Urinary System Overview

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Questions and Answers

What is the primary function of erythropoietin in the urinary system?

  • Maintaining fluid balance by controlling water reabsorption in the kidneys.
  • Regulating blood pressure by controlling sodium reabsorption.
  • Stimulating the production of red blood cells in the bone marrow. (correct)
  • Filtering waste products from the blood to form urine.

Which sequence correctly traces the path of blood flow as it enters and passes through the kidney?

  • Renal artery → cortical radiate artery → arcuate artery → interlobar artery
  • Renal artery → arcuate artery → interlobar artery → cortical radiate artery
  • Renal artery → interlobar artery → arcuate artery → cortical radiate artery (correct)
  • Renal artery → segmental artery → arcuate artery → interlobar artery

If a patient is experiencing edema and decreased urine output, which hormone imbalance might be suspected?

  • Deficiency in erythropoietin, reducing red blood cell production.
  • Excess atrial natriuretic hormone, leading to increased sodium excretion.
  • Deficiency in ADH, causing excessive water loss.
  • Excess aldosterone, causing increased sodium retention. (correct)

Which of the following substances would NOT normally be found in the filtrate within Bowman's capsule in a healthy individual?

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

What would be the likely effect of a drug that blocks the action of ADH (antidiuretic hormone) on the collecting duct?

<p>Decreased reabsorption of water, leading to dilute urine. (C)</p> Signup and view all the answers

Which blood component is primarily responsible for transporting oxygen?

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

What is the role of platelets in clot formation?

<p>Forming a plug to reduce blood loss. (C)</p> Signup and view all the answers

Which of the following conditions is characterized by an abnormally high red blood cell count?

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

In the context of blood types, what determines whether a person has type A, B, AB, or O blood?

<p>The presence or absence of specific antigens on the surface of red blood cells. (A)</p> Signup and view all the answers

Which of the following cells is part of the innate immune system and acts as a phagocyte, engulfing pathogens?

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

What is the role of Helper T cells in the tertiary immune response?

<p>Activating B cells and cytotoxic T cells. (C)</p> Signup and view all the answers

Why are memory cells important in the immune response?

<p>They provide a rapid and enhanced response upon subsequent exposure to the same antigen. (D)</p> Signup and view all the answers

Which of the following lymphatic organs is responsible for filtering the blood and removing damaged red blood cells?

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

In an autoimmune disease, what is the primary cause of tissue damage?

<p>The immune system attacking the body's own tissues and organs. (D)</p> Signup and view all the answers

What is the primary goal of vaccination?

<p>To induce a primary immune response and create memory cells without causing disease. (A)</p> Signup and view all the answers

Which of the following is a function of albumin in the blood plasma?

<p>Maintaining osmotic pressure (A)</p> Signup and view all the answers

Where do T cells mature?

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

A patient is diagnosed with a kidney stone lodged in the ureter. Which of the following symptoms would they MOST likely experience?

<p>Severe, intermittent pain in the flank radiating to the groin. (D)</p> Signup and view all the answers

Which of the following is the MOST immediate effect of atrial natriuretic hormone (ANH) on kidney function?

<p>Increased excretion of sodium and water. (B)</p> Signup and view all the answers

Following a bee sting, a person experiences a rapid drop in blood pressure, difficulty breathing, and widespread hives. Which of the following is the MOST likely underlying mechanism?

<p>A type I hypersensitivity reaction mediated by IgE antibodies. (D)</p> Signup and view all the answers

Flashcards

Erythropoietin

Hormone produced by the kidneys that stimulates red blood cell production in bone marrow.

Organs of Urinary System

Kidneys, ureters, bladder, and urethra.

Renal Cortex

Outer region of the kidney containing nephrons.

Renal Medulla

Inner region of the kidney containing renal pyramids and collecting ducts.

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Renal Pelvis

Funnel-shaped structure that collects urine from the kidney.

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Nephron

Functional unit of the kidney responsible for filtering blood and forming urine.

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Bowman's Capsule

Cup-shaped structure surrounding the glomerulus that collects filtrate.

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Proximal Convoluted Tubule

Part of the nephron that reabsorbs water and solutes from filtrate.

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Contents of Filtrate

Urea, uric acid, and creatinine.

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Hormonal Control of Kidneys

Aldosterone, ADH, and atrial natriuretic hormone.

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Kidney Stones

Hard deposits of minerals and salts that form in the kidneys.

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UTI (Urinary Tract Infection)

Infection of the urinary system.

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Erythrocytes

Red blood cells; transport oxygen.

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Leukocytes

White blood cells; defense against infection.

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Platelets

Blood clotting cells.

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Plasma

Fluid portion of blood, contains proteins and nutrients.

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Steps of Clot Formation

Key steps: vasoconstriction, platelet plug, coagulation cascade, clot retraction, and fibrinolysis.

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Thrombus

Blood clot that forms in a vessel and obstructs blood flow.

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Hemophilia

Genetic disorder where blood doesn't clot normally.

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Anemia

Condition with low red blood cell count or hemoglobin.

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Study Notes

  • The urinary system's primary functions include filtering waste from the blood and maintaining electrolyte and fluid balance.
  • Erythropoietin production is a key function of the urinary system, stimulating red blood cell production.

Organs of the Urinary System

  • Kidneys filter blood and produce urine.
  • Ureters transport urine from the kidneys to the bladder.
  • The bladder stores urine.
  • The urethra excretes urine from the body.

Kidney Anatomy

  • Renal cortex is the outer region of the kidney.
  • Renal medulla is the inner region of the kidney.
  • Renal pelvis collects urine before it passes to the ureters.
  • Renal artery delivers blood to the kidney.
  • Renal vein carries blood away from the kidney.
  • Segmental arteries branch from the renal artery.
  • Interlobar arteries pass through the renal columns.
  • Arcuate arteries arch over the base of the renal pyramids.
  • Cortical radiate arteries supply the cortex.

Nephron

  • Bowman's capsule (glomerular capsule) is the initial filtering component of the nephron.
  • Proximal convoluted tubule is responsible for most reabsorption in the nephron.
  • Loop of Henle (nephron loop) establishes a concentration gradient in the medulla.
  • Distal convoluted tubule is involved in further reabsorption and secretion.
  • Collecting duct receives urine from several nephrons.

Filtrate and Reabsorption

  • Filtrate contains urea, uric acid, and creatinine as waste products.
  • Water, glucose, amino acids, and ions are reabsorbed into the blood.
  • Water intake and balance regulates blood volume and concentration.

Hormonal Control

  • Aldosterone increases sodium and water reabsorption.
  • ADH (antidiuretic hormone) increases water reabsorption.
  • Atrial natriuretic hormone (ANH) decreases sodium reabsorption.

Urinary System Pathologies

  • Kidney stones are mineral deposits that can obstruct urine flow.
  • Urinary tract infections (UTIs) are infections of the urinary system.

Components of Blood

  • Erythrocytes (red blood cells) transport oxygen.
  • Leukocytes (white blood cells) are involved in immune defense:
    • Neutrophils are phagocytic cells.
    • Basophils release histamine and heparin.
    • Eosinophils combat parasitic infections and mediate allergic reactions.
  • Platelets are involved in blood clotting.
  • Plasma is the fluid component of blood.
  • Albumin maintains osmotic pressure.

Clot Formation

  • Clot formation involves a cascade of steps to stop bleeding.

Blood Pathologies

  • Thrombus is a blood clot that forms in a vessel.
  • Hemophilia impairs the blood's ability to clot.
  • Anemia is a deficiency of red blood cells or hemoglobin:
    • Pernicious anemia is caused by vitamin B12 deficiency.
    • Sickle cell anemia is a genetic disorder affecting hemoglobin.
  • Polycythemia is an excess of red blood cells.

Blood Types

  • Blood types (A, B, AB, O) are determined by antigens on red blood cells.

Immune Defense

  • Primary immune defense includes physical barriers like skin and mucous membranes.
  • Secondary immune response is triggered by pathogens that bypass the primary defense:
    • Monocytes differentiate into macrophages and dendritic cells.
    • Dendritic cells present antigens to T cells.
    • Mast cells release histamine during inflammation.
    • Cytokines and complement proteins enhance the immune response.
  • Tertiary immune response involves specific immune cells:
    • Plasma B cells produce antibodies.
    • Antibodies target specific antigens.
    • Helper T cells coordinate the immune response.
    • Cytotoxic T cells kill infected cells.
    • Memory B and T cells provide long-term immunity.

Lymphatic Organs

  • Lymph nodes filter lymph and mount immune responses.
  • GALT (gut-associated lymphoid tissue) is found in the digestive system.
  • MALT (mucosa-associated lymphoid tissue) is found in mucous membranes.
  • BALT (bronchus-associated lymphoid tissue) is found in the respiratory system.
  • Spleen filters blood and removes damaged blood cells.

Immune Pathologies

  • Allergies are hypersensitive immune responses.
  • Autoimmune diseases occur when the immune system attacks the body's own tissues.
  • Lymphoma is cancer of the lymphatic system.
  • Vaccines induce immunity by exposing the body to weakened or inactive pathogens.

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