Urinary System Functions and Anatomy

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Questions and Answers

Which of the following is NOT a major function of the kidney?

  • Regulation of blood pressure through RAAS
  • Excretion of metabolic wastes in urine
  • Homeostasis (regulation)
  • Secretion of digestive enzymes (correct)

The kidneys are located retroperitoneally, which means they are:

  • Suspended by the mesentery
  • Behind the peritoneum (correct)
  • In the peritoneal cavity
  • Attached to the anterior abdominal wall

Which of the following statements about the position of the kidneys is correct?

  • Both kidneys are at the same level.
  • The right kidney is typically slightly lower than the left kidney. (correct)
  • The right kidney is slightly higher than the left kidney.
  • Due to the liver's presence on the right side of the body, the right kidney is typically situated slightly lower than the left.
  • The left kidney is slightly lower than the right kidney.

Which structure is NOT found within the renal hilum?

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

What type of tissue directly adheres to the kidney's surface, providing a barrier against infection?

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

The renal sinus contains all of the following EXCEPT:

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

The renal columns are extensions of the renal cortex that:

<p>Fill the spaces between renal pyramids (B)</p> Signup and view all the answers

What are the two main regions of the internal kidney?

<p>Renal cortex and renal medulla (C)</p> Signup and view all the answers

The structural and functional units of the kidney are called:

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

The renal corpuscle consists of:

<p>The glomerulus and Bowman's capsule (B)</p> Signup and view all the answers

Which of the following is the correct order of filtrate flow through the nephron?

<p>Bowman's capsule → Proximal convoluted tubule → Loop of Henle → Distal convoluted tubule (B)</p> Signup and view all the answers

Podocytes are specialized cells that:

<p>Cling to the glomerulus and form filtration slits (D)</p> Signup and view all the answers

The filtration membrane in the glomerulus does NOT consist of which of the following layers?

<p>Parietal layer of the glomerular capsule (A)</p> Signup and view all the answers

The external parietal layer of the glomerular capsule plays what role in the formation of filtrate?

<p>It simply contributes to the structure of the capsule. (C)</p> Signup and view all the answers

What is the primary function of the filtration slits associated with podocytes?

<p>To allow the passage of small molecules while preventing the passage of large proteins (A)</p> Signup and view all the answers

The proximal convoluted tubule is PRIMARILY responsible for:

<p>Reabsorption of water, ions, and organic nutrients (D)</p> Signup and view all the answers

Which of the followig is NOT reabsorbed in the proximal convoluted tubule?

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

A major function of the descending limb of the loop of Henle is:

<p>Reabsorption of water (D)</p> Signup and view all the answers

Which of the following characteristics primarily describes the ascending limb of the loop of Henle?

<p>Permeable to solutes, impermeable to water (D)</p> Signup and view all the answers

Which of the following describes the distal convoluted tubule?

<p>Has walls of simple cuboidal epithelium <em>without</em> microvilli (B)</p> Signup and view all the answers

The collecting duct is MOST directly influenced by which hormone?

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

The primary difference between cortical and juxtamedullary nephrons is:

<p>Juxtamedullary nephrons are involved in concentrating urine, while cortical nephrons are not. (E)</p> Signup and view all the answers

Which type of nephron has the LEAST amount?

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

The efferent arteriole supplies blood to which set of capillaries?

<p>both peritublar and vasa recta capillaries (C)</p> Signup and view all the answers

Which of the following regions is MOST associated with the juxtaglomerular apparatus?

<p>nephron loop (C)</p> Signup and view all the answers

What is renin?

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

The macula densa functions as a:

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

Which of the following event will occur when solute concentrations fall below a certain level?

<p>The macula densa signal the granular cells to secrete renin (D)</p> Signup and view all the answers

Which of the following is the correct order of chemical reactions?

<p>Renin -&gt; angiotensin II -&gt; aldosterone (C)</p> Signup and view all the answers

The ureters transport urine from the:

<p>Kidneys to the bladder (B)</p> Signup and view all the answers

At what level does each ureter begin superiorly?

<p>L2 (C)</p> Signup and view all the answers

Which of the following describes the ureters?

<p>are shorter when empty (A)</p> Signup and view all the answers

Which of the following statements about ureter function is correct?

<p>The muscularis layer propels urine to the bladder (B)</p> Signup and view all the answers

What type of epithelium lines the inside of the bladder?

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

In males, what lies directly inferior to the bladder?

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

The trigone is defined by

<p>openings for ureters and urethra (B)</p> Signup and view all the answers

What is the name for the urine voiding reflex?

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

In males, what is the correct order parts of the urethra?

<p>Prostatic urethra -&gt; membranous urethra -&gt; spongy urethra (D)</p> Signup and view all the answers

The lining epithelium changes from transitional epithelium near the bladder down to:

<p>Pseudostratified columnar epithelium -&gt; stratified squamous epithelium (A)</p> Signup and view all the answers

Which region of the male urethra passes through the urogenital diaphragm?

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

Flashcards

Why is waste removal important?

Waste products accumulate in the blood, are toxic, and must be removed to maintain homeostasis.

Major Kidney Functions

Homeostasis, excretion, endocrine function, and metabolic function.

Kidney Location

Kidneys are located retroperitoneally, bean-shaped structures extending from T12-L3. The right kidney is slightly lower than the left.

Renal Sinus

The renal sinus is a large space within the medial part of the kidney opening to the exterior through the renal hilum.

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Fibrous Capsule

Dense connective tissue that maintains the kidney's shape and forms an infection barrier.

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Major kidney functions

Homeostasis (regulation), excretion, endocrine function, and metabolic function.

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Kidney Internal Regions

An outer lighter region and an inner, darker red-brown region.

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Nephrons

The structural and functional units of the kidney that produce urine.

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Renal Corpuscle

A filtering component of the nephron, where blood plasma is filtered.

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Bowman's Capsule

A cup-shaped capsule that encloses the glomerulus of the nephron.

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Blood renal barrier

The different microscopic layers that separate the blood from the capsular space

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Filtration Membrane

The actual filter that lies between the blood and the interior of the glomerular capsule

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Renal tubule parts

Proximal convoluted tubule, loop of Henle, distal convoluted tubule, and collecting duct.

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Proximal Convoluted Tubule

Confined entirely to the renal cortex, is most active in reabsorption and secretion

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Loop of Henle

Descending segment(permeable to water but not solutes) and Ascending segment(permeable to Na+ not water)

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Distal Convoluted Tubule

Located in cortex; responsible for selective secretion and reabsorption of ions.

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Cortical Nephrons

Located in the cortex; make up 85% of the nephrons, mainly in humans

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Juxtamedullary Nephrons

Located near the junction of cortex and medulla, and make up 15% of nephrons; Involved in the concentration of urine

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Juxtaglomerular apparatus

Structure that functions in the regulation of blood pressure, is an area of specialized contact between the terminal end of the thick ascending limb of the nephron loop and the afferent arteriole

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Ureters

Carry urine from the kidneys to the urinary bladder; about 25 cm (10 inches) long.

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Ureters basic layers

A mucosa, muscularis, and adventitia

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Ureters' Lining Mucosa

transitional epithelium that stretches when the ureters fill with urine

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Middle Muscularis

Consists of two layers: an inner longitudinal layer and an outer circular layer of smooth muscle

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Urinary Bladder

Stores and expels urine, lies inferior to the peritoneal cavity on the pelvic floor, just posterior to the pubic symphysis

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Shape of an Empty Bladder

Has upside-down pyramid with four triangular surfaces/corners/angles

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Bladder-urethra junction

A thickening of the detrusor muscle forms the internal urethral sphincter

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Urethra

A thin-walled tube that drains urine from the bladder and conveys it out of the body

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Micturition center of brain

pons (but heavily influenced by higher centers)

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Micturition AKA

Voiding, Urinating or emptying the bladder

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Bladder's Blood Supply

arteries supplying the bladder are branches of the internal iliac arteries, primarily the superior and inferior vesical arteries

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