Urinary System Functions and Structures
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Questions and Answers

What is the pH range necessary for maintaining homeostasis in blood?

  • 7.45 to 7.55
  • 7.35 to 7.45 (correct)
  • 7.25 to 7.35
  • 7.55 to 7.65

Which system primarily maintains acid-base balance in the body?

  • Liver
  • Endocrine system
  • Kidneys (correct)
  • Nervous system

At what age does control of the voluntary urethral sphincter typically begin?

  • 18 months (correct)
  • 12 months
  • 24 months
  • 6 months

What happens to the bladder as a person ages?

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

Which of the following statements about urinary function is true for newborns?

<p>The bladder is small (C)</p> Signup and view all the answers

What is the primary process through which water and solutes smaller than proteins are forced through capillary walls?

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

Which of the following materials is typically reabsorbed by the peritubular capillaries?

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

What is a characteristic of urine related to its composition?

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

What role does peristalsis play in the urinary system?

<p>Assists in urine transport to the bladder (B)</p> Signup and view all the answers

Which anatomical structure collects filtrate before it moves to the renal tubule?

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

Which of the following substances is not typically reabsorbed in the kidneys?

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

What is the specific gravity range of normal urine?

<p>1.001 to 1.035 (C)</p> Signup and view all the answers

Which process is described as reabsorption in reverse?

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

What percentage of water is typical in young adult males?

<p>60% (C)</p> Signup and view all the answers

What happens to water levels when electrolyte balance changes?

<p>Water moves between compartments (C)</p> Signup and view all the answers

Which hormone is primarily responsible for preventing excessive water loss in urine?

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

What happens to urine concentration when excessive water intake occurs?

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

What are the two main sources of water output from the body?

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

Which of the following is a key function of aldosterone in maintaining water balance?

<p>Regulates sodium ion content (A)</p> Signup and view all the answers

What can impair cellular activity during changes in water balance?

<p>Changes in electrolyte balance (B)</p> Signup and view all the answers

What is the typical percentage of water in the body of elderly individuals?

<p>45% (A)</p> Signup and view all the answers

What is the primary function of the urinary bladder?

<p>Temporarily stores urine (A)</p> Signup and view all the answers

Which layer of the urinary bladder wall is responsible for its ability to expand significantly?

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

Which sphincter is under voluntary control?

<p>External urethral sphincter (B)</p> Signup and view all the answers

What distinguishes the female urethra from the male urethra?

<p>It is shorter and only carries urine (B)</p> Signup and view all the answers

What is the primary function of the glomerulus?

<p>Filtration of blood (B)</p> Signup and view all the answers

What structure surrounds the glomerulus?

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

What is the role of peritubular capillaries?

<p>Reabsorb substances from collecting tubes (B)</p> Signup and view all the answers

What initiates the relaxation of the internal urethral sphincter during micturition?

<p>Stretching of the bladder (A)</p> Signup and view all the answers

Which type of nephron is primarily located in the cortex?

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

What is located at the trigone of the bladder?

<p>Two openings from the ureters and one to the urethra (B)</p> Signup and view all the answers

What is the typical length of the male urethra?

<p>20 cm (A)</p> Signup and view all the answers

What is the effect of the narrow efferent arteriole attached to the glomerulus?

<p>Maintains high pressure in the glomerulus (A)</p> Signup and view all the answers

Which function is performed solely by the female urethra?

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

What is NOT one of the processes involved in urine formation?

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

Where do juxtamedullary nephrons primarily reside?

<p>At the boundary of the cortex and medulla (C)</p> Signup and view all the answers

What type of pressure do peritubular capillaries operate under?

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

What is NOT a function of the urinary system?

<p>Digestion of proteins (D)</p> Signup and view all the answers

Which organ is NOT part of the urinary system?

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

Where are the kidneys located?

<p>Against the dorsal body wall (A)</p> Signup and view all the answers

What is the primary functional unit of the kidney responsible for urine formation?

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

Which region of the kidney is the outer part?

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

What structure funnels urine towards the renal pelvis?

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

Which statement about the kidneys is correct?

<p>The right kidney is slightly lower than the left. (A)</p> Signup and view all the answers

Which of the following is NOT a homeostatic function of the urinary system?

<p>Regulation of heart rate (C)</p> Signup and view all the answers

Flashcards

What is the Glomerulus?

A network of capillaries within the nephron where blood filtration occurs. Blood enters through a large afferent arteriole and exits through a narrow efferent arteriole, creating high pressure and driving filtration.

What does Glomerular Capsule (Bowman's Capsule) do?

The capsule surrounding the glomerulus, marking the beginning of the renal tubule. It receives the filtered fluid from the glomerulus.

What is the Renal Tubule?

A long, twisted tube responsible for reabsorbing essential substances and secreting waste products. It consists of several segments: Proximal convoluted tubule, Loop of Henle, and Distal convoluted tubule.

What are Cortical Nephrons?

A type of nephron entirely located in the renal cortex, representing the majority of nephrons. They play a role in filtering blood and reabsorbing substances.

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What are Juxtamedullary Nephrons?

A type of nephron with a loop extending into the medulla of the kidney. They are important in creating concentrated urine and conserving water.

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What are Peritubular Capillaries?

A network of capillaries that arise from the efferent arteriole of the glomerulus. They play a crucial role in reabsorbing substances from the renal tubule.

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What is Filtration in Urine Formation?

The process of filtering blood in the glomerulus, where water and small solutes pass into the glomerular capsule. This process separates blood cells and large proteins.

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What is Reabsorption in Urine Formation?

The process of reclaiming essential substances from the filtrate in the renal tubule and returning them to the bloodstream. Most water, electrolytes, and nutrients are reabsorbed.

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What are the main functions of the urinary system?

The urinary system is responsible for eliminating waste products from the body, such as nitrogenous wastes, toxins, and drugs. It plays a crucial role in maintaining homeostasis by regulating water balance, electrolytes, acid-base balance in the blood, blood pressure, red blood cell production, and activating Vitamin D.

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Where are the kidneys located in the body?

The kidneys are bean-shaped organs located against the dorsal body wall at the level of T12 to L3. The right kidney is slightly lower than the left due to the presence of the liver on the right side. Each kidney is attached to the ureters, renal blood vessels, and nerves at the renal hilus. Atop each kidney is an adrenal gland.

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What are the major regions of the kidney?

The kidneys have three main regions: the renal cortex, which is the outer region; the renal medulla, which is inside the cortex; and the renal pelvis, which is the inner collecting tube.

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What are the functional units of the kidneys?

The functional units of the kidneys that are responsible for forming urine are called nephrons. Each nephron consists of a glomerulus, which is a network of capillaries, and a renal tubule, which is responsible for filtering and reabsorbing substances.

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What is the glomerulus and what is its function?

The glomerulus is a network of capillaries in the nephron that filters blood, allowing small molecules to pass through into the renal tubule but blocking larger molecules such as proteins and cells.

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What is the renal tubule and what is its function?

The renal tubule is a long, coiled tube in the nephron that processes the filtered fluid, reabsorbing needed substances back into the blood and secreting unwanted substances into the tubule.

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What are the medullary pyramids, renal columns and calyces?

The medullary pyramids are triangular regions of tissue in the medulla of the kidney. The renal columns are extensions of cortex-like material inward from the cortex. The calyces are cup-shaped structures that funnel urine towards the renal pelvis.

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Describe the path of blood flow in the kidneys.

Blood enters the kidneys through the renal artery and flows through the nephrons, where it's filtered and processed. After filtering, the blood exits the kidney through the renal vein.

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What are the materials not reabsorbed?

Waste products like urea, uric acid, and creatinine that are not reabsorbed and remain in the filtrate to be excreted in urine.

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What is Secretion in urine formation?

The movement of substances from the peritubular capillaries into the renal tubules, working in the opposite direction of reabsorption.

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What are the characteristics of urine used for medical diagnosis?

A yellowish color due to the pigment urochrome (from hemoglobin breakdown), its sterility, a slightly aromatic smell, a normal pH of around 6, and a specific gravity of 1.001 to 1.035.

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What are Ureters?

Slender tubes that connect the kidneys to the bladder, transporting urine through peristalsis and gravity.

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What is the Bladder?

A muscular sac that stores urine before it is excreted from the body. It fills with urine and contracts to release it.

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What is the Urethra?

A tube that carries urine from the bladder out of the body.

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What is the urinary bladder?

A hollow, muscular organ that stores urine temporarily before it's released from the body.

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What is the trigone?

The triangular region at the bladder's base where the ureters and urethra connect. This helps control urine flow.

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What is the detrusor muscle?

The three layers of smooth muscle in the bladder wall that contract to expel urine.

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What is a urethral sphincter?

A circular muscle that controls the flow of urine from the bladder. There are two: Internal (involuntary) and External (voluntary).

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What is micturition?

The process of emptying the bladder, involving relaxation of both internal and external sphincters.

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What are the gender differences in urethra length and location?

The urethra is shorter in females (about 1 inch) and is located along the vaginal wall, while in males it's longer (8 inches) and passes through the prostate and penis.

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What are the gender differences in urethra function?

In females, the urethra only carries urine, while in males it carries urine and sperm.

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Intracellular fluid

The amount of water inside cells, making up about two-thirds of the total body water.

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Extracellular fluid

The fluid outside of cells, encompassing interstitial fluid and blood plasma.

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Interstitial fluid

The fluid that surrounds cells and is a major component of extracellular fluid. It helps transport nutrients and remove waste products.

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Blood plasma

The liquid component of blood, containing plasma proteins, electrolytes, and dissolved substances. It's responsible for transporting nutrients, oxygen and waste products.

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Aldosterone

A hormone that regulates sodium ion concentration in the extracellular fluid by promoting reabsorption of sodium in the kidneys. It's activated by the renin-angiotensin mechanism.

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Antidiuretic hormone (ADH)

A hormone that controls water reabsorption in the kidneys, reducing urine production and preventing excessive water loss. It's released when the body is dehydrated.

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Reabsorption

A process in the kidneys where essential substances are reabsorbed from the filtrate in the renal tubule back into the bloodstream.

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Water and electrolyte balance

The process by which the body regulates the balance of water and electrolytes, ensuring optimal fluid levels and electrolyte concentrations.

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What are the normal pH ranges for blood?

The pH of blood must stay within a narrow range (7.35 to 7.45) to maintain homeostasis, with values outside this range indicating alkalosis (above 7.45) or acidosis (below 7.35).

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What organ is primarily responsible for maintaining acid-base balance in the blood?

The kidneys are the primary organs involved in maintaining acid-base balance in the blood. They regulate the excretion of hydrogen ions (H+) and bicarbonate ions (HCO3-) to adjust blood pH.

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What are blood buffers and how do they work?

Blood buffers, such as bicarbonate (HCO3-), act as temporary pH regulators by binding to excess hydrogen ions (H+) or releasing them to counteract changes in blood pH. This system offers immediate but short-lived buffering.

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How does the respiratory system contribute to acid-base balance?

The respiratory system also plays a role in maintaining acid-base balance by regulating the amount of carbon dioxide (CO2) in the blood. CO2 combines with water to form carbonic acid (H2CO3), which can lower blood pH. By increasing respiration rate, the body can expel more CO2, reducing acidity, and vice versa for alkalosis.

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What are key features of the urinary system of a newborn?

Even though the kidneys develop by the third month of gestation, a newborn's bladder is small and cannot concentrate urine effectively. This makes infants susceptible to dehydration. Voluntary control of the urethral sphincter develops around 18 months of age.

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Study Notes

Urinary System Functions

  • Eliminates waste products, including nitrogenous wastes, toxins, and drugs.
  • Regulates homeostasis, including water balance, electrolytes, acid-base balance in the blood, blood pressure, red blood cell production, and vitamin D activation.

Urinary System Organs

  • Kidneys
  • Ureters
  • Urinary bladder
  • Urethra

Kidney Location

  • Located against the dorsal body wall.
  • Situated at the level of T12 to L3.
  • The right kidney is slightly lower than the left.
  • Attached to ureters, renal blood vessels, and nerves at the renal hilus.
  • An adrenal gland sits atop each kidney.

Kidney Regions

  • Renal cortex (outer region)
  • Renal medulla (inside the cortex)
  • Renal pelvis (inner collecting tube)

Kidney Structures

  • Medullary pyramids: triangular regions of tissue in the medulla.
  • Renal columns: extensions of cortex-like material inward.
  • Calyces: cup-shaped structures that funnel urine toward the renal pelvis.

Blood Flow in the Kidneys

  • Blood flows from the aorta to the renal artery, then to segmental arteries, lobar arteries, interlobar arteries, arcuate arteries, interlobular arteries, afferent arterioles, glomerulus, efferent arterioles, peritubular capillaries, and then to the renal vein.

Nephrons

  • Structural and functional units of the kidneys.
  • Responsible for forming urine.
  • Consist of glomerulus and renal tubule.

Glomerulus

  • Specialized capillary bed attached to arterioles on both sides (maintains high pressure).
  • Contains afferent (large) and efferent (narrow) arterioles.
  • Sits within a glomerular capsule (first part of the renal tubule).

Renal Tubules

  • Glomerular (Bowman's) capsule.
  • Proximal convoluted tubule.
  • Loop of Henle.
  • Distal convoluted tubule.

Types of Nephrons

  • Cortical nephrons: located entirely in the cortex (most common).
  • Juxtamedullary nephrons: located at the boundary of the cortex and medulla.

Peritubular Capillaries

  • Arise from efferent arterioles of the glomerulus.
  • Normal, low-pressure capillaries.
  • Attached to a venule.
  • Cling closely to the renal tubule.
  • Reabsorb substances from collecting tubes.

Urine Formation Processes

  • Filtration: nonselective passive process where water and solutes smaller than proteins are forced through capillary walls; filtrate collects in the glomerular capsule.
  • Reabsorption: peritubular capillaries reabsorb water, glucose, amino acids, and ions (mostly active transport).
  • Secretion: some materials move from peritubular capillaries into the renal tubules (e.g., hydrogen and potassium ions, creatinine).

Materials Not Reabsorbed

  • Nitrogenous waste products (urea, uric acid, creatinine).
  • Excess water.

Ureters

  • Slender tubes attaching the kidney to the bladder.
  • Continuous with the renal pelvis.
  • Enter the posterior aspect of the bladder.
  • Runs behind the peritoneum.
  • Peristalsis aids in urine transport.

Urinary Bladder

  • Smooth, collapsible, muscular sac.
  • Temporarily stores urine.
  • Trigone: three openings (two from the ureters, one to the urethra).
  • Walls are thick and folded in an empty bladder.
  • Bladder expands significantly without increasing internal pressure.

Urethra

  • Thin-walled tube carrying urine from the bladder to the outside of the body via peristalsis.
  • Release controlled by two sphincters: internal (involuntary) and external (voluntary).

Urethra Gender Differences

  • Length: Females (3-4 cm); Males (20 cm).
  • Location: Females (along vagina wall); Males (through prostate and penis).
  • Function: Females (only urine); Males (urine and sperm passageway).

Micturition (Voiding)

  • Both sphincter muscles open to allow voiding.
  • Internal sphincter relaxes after bladder stretching.
  • Activation from impulse sent to spinal cord and back via pelvic splanchnic nerves.
  • External sphincter is voluntarily relaxed.

Maintaining Water Balance

  • Intake must equal output.
  • Water sources: ingested foods/fluids, metabolic processes.
  • Water output sources: vaporization (lungs), perspiration, feces, urine.
  • Dilute urine if excessive intake; concentrated urine if water loss.
  • Proper electrolyte concentrations are crucial for water balance.

Regulation of Water/Electrolyte Reabsorption

  • Primarily regulated by hormones such as ADH and aldosterone.
  • ADH prevents excessive water loss in the urine.
  • Aldosterone regulates sodium ion content of extracellular fluid and is triggered by the rennin-angiotensin mechanism.
  • Kidney and hypothalamus cells are active monitors.

Maintaining Acid-Base Balance

  • Blood pH must be between 7.35 and 7.45 to maintain homeostasis.
  • Most acid-base balance is maintained by the kidneys.
  • Other systems include blood buffers and respiration.

Developmental Aspects of the Urinary System

  • Functional kidneys develop by the third month.
  • Newborn bladder is small; urine cannot be concentrated.
  • Voluntary urethral sphincter control starts after 18 months.
  • Urinary infections are common problems before old age

Aging and the Urinary System

  • A progressive decline in urinary function occurs.
  • The bladder shrinks with aging.
  • Urinary retention is common in males.

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Test your knowledge on the urinary system, including its functions and the structure of the kidneys. This quiz covers the organs involved, their locations, and specific kidney regions and structures. Enhance your understanding of how the urinary system maintains homeostasis and eliminates waste.

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