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54 Cards in this Set

  • Front
  • Back
What organs make up the urinary system?
The urinary system is made up of 6 organs:
-2 kidneys
-2 ureters
-urinary bladder
-urethra
What is gluconeogenesis?
Gluconeogenesis is the formation of glucose from a non-carbohydrate precursor, as in the case of deamination of amino acids (body starts eating muscle) in extreme starvation.
What is BUN?
BUN is blood urea nitrogen.
Where is urea produced?
Urea is produced in the liver.
Where is urine produced?
Urine is produced in the kidneys.
Explain steps of urea formation.
Urea formation is as follows:
proteins> amino acids> NH2 removed> forms ammonia, liver converts to urea.
What is azotemia?
Azotemia is elevated BUN indicating renal insufficiency and can progress to uremia.
What is uremia?
Uremia is complete kidney failure.
What are functions of the kidney?
Functions of the kidney:
-filter blood plasma
-regulate osmolarity
-secrete enzyme renin
-secrete erythropoietin
-collaborate w/lungs to regulate acid-base balance
-final step in synthesizing calcitrol
Describe the flow of fluid form the point where glomerular filtrate is formed to the point where urine leaves the body.
glomerular capsule> proximal convoluted tubule> nephron loop> distal convoluted tubule> collecting duct> papillary duct> minor calyx> renal pelvis> ureter> urinary bladder> urethra.
What is the longest and most coiled region of the renal tubule?
The proximal convoluted tubule (PCT) is the longest and most coiled region.
What is the function of the proximal convoluted tubule (PCT)?
The function of the proximal convoluted tubule (PCT) is to reabsorb glucose and amino acids from glo-filtrate.
What is the function of the nephron loop (loop of Henle)?
The nephron loop (loop of Henle) is heavily engaged in the active transport of salts. has many mitochondria to produce ATP needed for active transport.
What type of epithelium is in the thin segment of the nephron loop (loop of Henle)?
The thin segment of the nephron loop (loop of Henle) has simple squamous epithelium, which is very permeable to water.
What is the function of juxtamedullary nephrons?
Juxtamedullary nephrons maintain the salinity gradient in the medulla and help conserve water.
At what point does tubular fluid become urine?
Tubular fluid becomes urine once it enters the collecting duct.
What is glomerular filtrate?
Glomerular filtrate is fluid in capsular space; blood plasma without protein.
What is tubular fluid?
Tubular fluid is fluid in the renal tubule.
What is the origin and function of sympathetic innervation?
Sympathetic innervation comes from the abdominal aortic plexus and reduces glomerular blood flow and rate of urine production.
What is the origin and function of parasympathetic innervation?
Parasympathetic innervation comes from the vagus nerve and increases urine production.
What three factors affect passage through the filtration membrane?
Three factors affecting flow through the filtration membrane are:
-pressure
-size of solutes
-charge of solutes
Does the basement membrane of the filtration membrane have a negative or positive charge?
The basement membrane has a negative charge which repels albumin.
How small does a molecule have to be to pass the filtration membrane regardless of its charge?
Almost any molecule smaller than 3nm can pass freely through the filtration membrane regardless of its charge.
How do kidney infections and trauma affect filtration?
Kidney infections and trauma can damage the filtration membrane and allow albumin or blood cells to filter through.
What is proteinuria (albuminuria)?
Proteinuria (albuminuria) is the presence of protein in the urine.
What is hematuria?
Hematuria is the presence of blood in the urine.
What type of athletes often experience temporary proteinuria or hematuria?
Distance runners and swimmers (endurance athletes) often experience temporary proteinuria or hematuria.
What is glomerular filtration rate (GFR)?
Glomerular filtration rate (GFR) is the amount of filtrate formed per minute by the two kidneys.
What is the average GFR per day?
Average GFR per day is:
180L/day for males
150L/day for females
What is a paracine?
A paracrine is a hormone that only affects neighboring cells.
What is myogenic mechanism?
Myogenic mechanism is the tendency of smooth muscle to contract when stretch.
What is the function of renin?
Renin converts angiotensinogen into angiotensin I.
What is the function of angiotensin-converting enzymes and where are they found?
Angiotensin converting enzymes (ACE) are found in the lungs and kidneys and convert angiotensin I into angiotensin II.
How does angiotensin II affect the efferent arteriole?
Angiotensin II constricts efferent arteriole raising GFR despite low blood pressure.
Angiotensin II stimulates the adrenal cortex to secrete what?
Angiotensin II stimulates the adrenal cortex to secrete aldosterone.
What is the function of aldosterone?
Aldosterone promotes sodium and water reabsorption in DCT and collecting duct.
Angiotensin II stimulates the posterior pituitary to secrete what?
Angiotensin II stimulates the posterior pituitary to secrete ADH.
What is the function of ADH?
ADH (anti-diuretic hormone) promotes water reabsorption by collecting duct, making urine more concentrated.
How does a symport transport protein?
Symport is a co-transporter that binds sodium and another solute such as glucose, amino acids, or lactate.
How does a antiport transport protein?
Antiport moves protein by exchanging molecules; pulls one in and pumps one out.
How does angiotensin II affect blood pressure?
Angiotensin II is a potent vasoconstrictor raising BP throughout the body except for peritubular capillaries where it is lowered to enhance reabsorption of sodium chloride and water.
How does angiotensin II affect thirst?
Angiotensin II stimulates thirst and water intake.
What is normal urine output for average adult?
Normal volume of urine output is 1-2 liters per day.
What is polyuria?
Polyuria is urine output in excess of 2 L/day.
What is oliguria?
Oliguria is urine output of less than 500 mL/day.
What is anuria?
Anuria is urine output of 0 to 100 mL/day.
What is glycosuria?
Glycosuria is the presence of glucose in the urine.
What particles are abnormal to find in urine?
It is abnormal to find glucose, free hemoglobin, albumin, ketones, and bile pigments.
What supplies blood to the medulla?
The vasa recta provides blood supply to the medulla.
What is a diuretic?
A diuretic is any chemical that increases urine volume.
What is a nonsurgical method of treating kidney stones?
Lithotripsy is a nonsurgical technique that pulverizes stones with ultrasound.
What is micturition?
Micturition is the act of urinating.
What is the detrusor muscle?
The detrusor muscle is 3 layers of smooth muscle in the urinary bladder.
What are rugae?
Rugae are conspicuous wrinkles in the relaxed bladder.