Podcast
Questions and Answers
What is the primary function of the external sphincter during micturition?
What is the primary function of the external sphincter during micturition?
Which factor does NOT directly affect blood composition?
Which factor does NOT directly affect blood composition?
Which of the following roles do the kidneys perform in maintaining blood composition?
Which of the following roles do the kidneys perform in maintaining blood composition?
What is the normal percentage of water in the body for young adult males?
What is the normal percentage of water in the body for young adult males?
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What fluid compartment accounts for two-thirds of total body fluid?
What fluid compartment accounts for two-thirds of total body fluid?
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What role does aldosterone play in regulating blood composition?
What role does aldosterone play in regulating blood composition?
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What triggers the release of renin from the juxtaglomerular apparatus?
What triggers the release of renin from the juxtaglomerular apparatus?
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What is the main effect of angiotensin II?
What is the main effect of angiotensin II?
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How does sodium reabsorption affect water movement in the body?
How does sodium reabsorption affect water movement in the body?
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What is the primary function of the renin-angiotensin mechanism?
What is the primary function of the renin-angiotensin mechanism?
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What are peritubular capillaries primarily adapted for?
What are peritubular capillaries primarily adapted for?
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Which structure drains into the interlobar veins?
Which structure drains into the interlobar veins?
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What type of capillaries are peritubular capillaries?
What type of capillaries are peritubular capillaries?
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Which arteriole brings blood into the glomerulus?
Which arteriole brings blood into the glomerulus?
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What surrounds the glomerular capillaries?
What surrounds the glomerular capillaries?
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Which part of the nephron follows the proximal convoluted tubule?
Which part of the nephron follows the proximal convoluted tubule?
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What feature characterizes peritubular capillaries in relation to renal tubules?
What feature characterizes peritubular capillaries in relation to renal tubules?
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What happens to peritubular capillaries after absorbing solutes and water?
What happens to peritubular capillaries after absorbing solutes and water?
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What is the main driving force for water intake in the body?
What is the main driving force for water intake in the body?
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Which source contributes the least to water intake?
Which source contributes the least to water intake?
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What role do osmoreceptors play in hydration?
What role do osmoreceptors play in hydration?
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How much water is normally lost through urine each day?
How much water is normally lost through urine each day?
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What percentage of daily water output comes from insensible losses?
What percentage of daily water output comes from insensible losses?
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What additional factor promotes the thirst mechanism aside from osmoreceptors?
What additional factor promotes the thirst mechanism aside from osmoreceptors?
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What is the typical water intake percentage from beverages?
What is the typical water intake percentage from beverages?
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Which process is least likely to affect water balance in the body?
Which process is least likely to affect water balance in the body?
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What is the primary function of nephrons in the kidneys?
What is the primary function of nephrons in the kidneys?
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Which component is NOT part of the nephron's renal corpuscle?
Which component is NOT part of the nephron's renal corpuscle?
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How many nephrons does each kidney contain approximately?
How many nephrons does each kidney contain approximately?
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What is the primary role of the renal tubule in a nephron?
What is the primary role of the renal tubule in a nephron?
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Which structure collects urine from multiple nephrons?
Which structure collects urine from multiple nephrons?
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What type of artery carries blood to the glomerulus?
What type of artery carries blood to the glomerulus?
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Which of the following structures is found in the renal cortex?
Which of the following structures is found in the renal cortex?
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The renal medulla's primary focus is on which function?
The renal medulla's primary focus is on which function?
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What is one of the regulatory functions of the kidneys?
What is one of the regulatory functions of the kidneys?
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Which organ is NOT part of the urinary system?
Which organ is NOT part of the urinary system?
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At what vertebral levels are the kidneys typically located?
At what vertebral levels are the kidneys typically located?
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What is the primary waste product disposed of by the kidneys?
What is the primary waste product disposed of by the kidneys?
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Why is the right kidney positioned lower than the left kidney?
Why is the right kidney positioned lower than the left kidney?
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What does the renal hilum refer to?
What does the renal hilum refer to?
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Which of the following is an incorrect function of the kidneys?
Which of the following is an incorrect function of the kidneys?
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Which statement about the structure of an adult kidney is true?
Which statement about the structure of an adult kidney is true?
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What happens to chloride ions when sodium ions are reabsorbed in the kidney?
What happens to chloride ions when sodium ions are reabsorbed in the kidney?
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Which effect does angiotensin II have on the body?
Which effect does angiotensin II have on the body?
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What triggers the release of aldosterone?
What triggers the release of aldosterone?
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How does renin contribute to blood volume and pressure regulation?
How does renin contribute to blood volume and pressure regulation?
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What is the significance of the renin-angiotensin mechanism in electrolyte balance?
What is the significance of the renin-angiotensin mechanism in electrolyte balance?
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Which source contributes the least to daily water intake?
Which source contributes the least to daily water intake?
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How does a dry mouth contribute to the thirst mechanism?
How does a dry mouth contribute to the thirst mechanism?
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What percentage of daily water output is typically lost through urine?
What percentage of daily water output is typically lost through urine?
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Which of the following processes plays a critical role in regulating water intake?
Which of the following processes plays a critical role in regulating water intake?
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What is the average amount of water lost through insensible losses each day?
What is the average amount of water lost through insensible losses each day?
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What occurs when osmoreceptors are activated?
What occurs when osmoreceptors are activated?
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What percentage of daily water intake typically comes from ingested fluids?
What percentage of daily water intake typically comes from ingested fluids?
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What process involves materials moving from the blood into the renal tubules to be eliminated in filtrate?
What process involves materials moving from the blood into the renal tubules to be eliminated in filtrate?
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Which ion is actively secreted into the filtrate during the tubular secretion process?
Which ion is actively secreted into the filtrate during the tubular secretion process?
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In the nephron, where does the reabsorption of glucose and amino acids primarily occur?
In the nephron, where does the reabsorption of glucose and amino acids primarily occur?
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Which substance is reabsorbed in the renal tubule primarily through passive transport?
Which substance is reabsorbed in the renal tubule primarily through passive transport?
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What is a key characteristic of the distal tubule compared to the proximal tubule?
What is a key characteristic of the distal tubule compared to the proximal tubule?
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Which of the following substances is NOT typically reabsorbed in the proximal tubule?
Which of the following substances is NOT typically reabsorbed in the proximal tubule?
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What role do peritubular capillaries serve in relation to the renal tubules?
What role do peritubular capillaries serve in relation to the renal tubules?
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What is the function of the nephron loop?
What is the function of the nephron loop?
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Which structure is responsible for collecting blood from the glomerulus after filtration?
Which structure is responsible for collecting blood from the glomerulus after filtration?
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Which process occurs in the nephron to regulate blood composition by removing excess substances?
Which process occurs in the nephron to regulate blood composition by removing excess substances?
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Which part of the nephron is involved primarily in the initial reabsorption of nutrients?
Which part of the nephron is involved primarily in the initial reabsorption of nutrients?
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What type of capillaries are glomerular capillaries categorized as?
What type of capillaries are glomerular capillaries categorized as?
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Which component of the nephron is formed by the glomerular capsule surrounding glomerular capillaries?
Which component of the nephron is formed by the glomerular capsule surrounding glomerular capillaries?
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What primary structure surrounds the renal cortex and renal medulla?
What primary structure surrounds the renal cortex and renal medulla?
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Which structure performs the final concentration and storage of urine within the nephron?
Which structure performs the final concentration and storage of urine within the nephron?
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Which arterial structure directly delivers blood to the nephron for the filtration process?
Which arterial structure directly delivers blood to the nephron for the filtration process?
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What is the pH range that must be maintained for blood to achieve homeostasis?
What is the pH range that must be maintained for blood to achieve homeostasis?
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Which term describes a condition where blood pH is below 7.35?
Which term describes a condition where blood pH is below 7.35?
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What role do kidneys play in maintaining acid-base balance?
What role do kidneys play in maintaining acid-base balance?
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Which of the following best describes how strong acids behave in water?
Which of the following best describes how strong acids behave in water?
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What is a characteristic of weak acids like carbonic acid?
What is a characteristic of weak acids like carbonic acid?
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How do strong bases differ from weak bases in their interaction with H+?
How do strong bases differ from weak bases in their interaction with H+?
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What condition is indicated by a pH above 7.45?
What condition is indicated by a pH above 7.45?
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Which of the following systems is NOT primarily involved in maintaining acid-base balance?
Which of the following systems is NOT primarily involved in maintaining acid-base balance?
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What is the primary purpose of tubular secretion in the nephron?
What is the primary purpose of tubular secretion in the nephron?
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Which nitrogenous waste product is primarily associated with protein breakdown?
Which nitrogenous waste product is primarily associated with protein breakdown?
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What is the fate of nitrogenous waste products during urine formation?
What is the fate of nitrogenous waste products during urine formation?
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Which of the following substances is poorly reabsorbed and typically ends up in urine?
Which of the following substances is poorly reabsorbed and typically ends up in urine?
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Which two processes play a key role in the transport of substances in the nephron?
Which two processes play a key role in the transport of substances in the nephron?
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What is the role of secretion in urine formation?
What is the role of secretion in urine formation?
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What type of waste is uric acid associated with?
What type of waste is uric acid associated with?
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The renal tubule is primarily responsible for which of the following processes?
The renal tubule is primarily responsible for which of the following processes?
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Which substance is actively secreted into the renal tubule?
Which substance is actively secreted into the renal tubule?
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Where do materials left in the renal tubule go after secretion?
Where do materials left in the renal tubule go after secretion?
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What percentage of body weight is attributed to total body water?
What percentage of body weight is attributed to total body water?
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What is the volume of intracellular fluid (ICF) in liters?
What is the volume of intracellular fluid (ICF) in liters?
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What volume of plasma constitutes the extracellular fluid (ECF)?
What volume of plasma constitutes the extracellular fluid (ECF)?
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Which of the following is NOT considered an electrolyte?
Which of the following is NOT considered an electrolyte?
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How much of the extracellular fluid (ECF) volume is made up by interstitial fluid?
How much of the extracellular fluid (ECF) volume is made up by interstitial fluid?
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What is the total volume of extracellular fluid (ECF) in liters?
What is the total volume of extracellular fluid (ECF) in liters?
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Which electrolyte is primarily responsible for conducting electrical current in aqueous solutions?
Which electrolyte is primarily responsible for conducting electrical current in aqueous solutions?
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What is the correct volume of interstitial fluid (IF) in liters?
What is the correct volume of interstitial fluid (IF) in liters?
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At what age does control of the voluntary urethral sphincter typically begin?
At what age does control of the voluntary urethral sphincter typically begin?
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What is a common urinary issue that men may face as they age?
What is a common urinary issue that men may face as they age?
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What bacterium is responsible for the majority of urinary tract infections (UTIs)?
What bacterium is responsible for the majority of urinary tract infections (UTIs)?
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Which developmental abnormality is commonly associated with the urinary system?
Which developmental abnormality is commonly associated with the urinary system?
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Which of the following is NOT typically a problem associated with aging in the urinary system?
Which of the following is NOT typically a problem associated with aging in the urinary system?
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What type of nephron is primarily located in the cortex of the kidney?
What type of nephron is primarily located in the cortex of the kidney?
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Which structure connects the renal cortex to the renal medulla?
Which structure connects the renal cortex to the renal medulla?
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What is the primary function of the glomerulus in the nephron?
What is the primary function of the glomerulus in the nephron?
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Which blood vessel supplies the glomerulus?
Which blood vessel supplies the glomerulus?
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Which part of the nephron is responsible for reabsorption and secretion after filtration?
Which part of the nephron is responsible for reabsorption and secretion after filtration?
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What type of capillary is specialized for the filtration process in the nephron?
What type of capillary is specialized for the filtration process in the nephron?
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What is the primary role of the collecting ducts in the nephron?
What is the primary role of the collecting ducts in the nephron?
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Which nephron type has a nephron loop that dips deep into the renal medulla?
Which nephron type has a nephron loop that dips deep into the renal medulla?
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What pH range is considered normal for maintaining homeostasis in blood?
What pH range is considered normal for maintaining homeostasis in blood?
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What is referred to as physiological acidosis?
What is referred to as physiological acidosis?
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Which system plays the greatest role in maintaining acid-base balance in the body?
Which system plays the greatest role in maintaining acid-base balance in the body?
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How do strong acids behave in water compared to weak acids?
How do strong acids behave in water compared to weak acids?
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Which of the following describes a weak base?
Which of the following describes a weak base?
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Which condition is classified as alkalosis?
Which condition is classified as alkalosis?
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What happens to weak acids when they are added to water?
What happens to weak acids when they are added to water?
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Which buffer system plays a significant role in acid-base balance in blood?
Which buffer system plays a significant role in acid-base balance in blood?
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What effect does angiotensin II have on systemic arterioles?
What effect does angiotensin II have on systemic arterioles?
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How does aldosterone primarily affect kidney tubules?
How does aldosterone primarily affect kidney tubules?
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Which component directly stimulates the release of antidiuretic hormone (ADH)?
Which component directly stimulates the release of antidiuretic hormone (ADH)?
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What triggers the activation of the renin-angiotensin system?
What triggers the activation of the renin-angiotensin system?
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What role do baroreceptors play in the regulation of blood pressure?
What role do baroreceptors play in the regulation of blood pressure?
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What is the result of renin release from the kidneys?
What is the result of renin release from the kidneys?
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Which factor contributes to the elevation of blood volume?
Which factor contributes to the elevation of blood volume?
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What primary mechanism does the sympathetic nervous system utilize to influence blood pressure?
What primary mechanism does the sympathetic nervous system utilize to influence blood pressure?
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What effect does reduced filtrate volume have on baroreceptors?
What effect does reduced filtrate volume have on baroreceptors?
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Which hormone promotes water reabsorption in response to high blood solute concentration?
Which hormone promotes water reabsorption in response to high blood solute concentration?
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What is primarily reabsorbed in the proximal tubule?
What is primarily reabsorbed in the proximal tubule?
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Which ions are mainly secreted into the renal tubules from the blood during tubular secretion?
Which ions are mainly secreted into the renal tubules from the blood during tubular secretion?
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What provides the primary mechanism for reabsorption in the nephron?
What provides the primary mechanism for reabsorption in the nephron?
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Which of the following best describes the function of the distal tubule?
Which of the following best describes the function of the distal tubule?
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What can be an effect of tubular secretion?
What can be an effect of tubular secretion?
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What component is primarily targeted for reabsorption in the distal tubule?
What component is primarily targeted for reabsorption in the distal tubule?
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Which structure directly collects urine from multiple nephrons?
Which structure directly collects urine from multiple nephrons?
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In which renal structure does active transport primarily occur for reabsorption?
In which renal structure does active transport primarily occur for reabsorption?
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Flashcards
Function of Kidneys
Function of Kidneys
The kidneys dispose of waste products, regulate blood pressure, stimulate red blood cell production, and convert vitamin D.
Kidney Location
Kidney Location
The kidneys are located behind the parietal peritoneum, against the dorsal body wall, between the 12th rib and L3 vertebrae. The right one is slightly lower.
Kidney Structure
Kidney Structure
Adult kidneys are about 12 cm long and 6 cm wide and have a medial indentation called the renal hilum.
Renal Hilum
Renal Hilum
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Waste Products Removed by Kidneys
Waste Products Removed by Kidneys
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Renin
Renin
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Erythropoietin
Erythropoietin
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Vitamin D Activation
Vitamin D Activation
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Nephron
Nephron
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Renal corpuscle parts
Renal corpuscle parts
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Renal tubule
Renal tubule
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Renal Corpuscle
Renal Corpuscle
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Cortical nephrons
Cortical nephrons
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Juxtamedullary nephrons
Juxtamedullary nephrons
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Collecting duct
Collecting duct
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Glomerulus
Glomerulus
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Micturition
Micturition
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What factors influence blood composition?
What factors influence blood composition?
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Kidneys: 4 Main Roles
Kidneys: 4 Main Roles
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Intracellular Fluid (ICF)
Intracellular Fluid (ICF)
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Extracellular Fluid (ECF)
Extracellular Fluid (ECF)
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Glomerular Filtration
Glomerular Filtration
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Proximal Convoluted Tubule (PCT)
Proximal Convoluted Tubule (PCT)
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Peritubular Capillaries
Peritubular Capillaries
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Efferent Arteriole
Efferent Arteriole
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Afferent Arteriole
Afferent Arteriole
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Distal Convoluted Tubule (DCT)
Distal Convoluted Tubule (DCT)
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Juxtaglomerular Apparatus
Juxtaglomerular Apparatus
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Water Balance
Water Balance
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Sources of Water Intake
Sources of Water Intake
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Thirst Mechanism
Thirst Mechanism
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Osmoreceptors
Osmoreceptors
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Hypothalamus
Hypothalamus
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Water Output
Water Output
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Insensible Losses
Insensible Losses
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Urine
Urine
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What is aldosterone's role in electrolyte balance?
What is aldosterone's role in electrolyte balance?
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What is the Renin-Angiotensin mechanism?
What is the Renin-Angiotensin mechanism?
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What is the effect of angiotensin II?
What is the effect of angiotensin II?
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How does electrolyte balance influence water movement?
How does electrolyte balance influence water movement?
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What is the connection between sodium and water balance?
What is the connection between sodium and water balance?
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Juxtaglomerular Apparatus (JGA)
Juxtaglomerular Apparatus (JGA)
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Proximal Tubule
Proximal Tubule
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Distal Tubule
Distal Tubule
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What is reabsorption?
What is reabsorption?
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What is secretion?
What is secretion?
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What is tubular secretion?
What is tubular secretion?
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What is the role of the collecting duct?
What is the role of the collecting duct?
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What is the function of the glomerular capsule?
What is the function of the glomerular capsule?
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What is the Loop of Henle?
What is the Loop of Henle?
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Aldosterone's Role
Aldosterone's Role
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Renin-Angiotensin Mechanism
Renin-Angiotensin Mechanism
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Angiotensin II's Effect
Angiotensin II's Effect
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Electrolyte Balance & Water Movement
Electrolyte Balance & Water Movement
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Sodium & Water Connection
Sodium & Water Connection
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Tubular Secretion
Tubular Secretion
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Nitrogenous Wastes
Nitrogenous Wastes
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Uric Acid
Uric Acid
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Creatinine
Creatinine
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What happens to substances not reabsorbed?
What happens to substances not reabsorbed?
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What is the role of tubular secretion in maintaining acid-base balance?
What is the role of tubular secretion in maintaining acid-base balance?
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What is the fate of materials in the renal tubule?
What is the fate of materials in the renal tubule?
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Why are nitrogenous wastes poorly reabsorbed?
Why are nitrogenous wastes poorly reabsorbed?
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Where does the process of urine formation end?
Where does the process of urine formation end?
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Why is water intake important?
Why is water intake important?
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What is a dry mouth and its role?
What is a dry mouth and its role?
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Blood pH Range
Blood pH Range
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Alkalosis
Alkalosis
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Acidosis
Acidosis
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Blood Buffers
Blood Buffers
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Strong Acids
Strong Acids
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Weak Acids
Weak Acids
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Strong Bases
Strong Bases
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Weak Bases
Weak Bases
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Peritubular Capillary Bed
Peritubular Capillary Bed
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Renal Pyramids
Renal Pyramids
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Reabsorption
Reabsorption
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Secretion
Secretion
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Glomerular Capsule
Glomerular Capsule
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Loop of Henle
Loop of Henle
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Total Body Water
Total Body Water
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Blood pH Balance
Blood pH Balance
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What are the consequences of blood pH being out of balance?
What are the consequences of blood pH being out of balance?
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Main regulator of blood pH
Main regulator of blood pH
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Electrolytes
Electrolytes
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What are blood buffers?
What are blood buffers?
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What is the link between water and electrolytes?
What is the link between water and electrolytes?
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Strong vs. Weak Acids
Strong vs. Weak Acids
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Strong vs. Weak Bases
Strong vs. Weak Bases
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What are the four main functions of Kidneys?
What are the four main functions of Kidneys?
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What is the role of the glomerulus in filtration?
What is the role of the glomerulus in filtration?
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How do kidneys regulate blood pH?
How do kidneys regulate blood pH?
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Respiratory system's role in pH
Respiratory system's role in pH
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What is the role of the collecting duct in urine formation?
What is the role of the collecting duct in urine formation?
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Kidney Development
Kidney Development
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Common Childhood Urinary Issues?
Common Childhood Urinary Issues?
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Urinary Control Development
Urinary Control Development
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Renal Failure
Renal Failure
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Urinary Changes with Age
Urinary Changes with Age
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What is Renin?
What is Renin?
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What is Angiotensin II?
What is Angiotensin II?
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What happens to the blood vessels when Angiotensin II is released?
What happens to the blood vessels when Angiotensin II is released?
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How does aldosterone affect blood pressure?
How does aldosterone affect blood pressure?
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What activates the Renin-Angiotensin-Aldosterone System?
What activates the Renin-Angiotensin-Aldosterone System?
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What is the role of baroreceptors in blood pressure regulation?
What is the role of baroreceptors in blood pressure regulation?
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How does the sympathetic nervous system affect blood pressure?
How does the sympathetic nervous system affect blood pressure?
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What is the role of ADH (Antidiuretic Hormone) in regulating blood pressure?
What is the role of ADH (Antidiuretic Hormone) in regulating blood pressure?
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What is the interplay between the Renin-Angiotensin System and ADH?
What is the interplay between the Renin-Angiotensin System and ADH?
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How does the hypothalamus regulate blood pressure?
How does the hypothalamus regulate blood pressure?
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Study Notes
Urinary System Overview
- The urinary system is responsible for removing waste products from the body and regulating fluid and electrolyte balance.
Functions of the Urinary System
- Kidneys remove nitrogenous wastes, toxins, and drugs from the blood, as well as excess ions.
- Kidneys regulate blood pressure by producing renin.
- Kidneys stimulate red blood cell production by producing erythropoietin.
- Kidneys convert vitamin D to its active form.
Organs of the Urinary System
- Kidneys
- Ureters
- Urinary bladder
- Urethra
Kidneys: Location and Structure
- Located against the dorsal body wall in a retroperitoneal position (behind the parietal peritoneum).
- Located at the level of the T12 to L3 vertebrae.
- The right kidney is slightly lower than the left due to the position of the liver.
- Approximately 12 cm long and 6 cm wide in an adult.
- Renal hilum: a medial indentation where structures enter or exit the kidney (ureters, renal blood vessels, nerves).
- Adrenal gland sits atop each kidney.
- Three protective layers: fibrous capsule, perirenal fat capsule, renal fascia.
- Three regions in a longitudinal section: renal cortex, renal medulla (with renal pyramids and renal columns), and renal pelvis.
Kidneys: Blood and Venous Supply
- One-quarter of the body's total blood supply passes through the kidneys each minute.
- Renal artery branches into segmental arteries, interlobar arteries, arcuate arteries, and cortical radiate arteries.
- Venous blood flow: cortical radiate veins → arcuate veins → interlobar veins → renal vein → inferior vena cava.
- No segmental veins.
Kidneys: Nephrons
- Structural and functional units of the kidneys.
- Each kidney contains over a million nephrons.
- Each nephron consists of a renal corpuscle and a renal tubule.
- Renal corpuscle: glomerulus (a knot of capillaries) and glomerular (Bowman's) capsule.
- Podocytes form the inner layer of the glomerular capsule.
- Filtration slits create a porous membrane for filtration.
- Renal tubule: proximal convoluted tubule (PCT), nephron loop (loop of Henle), and distal convoluted tubule (DCT).
- Two capillary beds: glomerulus and peritubular capillary bed.
- Afferent arteriole delivers blood to the glomerulus.
- Efferent arteriole carries blood away from the glomerulus to the peritubular capillaries.
- Peritubular capillaries absorb substances from the renal tubule cells for reabsorption into the blood.
Urine Formation and Characteristics
- Three processes form urine: glomerular filtration, tubular reabsorption, and tubular secretion.
- Filtrate (fluid in the glomerular capsule) is blood plasma without proteins.
- In 24 hours, 1-1.8 liters of urine is produced.
- Urine is different from filtrate, containing wastes but not nutrients that have been reabsorbed into the blood.
- Urine's characteristics: clear and pale to deep yellow, sterile at formation, slightly aromatic, slightly acidic (pH 6), specific gravity of 1.001-1.035.
- Normal solutes in urine: sodium and potassium ions, urea, uric acid, creatinine, ammonia, and bicarbonate ions.
- Solutes NOT normally found in urine: glucose, blood proteins, red blood cells, hemoglobin, white blood cells (pus), and bile.
Ureters
- Slender tubes (25-30 cm or 10-12 inches) connecting the kidney and the urinary bladder.
- Continuous with the renal pelvis.
- Enter the posterior aspect of the urinary bladder.
- Run behind the peritoneum.
- Peristalsis aids gravity in urine transport.
Urinary Bladder
- Smooth, collapsible, muscular sac posterior to the pubic symphysis.
- Stores urine temporarily.
- Trigone: triangular region at the base of the urinary bladder with openings from the ureters and to the urethra.
- In males, the prostate surrounds the neck of the urinary bladder.
- Three layers of smooth muscle (detrusor muscle).
- Mucosa made of transitional epithelium allowing for expansion without increasing internal pressure.
- Capacity: holds about 500 mL when moderately full; capable of holding twice that amount.
Urethra
- Thin-walled tube carrying urine from the urinary bladder to the outside of the body via peristalsis.
- In females, carries only urine.
- In males, carries urine and sperm.
- Prostatic urethra
- Membranous urethra
- Spongy urethra
- Two sphincters control urine release: internal urethral sphincter (involuntary, smooth muscle) and external urethral sphincter (voluntary, skeletal muscle).
- Length: 3-4 cm in females, 20 cm in males.
- Location: anterior to the vaginal opening in females; through the prostate and penis in males.
Micturition
- Voiding, or emptying, of the urinary bladder.
- Two sphincters control urine release: internal urethral sphincter and external urethral sphincter.
- Bladder collects urine to about 200 mL.
- Stretch receptors transmit impulses to the sacral region of the spinal cord.
- Impulses travel back to the bladder via pelvic splanchnic nerves to cause bladder contractions.
- Urine is forced past the internal sphincter, felt as the need to urinate, and then controlled by the voluntary external sphincter.
Fluid, Electrolyte, and Acid-Base Balance (Kidney Roles)
- Kidneys play a major role.
- Excreting nitrogen-containing wastes (discussed above).
- Maintaining water balance of the blood
- Maintaining electrolyte balance of the blood.
- Ensuring proper blood pH.
Maintaining Water Balance
- Water is 50-60% of a young adult's body weight. Infants are higher, while the elderly are lower.
- Water occupies ICF (intracellular fluid), ECF (extracellular fluid [includes blood plasma and interstitial fluid]), and plasma (blood).
- Water intake must equal water output.
- Sources of intake include ingested foods, fluids (60%), and metabolic processes (10%).
- Sources of output include lungs (insensible), perspiration, feces, and urine (60%).
- ADH (antidiuretic hormone) regulates water reabsorption in the kidneys by targeting collecting ducts.
Maintaining Electrolyte Balance
- Electrolyte imbalances cause water movement between fluid compartments.
- Aldosterone regulates blood composition and volume in the kidneys.
- For each sodium ion reabsorbed, chloride follows, with potassium being excreted into the filtrate. Water follows salt.
- Renin-angiotensin mechanism: low blood pressure triggers renin release by the juxtaglomerular apparatus in the kidneys.
- Renin creates angiotensin II, which causes vasoconstriction and aldosterone release to raise blood volume and blood pressure.
Maintaining Acid-Base Balance
- Blood pH must remain between 7.35-7.45.
- Alkalosis (pH over 7.45) or acidosis (pH below 7.35) are problems.
- Kidneys play a major role in regulating blood pH using chemical buffer systems.
- Kidneys excrete bicarbonate ions when blood pH rises and reabsorb bicarbonate ions when blood pH falls.
- Kidneys secrete hydrogen ions when blood pH falls and retain hydrogen ions when blood pH rises.
- Other mechanisms include respiratory and blood buffer systems.
Developmental Aspects of the Urinary System
- Kidneys begin developing early and are excreting urine by the fetal third month.
- Congenital abnormalities include polycystic kidney and hypospadias.
- Common urinary tract infections (UTIs) and problems associated with aging (e.g., urgency, frequency, nocturia, incontinence, urinary retention) occur.
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Description
Explore the functions, structures, and organs of the urinary system. This quiz covers the kidneys' crucial role in waste removal and fluid regulation. Test your knowledge about the anatomy and physiology of this vital system.