nephron Loop

A part of the nephron that extends into the renal medulla and plays a role in regulating water reabsorption.

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What is the glomerulus?

A network of capillaries within the renal corpuscle, responsible for filtering blood.

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What are podocytes?

Specialized epithelial cells that line the glomerular capillaries, forming filtration slits to control what passes into the capsular space.

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What is the capsular space?

The space between the glomerular capillaries and the parietal layer of Bowman's capsule, where filtered fluid accumulates.

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What are fenestrated capillaries?

Capillaries with pores in their endothelial lining, allowing for the passage of small molecules but preventing larger substances.

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What is the role of the basal lamina in filtration?

A thin, non-cellular layer that surrounds the glomerular capillaries, acting as a barrier to large proteins while permitting smaller molecules to pass through.

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What is the function of the renal corpuscle?

The renal corpuscle filters blood and produces a protein-free solution called glomerular filtrate. This is the first step in urine formation.

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What are podocytes, and where are they located?

Podocytes are specialized cells that wrap around the capillaries of the glomerulus. They have extensions called foot processes that form filtration slits, helping to regulate what enters the glomerular filtrate.

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What is the difference between the parietal and visceral layers of the glomerular capsule?

The parietal layer is made up of epithelial cells that line the outer part of the capsule, while the visceral layer is made up of podocytes that wrap around the capillaries of the glomerulus. The parietal layer helps to maintain the structure of the capsule, while the visceral layer controls filtration.

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What is the nephron loop, and where is it located?

The nephron loop, also known as the loop of Henle, is a U-shaped structure in the nephron that extends into the medulla of the kidney. It helps to concentrate urine by reabsorbing water and electrolytes.

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What is the difference between the proximal convoluted tubule and the distal convoluted tubule?

The proximal convoluted tubule is the initial segment of the renal tubule closest to the renal corpuscle. It reabsorbs water, electrolytes, and nutrients from the glomerular filtrate. The distal convoluted tubule is located further downstream and plays a role in regulating the final composition of urine by reabsorbing or secreting specific electrolytes.

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What are the main functions of the glomerulus?

The glomerulus filters blood, producing a fluid called glomerular filtrate that is similar to blood plasma but lacks most of the blood cells and plasma proteins. This filtrate is essential for urine formation, as it contains waste products and excess fluids that need to be eliminated from the body.

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What is the filtration membrane?

The filtration membrane is a specialized structure within the glomerulus that filters blood plasma. It's composed of three layers: the capillary endothelium, the basal lamina, and the podocytes with their filtration slits.

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What makes up the glomerular filtrate?

Glomerular filtrate contains water, ions (like sodium, potassium, chloride), small organic molecules such as glucose, fatty acids, amino acids, and vitamins. It has very few plasma proteins due to their size.

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What is the Juxtaglomerular Complex (JGC)?

The JGC is a specialized structure located at the point where the afferent arteriole enters the glomerulus and the distal convoluted tubule passes by. It has three cell types: juxtaglomerular cells, macula densa cells, and extraglomerular mesangial cells.

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What are the functions of the Juxtaglomerular Cells?

Juxtaglomerular cells, also known as granular cells, are specialized smooth muscle cells in the wall of the afferent arteriole. They sense blood pressure and release the enzyme renin, which initiates the renin-angiotensin-aldosterone system (RAAS) to regulate blood pressure.

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What are the functions of the Macula Densa?

Macula densa cells are specialized epithelial cells in the distal convoluted tubule. They detect changes in the sodium chloride concentration of the filtrate and release signals to regulate glomerular filtration rate (GFR) and blood pressure.

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What are the functions of the Extraglomerular Mesangial Cells?

Extraglomerular mesangial cells provide structural support for the JGC. They also help to regulate blood flow through the glomerulus.

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Study Notes

Urinary System Functions

  • Regulates plasma ion concentrations (Na+, K+, Cl−)
  • Regulates blood volume and blood pressure
  • Stabilizes blood pH
  • Prevents the loss of valuable nutrients
  • Eliminates organic waste (urea)
  • Synthesizes calcitriol (active vitamin D)
  • Prevents dehydration
  • Aids the liver in detoxifying poisons

Urinary System Macro + Microscopic Anatomy

  • Kidneys:
    • Produce urine
    • Located behind the peritoneal cavity
    • Right kidney is covered by the liver, hepatic flexure, and duodenum
    • Left kidney is covered by the spleen, stomach, and pancreas
    • Both kidneys are capped by suprarenal (adrenal) glands
    • Left kidney positioned higher than the right
  • Ureters:
    • Transport urine to the urinary bladder
  • Urinary Bladder:
    • Temporarily stores urine
  • Urethra:
    • Conducts urine to the exterior
    • Carries semen in males

Kidney Components

  • Renal artery: brings blood to the kidney
  • Renal vein: takes blood away from the kidney
  • Renal pelvis: funnel-shaped structure that collects urine from the calyces
  • Calyces: cup-shaped structures that collect urine from the nephrons
  • Renal pyramids: cone-shaped structures in the renal medulla
  • Renal columns: areas of cortical tissue that extend between the renal pyramids
  • Renal papilla: apex of a renal pyramid; where urine is released into the calyx
  • Cortex: outer layer of the kidney; contains glomeruli and convoluted tubules
  • Medulla: inner layer of the kidney; contains loops of Henle and collecting ducts
  • Hilum: indented area where the renal artery and vein enter and leave the kidney

Kidneys - Sectional Anatomy

  • Cortex: outer region containing glomeruli and convoluted tubules
  • Medulla: inner region containing loops of Henle and collecting ducts
  • Renal pyramids: cone-shaped structures in the medulla
  • Renal columns: extensions of the cortex between pyramids
  • Renal pelvis: funnel-shaped structure collecting urine from calyxes
  • Calyces: cup-shaped structures receiving urine from nephrons
  • Renal papilla: apex of the renal pyramid draining urine into the calyx
  • Renal sinus: cavity within the kidney
  • Nephron the functional unit of the kidney

Kidney Blood Supply

  • Renal artery → Segmental arteries → Interlobar arteries → Arcuate arteries → Cortical radiate arteries → Afferent arterioles → Glomerulus → Efferent arterioles → Peritubular capillaries → Cortical radiate veins → Arcuate veins → Interlobar veins → Renal vein

Nephron Structure & Function

  • Renal tubule: tubular passageway of the nephron
  • Functions include urine processing, reabsorption of water and valuable nutrients, and secretion of waste
  • 85% of nephrons are cortical nephrons which have a shorter nephron loop
  • Juxtamedullary nephrons have a longer nephron loop and are situated near the boundary of the cortex and medulla

Renal Corpuscle

  • Filtrates blood and produces glomerular filtrate
  • Glomerular capsule:
    • Parietal layer: continuous with the proximal convoluted tubule
    • Visceral layer: contains podocytes that wrap around glomerular capillaries
  • Glomerular capillaries (glomerulus): fenestrated capillaries; allow small molecules to pass through

Renal Corpuscle - Filtration

  • Filtration involves three layers:
    • Capillary endothelium: fenestrated to prevent blood cells from passing
    • Basal lamina: restricts large protein passage but allows smaller proteins, ions, and nutrients to pass
    • Glomerular epithelium (podocytes): extensions with filtration slits to prevent large molecules from passing

Proximal Convoluted Tubule

  • Reabsorbs all organic nutrients, plasma proteins, 60% of Na+ and Cl- ions, and water
  • Location: within the cortex (beginning of renal tubule)

Distal Convoluted Tubule

  • Active secretion of ions and acids
  • Selective reabsorptions of Na+ and Ca2+ and water
  • Lack of microvilli, smaller than the proximal convoluted tubule

Nephron Loop (Loop of Henle)

  • Descending limb: permeable to water, allows water reabsorption into the bloodstream
  • Ascending limb: impermeable to water; pumps out Na+ and Cl- ions

Collecting System

  • Collecting ducts: receive filtrate from several nephrons
  • Papillary ducts: drain urine into minor calyxes
  • Calyces: funnel-shaped structures receiving urine from numerous nephrons
  • Renal pelvis: collects urine from calyxes

Ureters

  • Transport urine from the kidneys to the urinary bladder
  • Exist at the hilum (indentation)
  • Enter the urinary bladder on the posterior/inferior side of the bladder, located in the trigone area

Urinary Bladder

  • Stores urine
  • Males: between rectum and symphysis pubis
  • Females: inferior to the uterus and anterior to the vagina

Urethra

  • Female: 3-5 cm in length, external urethral orifice near the anterior vaginal wall
  • Male: 18-20 cm in length, subdivided into prostatic, membranous, and spongy urethra
  • External urethral sphincter

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