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61 Cards in this Set
- Front
- Back
What is the main function of the kidneys?
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Mantain balance between solutes and water in body
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What are the urine forming organs?
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kidneys
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What does the renal vein do?
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carries blood from the kidney
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what does the renal pelvis do?
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collecting cavity for urine inside kidney
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what does the Ureter do?
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duct that channels urine from kidney to urinary bladder
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what does the urinary bladder do?
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smooth muscle sac that stores urine
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what does the urethra do?
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tube through which urine is excreted from bladder
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Once urine is made in the kidney..
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it is NOT altered in composition or volume
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What is the nephron?
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functional unit of the kidney
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What are teh two regions of the kidney?
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cortex (outside) and medulla (inside)
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What is the glomerulus?
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ball of capillaries, site of filtration of plasma that will be turned into urine
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what is role of afferent arterioles?
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supply blood to glomerulus
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what is role of efferent arterioles?
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carry still oxygenated blood from glomerulus
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What is the role of the peritubular capillaries?
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real capillaries, supply kidney with blood
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What is the bowmans capsule?
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tubular wall around glomerulus
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what is the proximal tubule?
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located in the cortex, contains the filtered fluid
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what is the loop of henle?
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descends into and ascends from the medulla
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what is the juxtaglomerular apparatus?
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next to the glomerulus, plays important role in regulating kidney function
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what is the distal tubule?
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tube that empties into the collecting duct
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what is the collecting duct?
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collects fluid from the nephrons
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What are the two types of nephrons?
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cortical and juxtamedullary
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Properties of Cortical nephrons
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80% of nephrons, glomeruli in outer cortex, loop of henle barely touches medulla
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properties of juxtamedullary nephrons
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20% of nephrons, glomeruli in inner cortex, loop of henle touches entire medulla, has vasa recta. plays role in vertical gradient
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Which nephron is responsible for producing urine of varying concentrations?
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Juxtamedullary
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What are the 3 basic renal processes?
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Glomerular filtration, tubular reabsorpion and tubular secretion
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What are the 3 layers of glomerular filtration?
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glomerular capillary wall, basement membrane, inner layer of bowmans capsule
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properties of glomerular capillary wall
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swiss cheese, extremely permeable to water
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properties of basement membrane
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non cellular, made of collagen and glycoproteins to prevent passage of plasma proteins
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properties of bowmans capsule
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posses the pedocytes, interdigitated for filtration
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What are the 3 forces involved in glomerular filtration?
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Glomerular capillary blood pressure, plasma-colloid osmotic pressure, bowman capsul hydrostatic pressure
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What pressure is the major pressure?
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glomerular capillary blood pressure, efferent tube smaller than afferent tube
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What is the flow of blood in the kidney?
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A arteriole, glomerular capillary, E arteriole, peritubular capillary, cortical radiate vein
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Is most of plasma filtered in bowmans capsule?
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no, only 20 percent and most is returned to blood in the peritubular capillaries
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What is autoregulation of Glomerular filtration rate?
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intrinsic regulation, ensures constant blood flow into glomerulus, myogenic and tubuloglomerular feedback
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how does myogenic autoregulation work?
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pressure increases, constriction
pressure decreases, dilation |
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how does tubuloglomerular feedback work?
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increase salt equals constriction, higher GFR
decrease salt equals dilation, lowers GFR |
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What is role of Macula densa cells?
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detect salt concentration
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What determines amount that is reabsorbed?
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amount needed to maintain composition and volume of internal fluid environment
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What is the extrensic control?
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overides autoregulatory response, detects changes by bararoreceptors
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What makes up the glomerular filtrate?
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plasma - plasma proteins
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What is passive tubular reabsorption?
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all 5 steps must be passive, moves down concentration gradient
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What is active tubular reabsorption?
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atleast one of the 5 steps requires energy
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Does Na reabsorption vary along length of tubule?
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yes, most happens in proximal tubule
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Na movement from tubular lumen into tubular cells is active or passive?
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always passive
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RAAS pathway
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kidney makes renin, converts angiotensinogen to angiotensin 1, to lungs, angiotensin 2, to adrenal cortex, aldosterone, kidney (increase blood pressure)
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What does angiotensin 2 do?
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vasoconstricts, stimulate thirst and ADH (vasopressin)
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What opposes RAAS?
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atrial natriuretic peptide
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where does K secretion occur?
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distal tubule
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where is K reabsorbed?
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proximal tubule
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What is plasma clearence?
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volume of blood being cleared of a given substance per minute
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If a substance is filtered then not reabsorbed or secred then its plasma clearence is...
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equall to GFR
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If a substance is filtered then reabsorbed but not secred, then the plasma clearence is...
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less than GFR
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If a substance is filtered and then secreted then its plasma clearence is...
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greater than GFR
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Which sphincter is under voluntary control?
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external sphincter
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What is hypotonic urea concentration?
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less than 300, too much water
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What is hypertonic urea concentration?
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more than 300, too little water
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Characteristics of descending limb of loop of henle
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highly permeable to water, not very permeable to Na
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Characteristics of ascending limb of the loop of henle
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Actively transports NaCl, impermeable to water
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When do you want to use vasopressin?
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when your body is dehydrated so you can create aquqporins and pull water back in at the collecting duct
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What is acid base balance based on?
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buffers, the lungs and kidneys
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How does ventilation help?
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breathing out removes CO2, lowers acid conc.
hyperventilation= lower acid conc. hypoventilation= higher acid conc. |