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81 Cards in this Set

  • Front
  • Back

juxtaglomerular apparatus

associated with renin

loop of Henle

regulation of sodium and water in the urine

distal convoluted tubule

active site for the secretion of ions and rugs

proximal convoluted tubule

reabsorption of nutrients occurs here

collecting ducts

respond to the hormone aldosterone

renal cortex

urine production begins here

renal medulla

contains renal pyramids

renal pelvis

coninuous with the uterer

pyelonephritis

inflammation of kidney tissue

aldosterone

secreted by adrenal cortex

Steps of the reabosorption of water and the production of urine. (6 Steps)



(Ordering Cards. + on bottom left card to see all.)

1. Glomerular filtration produces a filtrate that resembles blood plasma.


2. In the proximal convoluted tubule, 60 to 70 percent of the water and almost all of the dissolved nutrients are reabsorbed.


3. In the proximal convoluted tubule and descending loop of Henle, water moves into the surrounding interstitial fluid and leaves a small fluid volume of highly concentrated fluid.


4. The ascending limb of the loop of Henle is impermeable to water and solutes. The tubular cells actively pump sodium and chloride ions out of the tubular fluid.


5. The final composition and concentration of the tubular fluid are determined by activity in the descending convoluted tubule and the collecting ducts. These segments are impermeable to solutes, and only sodium ions can be transported in and out of the tubule due to the influence of aldosterone.


6. The concentration of urine is controlled by variations in the water permeability of the distal convoluted tububle and the collecting ducts. These segments are impermeable to water unless exposed to antidiuretic hormone (ADH).

Most of the organic waste in the blood is removed by __________.

urinary system

The primary purpose of ________ production is to maintain homeostasis by regulating the volume and composition of the blood.

urine

Urine production occurs in the renal _______.

cortex and pyramids

Blood reaches nephron initially through the ______.

afferent arteriole

___________ is produced during the breakdown and recylcing of RNA.

Uric acid

The epithelium that covers the glomerular capillaries consists of cells called ________.

podocytes

________ is the inability to control urination voluntarily.

incontinence

________ is a metabolic waste product excreted by the kidneys that plays in a role in muscle contraction.

Creatine phosphate

The proximal convoluted tubule reclaims _________ percent of the filtrate produced at the glomerulus.

60 to 70

The distal convoluted tububle and collecting ducts contain ion pumps that respond to the hormone _________ which is produced by the adrenal cortex.

aldosterone

Autonomic regulation of kidney function is controlled primarily by the ______ branch of the autonomic nervous system.

sympathetic

_________ is due to a decrease in alveolar ventilation, which results in carbond dioxide retention.

respiratory acidosis

The actions of the atrial natriuretic peptide (ANP) oppose the effects of the ________ system.

renin-angiotensin

The _________ are muscular tubes that conduct urine from the kidneys to the urinary bladder.

ureters

Nephrolithiasis is the medical term for _________.

kidney stone OR renal calculus

All of the following are functions of the urinary system except ___________.



A. regulating blood pressure through the release of renein


B. stablizing blood pH


C. regulating plasma concentrations of ions


D. All of the above are functions of the urine system

All of the above are functions of the urine system

The indentation where the ureter leaves the kidney is called the _________.

hilum

Which of the following body systems are responsible for coordinating metabolic activities with the urinary system?



A. nervous, lymphatic, and cardiovascular


B. digestive, respiratory, and cardiovascular


C. muscular, endocrine, and digestive


D. nervous, digestive, and endocrine

digestive,


respiratory, &


cardiovascular

As the rengal arteries enter the renal sinuses, they branch into the _______ arteries.

interlobar

The kidney is divided into sections called the _________.

cortex and medulla

Blood arrives at the glomerulus by way of the ________.

afferent arteriole

The basic functioning unit of the kidney is the __________.

nephron

The kidneys are held in position in the retroperitoneal space by the _________.

overlying peritoneum,


supporting connective tissues, &


contact with other organs

In the juxtamedullary nephrons, the peritubular capillaries are directly connected to the _________.

vasa recta

The production of urine occurs in the __________.

kidney

The renal corpuscle consists of the __________.

proximal and distal convoluted tubules

Podocytes are specialized filtration cells found in the ________.

glomerulus

List the regions of the nephron in the correct order of flow.

glomerular capsule,


proximal convoluted tubule,


loop of Henle, &


distal convoluted tububle

What is the correct order of blood flow through the kidneys?

afferent arterioles,


glomerulus,


efferent arterioles, &


peritubular capillaries

The ascending loop of Henle is responsible for __________.

the reabsorption and transport of sodium and chloride ions

Which of the following components of the nephron has the greatest impact on conrolling the blood pressure?



A. afferent arteriole


B. efferent arteriole


C. pertitubular capillaries


D. loop of Henle

afferent arteriole

The proximal and distal convoluted tubules are comprised of what type of epithelial cells?

simple cuboidal

The solute found in the glomerular capsule must be small enough to pass through all of the following portions of the capsule except ________.



A. the pores of the endothelial cells


B. the fibers of the basement membrane


C. the filtration slits of the capillary


D. the pores found within the epithelial cells

the pores found within the epithelial cells

Which of the following two components of the renal system comprise the juxtaglomerular apparatus?



A. distal convoluted tubules, loop of Henle


B. juxtaglomerular cells, macula densa


C. macula densa, distal convoluted tubule


D. juxtaglomerular cells, loop of Henle

juxtaglomerular cells and macula densa

The juxtaglomerular apparatus is the endocrine structure that secretes _________.

renin and erythropoietin

The last segment of the nephron that opens into the collecting ducts is the _________.

distal convoluted tubule

The most abundant organic waste found in urine is _________.

urea

All of the following are metabolic waste products found in urine except __________.



A. urea


B. uric acid


C. proteins


D. creatinine

proteins

The glomerular filtration rate (GFR) refers to _________.

the amount of filtrate produced in the kidneys each minute

In the course of a single day, the glomeruli produce _______ of filtrate.

180 liters

The proximal convoluted tubule is known to reabsorb all of the following except __________.



A. sodium


B. hydrogen ions


C. potassium


D. glucose

hydrogen ions

Which of the following segments of the nephron is impermeable to both water and solutes?



A. proximal convoluted tubule


B. distal convoluted tubule


C. ascending limp of loop of Henle


D. descending limb of loop of Henle

ascending limb of loop of Henle

Ion pumps that respond to the hormone aldosterone are located in the _______.

distal convoluted tubule

Circulating levels of _______ control the reabsorption of water along the distal convoluted tubule and collecting ducts.

antidiurectic hormone

Which of the following substances is normally completely reabosrbed by the tubules of the nephron?



A. creatinine


B. glucose


C. sodium


D. uric acid

glucose

If the level of aldosterone is increased in the blood, the _________.



A. sodium levels decrease


B. sodium levels increase


C. blood pressure elevates


D. blood pressure decreases


E. both B and C


F. both A and D

both B and C:



sodium levels increase &


blood pressure elevates

All of the following are ways the glomerular filtration rate is controlled except _______.



A. local automatic adjustments in glomerular pressures


B. the sympathetic nervous system


C. the parasympathetic nervous system


D. various hormones

the parasympathetic nervous system

The normal daily volume of urine produced is ______.

1000 to 1200 mL

The renin that is released from the juxtaglomerular apparatus converts _________ to help regulate blood pressure.

angiotensinogen to angiotensin I

An angiotensin-converting enzyme is repsonbile for converting ____________.

angiotensin I to angiotensin II

If an elevated pressure in the atrial wall of the heart is recognized by the atrial natriuretic peptides, this causes all of the following to occur except __________.



A. a decrease in the rate of sodium reabsorption in the distal convoluted tubules


B. dilation of the glomerular capillaries


C. inactivation of the renin-angiotensin system


D. an increase in renin release from the juxtaglomerular apparatus

an increase in renin release from the juxtaflomerular apparatus

The most common ion that causes kidney stones (renal calculi) is ________.

calcium

The tissue that makes up most of the bladder is ___________.

transitional epithelium

The triangular area of the bladder that forms the entrance into the urethra is called the ______.

trigone

The primary micturition reflex in the bladder is controlled by the ___________.

parasympathetic nervous system

Contraction of the muscular bladder forces the urine out of the body through the ______.

urethra

The principle cation found in the intracellular fluid is _________.

potassium

Intracellular fluid can be found _________.

inside the cell

The principle cation found within the extracellular fluid is _________.

sodium

Cardiac arrhythmias may occur if the extracellular concentrations of ________ become too high.

potassium

If the extracellular fluid becomes more concentrated with respect to the intracellular fluid, water will move ___________.

from the cell to the extracellular fluid

If the intracellular fluid becomes more concentrated with respect to the extracellular fluid, water will move ___________.

from the extracellular fluid into the cells

An increase in carbon dioxide levels in the blood causes the pH to __________.

drop

An increase in carbon dioxide levels in the blood will cause a patients breathing rate to __________.

increase

The normal range for the pH of the blood is ________.

7.35 to 7.45

When the pH of the blood is below 7.35, this is called _________.

acidosis

Hypernatremia is a condition characterized by elevations of ______ in the blood.

sodium

Which of the following acid-base imbalances is cause from prolonged vomiting?



A. respiratory acidosis


B. respiratory alkalosis


C. metabolic acidosis


D. metabolic alkalosis

metabolic alkalosis

Chronic obstructive pulmonary disease is a respiratory disease that may cause which of the following acid-base imbalances?



A. respiratory acidosis


B. respiratory alkalosis


C. metabolic acidosis


D. metabolic alkalosis

respiratory acidosis

Urination in the elderly occurs more frequently due to _______.

nephrons not recognizing or responding to the ADH