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Questions and Answers

The renal pelvis is a part of the medulla.

False

The calyces collect urine, which drains continuously from the ______________________.

papillae

What is the function of the smooth muscle in the walls of the calyces, pelvis, and ureter?

  • To regulate blood pressure
  • To absorb nutrients from the urine
  • To filter waste from the blood
  • To facilitate the flow of urine through peristalsis (correct)
  • The right renal artery is shorter than the left renal artery.

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

    What is the name of the arteries that branch from the interlobar arteries at the cortex-medulla junction?

    <p>Arcuate arteries</p> Signup and view all the answers

    The renal arteries exit at right angles from the ______________________.

    <p>abdominal aorta</p> Signup and view all the answers

    What is the function of the afferent arterioles in the kidney?

    <p>To begin a complex arrangement of microscopic blood vessels</p> Signup and view all the answers

    Match the following structures with their corresponding functions:

    <p>Fibrous capsule = Prevents infections from spreading to the kidney Perirenal fat capsule = Cushions the kidney against blows Renal fascia = Anchors the kidney to surrounding structures Calyces = Collects urine from the papillae</p> Signup and view all the answers

    Study Notes

    Kidneys – Blood and Nerve Supply

    • Renal veins exit from the kidneys and empty into the inferior vena cava, with the left renal vein being about twice as long as the right.
    • The renal plexus provides the nerve supply of the kidney and its ureter.
    • Sympathetic vasomotor fibers regulate renal blood flow by adjusting the diameter of renal arterioles and influence the formation of urine by the nephron.

    Nephrons

    • Nephrons are the structural and functional units of the kidneys.
    • Each kidney contains over one million nephrons, which carry out the processes that form urine.
    • Each nephron consists of a renal corpuscle and a renal tubule.
    • The renal corpuscles are located in the renal cortex, while the renal tubules begin in the cortex and then pass into the medulla before returning to the cortex.

    Renal Corpuscle

    • Each renal corpuscle consists of a tuft of capillaries called a glomerulus and a cup-shaped hollow structure called the glomerular capsule (or Bowman's capsule).
    • The glomerular capsule completely surrounds the glomerulus and is continuous with its renal tubule.
    • The endothelium of the glomerular capillaries is fenestrated, making these capillaries exceptionally porous.

    Regulation of Glomerular Filtration

    • The sympathetic nervous system controls neural renal controls, which serve the needs of the body as a whole.
    • When the volume of the extracellular fluid is normal, the renal blood vessels are dilated, and renal autoregulation mechanisms prevail.
    • When the extracellular fluid volume is extremely low, neural controls may override autoregulatory mechanisms, reducing renal blood flow to the point of damaging the kidneys.

    Extrinsic Controls: Neural and Hormonal Mechanisms

    • The renin-angiotensin-aldosterone mechanism is the body's main mechanism for increasing blood pressure.
    • Low blood pressure causes the granular cells of the juxtaglomerular complex to release renin.

    Urine Formation – Step 2: Tubular Reabsorption

    • Tubular reabsorption is a selective transepithelial process that begins as soon as the filtrate enters the proximal tubules.
    • Virtually all organic nutrients such as glucose and amino acids are completely reabsorbed to maintain or restore normal plasma concentrations.

    Kidneys – Internal Gross Anatomy

    • The renal fascia, an outer layer of dense fibrous connective tissue, anchors the kidney and the adrenal gland to surrounding structures.
    • The perirenal fat capsule, a fatty mass, surrounds the kidney and cushions it against blows.
    • The fibrous capsule, a transparent capsule, prevents infections in surrounding regions from spreading to the kidney.
    • A frontal section through a kidney reveals three distinct regions: cortex, medulla, and pelvis.
    • The calyces collect urine, which drains continuously from the papillae, and empty it into the renal pelvis.
    • The urine then flows through the renal pelvis and into the ureter, which moves it to the bladder to be stored.
    • The walls of the calyces, pelvis, and ureter contain smooth muscle that contracts rhythmically to propel urine by peristalsis.

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