Renal Standard
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Questions and Answers

Which of the following is NOT a principal function of the renal system?

  • Excretion
  • Homeostatic regulation
  • Digestion (correct)
  • Elimination
  • The excretory function of the renal system is performed by the:

  • Bladder
  • Urethra
  • Ureter
  • Kidneys (correct)
  • In healthy individuals, urine is a fluid containing each of the following EXCEPT:

  • Small soluble compounds
  • Ions
  • Proteins (correct)
  • Water
  • All of the following are components of the urinary tract EXCEPT:

    <p>Kidney</p> Signup and view all the answers

    Which of the following are specifically involved with the elimination of urine (urination, micturition)?

    <p>Urinary bladder and urethra</p> Signup and view all the answers

    The urinary system regulates blood volume and blood pressure principally by adjusting the __________________ lost in urine.

    <p>concentration of water</p> Signup and view all the answers

    The urinary system regulates ____________ concentrations of sodium (Na+), potassium (K+), chloride (Cl-) and other ions by controlling the quantities lost in urine.

    <p>plasma</p> Signup and view all the answers

    The urinary system helps stabilize ___________________ by controlling the loss of hydrogen (H+) and bicarbonate (HCO3-) ions in urine.

    <p>blood pH</p> Signup and view all the answers

    The urinary system conserves valuable nutrients by preventing their excretion in urine whilst excreting organic waste products such as:

    <p>Urea</p> Signup and view all the answers

    The urinary system assists the _________________ in detoxifying poisons and during starvation altering amino acids so other tissues can more easily break them down.

    <p>Liver</p> Signup and view all the answers

    Which of the following is one of the two principal layers of the kidney:

    <p>Renal medulla</p> Signup and view all the answers

    Urine production begins in microscopic, tubular structures called:

    <p>Nephrons</p> Signup and view all the answers

    The basic functional unit of the kidney is the:

    <p>Nephron</p> Signup and view all the answers

    Each nephron contains a:

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

    The capillary network of the renal corpuscle is known as the:

    <p>Glomerulus</p> Signup and view all the answers

    The renal corpuscle is the site where the process of _________________ occurs and in this process, blood pressure forces water and dissolved solutes out of the glomerular capillaries.

    <p>filtration</p> Signup and view all the answers

    The kidneys have a rich renal blood supply and glomerular filtration is affected by _______________ pressure.

    <p>plasma</p> Signup and view all the answers

    Filtration produces an essentially protein-free solution, known as filtrate, which is similar to:

    <p>Blood plasma</p> Signup and view all the answers

    From the renal corpuscle, filtrate enters the renal tubule, which is responsible for all of the following EXCEPT:

    <p>Synthesizing uric acid from nitrogenous waste</p> Signup and view all the answers

    Which of the following is not a component of the renal tubule:

    <p>Bowman's capsule</p> Signup and view all the answers

    The part of the renal tubule that lies in the renal medulla is:

    <p>Loop of Henle</p> Signup and view all the answers

    Regions of the nephron vary in structure and function and as filtrate (or tubular fluid) moves along the tubule it gradually changes in:

    <p>composition</p> Signup and view all the answers

    Each nephron empties into the __________________________ - a series of tubes that carry tubular fluid away from the nephron.

    <p>collecting system</p> Signup and view all the answers

    Proximal convoluted tubule (PCT) is the first segment of the renal tubule and absorbs all of the following from the tubular fluid EXCEPT:

    <p>Uric acid</p> Signup and view all the answers

    Which of the parts of the loop of Henle is permeable to water?

    <p>Descending limb</p> Signup and view all the answers

    Which of the following ions is NOT absorbed from the thick ascending limb of the loop of Henle?

    <p>Magnesium (Mg2+)</p> Signup and view all the answers

    Which of the following processes does NOT occur in the distal convoluted tubule (DCT):

    <p>Passive reabsorption of ammonia and calcium ions</p> Signup and view all the answers

    Which of the following is NOT a waste product excreted in urine:

    <p>Fatty acids</p> Signup and view all the answers

    Steps involved in urine formation include each of the following EXCEPT:

    <p>Tubular filtration</p> Signup and view all the answers

    In filtration, blood pressure forces __________________ across the wall of the glomerular capillaries into the capsular space.

    <p>water and solutes</p> Signup and view all the answers

    Reabsorption is the removal of substances from the filtrate, across the tubular epithelium and into the peritubular fluid before eventually re-entering the:

    <p>blood</p> Signup and view all the answers

    Secretion is the transport of solutes from the ___________ fluid, across the tubular epithelium and into the tubular fluid.

    <p>peritubular</p> Signup and view all the answers

    The glomerular filtration rate (GFR) is the amount of filtrate produced by the kidneys each ___________________.

    <p>minute</p> Signup and view all the answers

    Glomerular filtration rate (GFR) is principally controlled by each of the following processes EXCEPT:

    <p>Temperature regulation</p> Signup and view all the answers

    Which substance released from the adrenal cortex acts on the nephron to increase tubular reabsorption of sodium (Na+) ions and secretion of potassium (K+) and hydrogen (H+) ions?

    <p>Aldosterone</p> Signup and view all the answers

    Water diuresis results from excessive water ingestion and is principally due to a decrease in:

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

    _________________ diuresis results from large quantities of unreabsorbed solutes in the renal tubules (e.g., excess dietary sodium, or consuming seawater).

    <p>osmotic</p> Signup and view all the answers

    Alcohol intake increases urine production by a similar mechanism to ______________________, namely inhibiting ADH secretion.

    <p>Excessive water intake</p> Signup and view all the answers

    Emptying of the urinary bladder is a spinal reflex regulated by:

    <p>Higher brain centers</p> Signup and view all the answers

    Age-related changes to the urinary system include which of the following?

    <p>Problems with the micturition reflex</p> Signup and view all the answers

    Study Notes

    Renal System Functions

    • The renal system has several functions, including excretion of waste products, homeostatic regulation of blood volume and pressure, ion concentrations, blood pH, nutrient conservation, and detoxification.

    Renal System Structures

    • The renal system is comprised of the kidneys, ureters, bladder, and urethra.
    • Kidneys are responsible for urine production.
    • Ureters transport urine from the kidneys to the bladder.
    • The bladder stores urine until elimination.
    • The urethra carries urine from the bladder to the outside of the body.

    Urine Composition

    • Urine contains water, ions, small soluble compounds, and waste products.
    • Urine does not contain significant levels of proteins.

    Nephron Structure & Function

    • The nephron is the basic functional unit of the kidney and is responsible for urine formation.
    • Each nephron consists of a renal corpuscle and a renal tubule.
    • The renal corpuscle is made up of the glomerulus and Bowman's capsule and is the site of filtration.
    • The renal tubule consists of the proximal convoluted tubule (PCT), loop of Henle, distal convoluted tubule (DCT), and collecting duct.

    Glomerular Filtration

    • Glomerular filtration is the process where blood pressure forces water and dissolved solutes out of the glomerular capillaries into Bowman's capsule.
    • This process produces filtrate, which is similar to blood plasma but lacking proteins.

    Tubular Reabsorption

    • Tubular reabsorption is the process of removing useful substances from the filtrate and returning them to the blood.
    • Substances reabsorbed include water, organic nutrients, ions, and some waste products.

    Tubular Secretion

    • Tubular secretion involves transporting substances from the peritubular fluid, through the tubular epithelium, and into the tubular fluid.
    • Waste products, excess ions, and drugs are secreted into the urine.

    Glomerular Filtration Rate (GFR)

    • GFR is the volume of filtrate produced by the kidneys each minute.
    • GFR is regulated by autoregulation, hormonal regulation, and autonomic regulation.

    Hormonal Regulation of Urine Production

    • Aldosterone is a hormone produced by the adrenal cortex that increases sodium reabsorption and potassium and hydrogen secretion by the nephron.
    • Antidiuretic hormone (ADH) increases water reabsorption by the nephron.
    • Renin is an enzyme produced by the kidneys that participates in the renin-angiotensin-aldosterone system, regulating blood pressure.

    Diuresis

    • Diuresis is increased urine production.
    • Water diuresis results from excessive water intake, leading to decreased ADH.
    • Osmotic diuresis is triggered by excess solutes in the renal tubules, such as with high dietary sodium or consuming seawater.
    • Alcohol inhibits ADH, increasing urination.

    Micturition

    • Urination, or micturition, is the process of emptying the bladder.
    • Micturition is a spinal reflex regulated by higher brain centers.
    • As we age, the number of functional nephrons decrease, GFR decreases, and sensitivity to ADH may decline.
    • The micturition reflex may also become less effective.

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