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Questions and Answers

How does the sympathetic nervous system respond in emergency situations such as hypovolemic shock?

  • Increases glomerular filtration rate (GFR)
  • Stimulates renin release to elevate blood pressure (correct)
  • Increases urine output to reduce blood volume
  • Decreases renal blood flow to conserve water (correct)
  • What role do afferent arterioles play in the baroreceptor reflex?

  • Increase glomerular filtration rate
  • Have no effect on blood pressure
  • Dilate to increase renal output
  • Constrict to decrease GFR (correct)
  • Which mechanism primarily increases blood pressure in response to low blood pressure?

  • Decreased heart rate
  • Increased tubular reabsorption of bicarbonate
  • Renin-angiotensin-aldosterone mechanism (correct)
  • Natriuretic peptide release
  • What triggers the release of renin from granular cells?

    <p>Low blood pressure</p> Signup and view all the answers

    What occurs during the process of tubular reabsorption?

    <p>Most of the content of the filtrate is reclaimed</p> Signup and view all the answers

    Which pathway describes the transcellular route of tubular reabsorption?

    <p>Transport across apical membrane, diffusion through cytosol, and transport across basolateral membrane</p> Signup and view all the answers

    What is the average daily filtration of the kidneys?

    <p>180 L per day</p> Signup and view all the answers

    What is the primary effect of aldosterone in the body?

    <p>Promotes sodium and water absorption</p> Signup and view all the answers

    What is a primary role of tubular secretion in the kidneys?

    <p>Eliminating drugs and metabolites bound to plasma proteins</p> Signup and view all the answers

    Which substance is primarily secreted in the distal convoluted tubule (DCT) due to aldosterone?

    <p>Potassium (K+)</p> Signup and view all the answers

    How do tubule cells respond when blood pH becomes acidic?

    <p>Secreting more hydrogen ions (H+)</p> Signup and view all the answers

    What mechanism helps regulate the osmolarity of body fluids to approximately 300 mOsm?

    <p>Countercurrent multiplier</p> Signup and view all the answers

    Which of the following is primarily reabsorbed in the proximal convoluted tubule (PCT)?

    <p>Sodium (Na+)</p> Signup and view all the answers

    What triggers the kidneys to adjust urine concentration and volume?

    <p>Fluid intake and loss</p> Signup and view all the answers

    The countercurrent mechanism is primarily involved in which process?

    <p>Concentrating urine</p> Signup and view all the answers

    What occurs during the process of tubular secretion?

    <p>Substances are moved from blood into urine</p> Signup and view all the answers

    What is the primary function of the ascending limb of the Loop of Henle?

    <p>Reabsorbs Na+, Cl-, K+</p> Signup and view all the answers

    Which hormone is primarily responsible for making the collecting duct more permeable to water?

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

    What percentage of Na+ is typically reabsorbed during tubular reabsorption?

    <p>65%</p> Signup and view all the answers

    What substances are primarily removed during tubular secretion?

    <p>Waste substances and excess ions</p> Signup and view all the answers

    What triggers the adrenal gland to release aldosterone?

    <p>Decreased blood pressure or volume</p> Signup and view all the answers

    Which solutes are reabsorbed in the distal convoluted tubule?

    <p>Na+, Cl-, and Ca2+</p> Signup and view all the answers

    The difference in permeability to water between which two segments of the Loop of Henle is crucial for urine concentration?

    <p>Descending and ascending limbs</p> Signup and view all the answers

    What effect does aldosterone have on sodium reabsorption?

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

    During tubular reabsorption, which nutrients are typically retained from the filtrate?

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

    What is the role of hormones in the distal convoluted tubule?

    <p>To fine-tune the absorption process</p> Signup and view all the answers

    What is the primary function of the vasa recta in relation to the renal medullary gradient?

    <p>To preserve the medullary gradient</p> Signup and view all the answers

    How does the ascending limb of the loop of Henle influence the descending limb?

    <p>By using concentrated filtrate from the descending limb</p> Signup and view all the answers

    What role does urea play in the formation of the medullary gradient?

    <p>It diffuses into the interstitial fluid and recycles back</p> Signup and view all the answers

    What occurs as water leaves the descending limb of the loop of Henle?

    <p>The filtrate becomes more concentrated</p> Signup and view all the answers

    What is the consequence of removing reabsorbed water from the vasa recta?

    <p>It helps maintain the concentration of NaCl in the interstitial fluid</p> Signup and view all the answers

    Why is it important for the kidneys to have a medullary osmotic gradient?

    <p>To concentrate urine and maintain body fluid balance</p> Signup and view all the answers

    What drives the osmosis in the renal medulla during urine concentration?

    <p>The high concentration of urea and NaCl in the interstitial fluid</p> Signup and view all the answers

    What happens to urea as it reaches the end of the collecting duct?

    <p>It diffuses into the interstitial fluid</p> Signup and view all the answers

    What is the primary consequence of renal disease?

    <p>Reduction in the ability to filter blood</p> Signup and view all the answers

    What role does ADH play during dehydration?

    <p>Increases water reabsorption</p> Signup and view all the answers

    Which type of diuretic acts on the ascending limb of the nephron?

    <p>Loop diuretics</p> Signup and view all the answers

    What is cystitis primarily related to?

    <p>Infection of the bladder</p> Signup and view all the answers

    What happens when the external urethral sphincter opens during micturition?

    <p>Urine is expelled from the body</p> Signup and view all the answers

    What is the typical hold capacity of the urinary bladder?

    <p>500 ml</p> Signup and view all the answers

    What condition can result from the interaction of renal calculi with the ureter?

    <p>Blockage of urine drainage</p> Signup and view all the answers

    What is a common treatment for a hyperactive bladder?

    <p>Bladder botox injections</p> Signup and view all the answers

    Which part of the nephron is primarily associated with thiazide diuretics?

    <p>Distal convoluted tubule</p> Signup and view all the answers

    What occurs to urine osmolality during overhydration?

    <p>It decreases significantly</p> Signup and view all the answers

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