Urinary System Overview
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Questions and Answers

What is the approximate length of the female urethra?

  • 8 cm
  • 6 cm
  • 2 cm
  • 4 cm (correct)
  • Which hormone is primarily responsible for regulating the amount of urine produced by nephrons?

  • Epinephrine
  • Aldosterone (correct)
  • Thyroxine
  • Insulin
  • What does the filtration process in the kidneys primarily remove from the blood?

  • Waste and some useful substances (correct)
  • Red blood cells
  • All electrolytes
  • Large proteins
  • What is the Glomerular Filtration Rate (GFR) in healthy adults?

    <p>125 ml/min</p> Signup and view all the answers

    Which layer of the urethra is under voluntary control?

    <p>Outer muscle layer</p> Signup and view all the answers

    Which of the following processes involves taking back useful substances like water and glucose?

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

    What prevents blood cells and large plasma proteins from passing through the glomerular filtration barrier?

    <p>Size of the molecules</p> Signup and view all the answers

    What is the primary function of the ureter?

    <p>To carry urine from the kidney to the urinary bladder</p> Signup and view all the answers

    Which layer of the bladder is responsible for its contraction during urination?

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

    What is the total capacity of the urinary bladder usually not exceeding?

    <p>600 mls</p> Signup and view all the answers

    Which structure prevents the back-flow of urine into the ureters?

    <p>Pressure from the bladder</p> Signup and view all the answers

    What is the structure that regulates outflow of urine from the bladder?

    <p>Internal urethral sphincter</p> Signup and view all the answers

    Which layer of tissue in the ureter is responsible for peristaltic waves?

    <p>Middle muscular layer</p> Signup and view all the answers

    What type of epithelium is found in the inner lining of the urinary bladder?

    <p>Transitional epithelium</p> Signup and view all the answers

    What happens to the inner lining of the bladder as it fills with urine?

    <p>The folds gradually disappear</p> Signup and view all the answers

    What percentage of the filtrate is typically excreted as urine by the kidneys each day?

    <p>Less than 1%</p> Signup and view all the answers

    What is the primary location for most reabsorption of filtrate back into the blood?

    <p>Proximal Convoluted Tubule</p> Signup and view all the answers

    What happens to autoregulation of renal blood flow when systolic blood pressure falls below 80 mmHg?

    <p>Autoregulation fails</p> Signup and view all the answers

    Which hormone is responsible for increasing the permeability of the distal convoluted tubule for water reabsorption?

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

    Which substances are normally completely reabsorbed from glomerular filtrate unless blood levels are excessive?

    <p>Glucose and amino acids</p> Signup and view all the answers

    What is the maximum capacity of the kidneys for reabsorbing a substance called?

    <p>Transport Maximum</p> Signup and view all the answers

    How does Parathyroid Hormone affect blood calcium levels?

    <p>It increases blood calcium levels</p> Signup and view all the answers

    What percentage of original filtrate arrives at the distal convoluted tubule?

    <p>15-20%</p> Signup and view all the answers

    What role does aldosterone play in renal function?

    <p>It increases the reabsorption of sodium and water.</p> Signup and view all the answers

    Which hormone is responsible for decreasing sodium reabsorption in the kidneys?

    <p>Atrial Natriuretic Peptide (ANP)</p> Signup and view all the answers

    What is the significance of tubular secretions in the renal system?

    <p>They allow for the clearance of unwanted substances from the blood.</p> Signup and view all the answers

    Where does urine drain after being produced in the kidneys?

    <p>From the renal pelvis through the ureters.</p> Signup and view all the answers

    What is the hilum of the kidney?

    <p>The concave medial border for entry and exit of vessels.</p> Signup and view all the answers

    What is the renal pelvis's function in the urinary system?

    <p>It collects urine from the calyces before draining into the ureters.</p> Signup and view all the answers

    What condition arises from the accumulation of waste products in the body?

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

    Which of the following accurately describes the structure of a kidney?

    <p>It has an outer fibrous capsule and is bean-shaped.</p> Signup and view all the answers

    Study Notes

    Urinalysis & Body Fluids

    • The urinary system consists of two kidneys, two ureters, a single urinary bladder, and a single urethra.
    • Urine is stored in the bladder and excreted through micturition.

    Anatomy & Physiology (Lecture 1)

    • The urinary system is responsible for filtering waste from the blood and regulating electrolyte and fluid balance.

    Overview of the Urinary System

    • The urinary system is composed of two kidneys, two ureters, a single urinary bladder, and a single urethra.
    • Urine is stored in the bladder before excretion.

    Major Organs of the Urinary System

    • The presentation includes a diagram of the major organs of the urinary system, including the kidneys, ureters, bladder, and urethra.
    • The diagram also shows the relative locations of the major organs in relation to other body structures (e.g., the diaphragm, adrenal gland, aorta, inferior vena cava).

    Ureter

    • The ureter's function is to carry urine from the kidney to the bladder.
    • It is approximately 25-30 cm long and has a diameter of about 3 mm.
    • The ureter is continuous with a funnel-shaped renal pelvis.
    • As bladder pressure builds, the ureters are compressed, preventing backflow.
    • The walls of the ureters consist of three layers: an outer fibrous layer, a middle smooth muscle layer, and an inner mucosa.
    • Peristaltic waves move urine through the ureters to the bladder.

    Urinary Bladder

    • The urinary bladder is a reservoir for urine.
    • Its size and position vary based on the volume of urine it contains.
    • Empty bladder has folds (rugae), which disappear as it fills.
    • The bladder contains three layers: an outer layer of loose connective tissue, a middle layer of smooth muscles called the detrusor muscle, and an inner mucosa made of transitional epithelium.
    • The detrusor muscle contracts to empty the bladder.
    • Three openings exist in the bladder: two from the ureters, and one leading to the urethra.
    • The internal sphincter muscle regulates urine flow from the bladder, not under voluntary control.

    Urethra

    • The urethra is a tube that carries urine from the bladder to the outside of the body.
    • The male urethra is longer (approximately 20 cm) than the female urethra (approximately 4 cm).
    • The male urethra is associated with both urinary and reproductive systems.
    • The urethra has an outer smooth muscle layer and inner mucosa lining.
    • The external urethral sphincter is under voluntary control.

    Overview of the Urinary System

    • The urinary system filters waste from blood.
    • It regulates electrolytes and fluid balance.
    • It concentrates and eliminates waste products.
    • It reabsorbs substances like water, nutrients, and minerals from the blood.
    • It secretes urea, drugs, ions, hormones, and enzymes.

    Urine Formation

    • Urine formation results from three processes: filtration, reabsorption, and secretion.
    • Filtration occurs in nephrons.
    • The GFR (glomerular filtration rate) is approximately 125 mL/min in healthy adults, leading to 180 liters of filtrate per day.
    • Filtered substances are reabsorbed.
    • Useful substances like water and glucose are reabsorbed.
    • Secretion adds more waste into the urine.
    • Hormones like ADH (antidiuretic hormone), and aldosterone control the amount of urine produced.

    Filtration

    • Filtration occurs in the glomeruli, where blood is filtered through the semi-permeable walls of the glomeruli and glomerular capsule.
    • Water, small molecules pass through, larger molecules like blood cells & proteins are retained in the blood. Filtration needs to occur due to pressure differences between the glomerulus and glomerular capsule.
    • The GFR (glomerular filtration rate) is about 125 mL/min.
    • 180 liters of filtrate is formed in the kidneys each day.
    • Autoregulation guards renal blood flow and glomerular filtration.
    • Autoregulation is independent of nerve impulses.

    Selective Reabsorption

    • Reabsorption takes place primarily in the proximal convoluted tubule.
    • It's highly efficient.
    • Water, electrolytes and organic nutrients (e.g., glucose) are reabsorbed.
    • About 60-70% of the filtrate reaches the medullary loop.
    • Water, sodium, and chloride are reabsorbed in the loop.
    • Only 15-20% of the filtrate reaches the distal convoluted tubule.
    • The collecting ducts adjust filtrate concentration to match body's needs.

    Selective Reabsorption

    • Hormones influence selective reabsorption (e.g., PTH, ADH, ANP, Aldosterone).
    • PTH regulates calcium and phosphate levels.
    • ADH promotes water reabsorption.
    • ANP reduces sodium and water reabsorption.
    • Aldosterone regulates sodium and potassium levels.

    Tubular Secretion

    • Tubular secretion eliminates substances not completely filtered or waste products.
    • Substances like drugs (e.g., penicillin, aspirin) and foreign materials are secreted.

    Urine

    • Urine is drained from renal pelvis to bladder, which then releases via the urethra.
    • Accumulation of waste products (uremia) leads to health issues.

    Anatomy & Physiology of Renal System (Kidneys)

    • Location: posterior abdominal wall, one on each side of the vertebral column, behind peritoneum, below the diaphragm, and at level of 12th thoracic/3rd lumbar vertebra.
    • Receives protection from lower rib cage.

    Kidneys (Structure)

    • Bean-shaped, approximately 11 cm long, 6 cm wide, and 3 cm thick.
    • Weighs about 150 grams.
    • Three structural regions: outer fibrous capsule; outer cortex; medulla.
    • Renal pyramids within the medulla.
    • The hilum is a depression on the medial side where the renal artery enters, renal vein and ureter exit.

    Kidneys

    • The hilum is the concave medial border, where renal blood vessels, lymph vessels, and nerves enter/exit.
    • Urine flows through renal papilla into minor calyx.
    • Several minor calyces combine to form major calyces and combine to make renal pelvis.
    • The renal pelvis narrows into the ureter when leaving the kidney.

    Blood flow through the Kidney

    • The kidneys filter blood and return important materials (water, glucose, sodium) to the blood.
    • Blood flows through the kidney via the arterial system and capillary beds.
    • Filtered blood returns via the venous system.

    Composition of Urine

    • Urine is typically clear to amber in color (urobilin - bile pigment).
    • Composed of 95-96% water and 2% other substances (urea, uric acid, creatinine, ammonia, sodium, potassium).

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    Description

    This quiz covers the anatomy and physiology of the urinary system, detailing its major organs, including the kidneys, ureters, bladder, and urethra. Learn about the functions of these organs and their role in filtering waste from the blood and maintaining fluid balance.

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