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44 Cards in this Set
- Front
- Back
The type of nephron responsible for renal concentration is the: |
Juxtaglomerular |
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The function of the peritubular capillaries is: |
Reabsorption & Secretion |
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Blood flows through the nephron/kidneys in the following order: |
1. Afferent arteriole 2. Peritubular capillaries 3. Vasa recta 4. Efferent arteriole |
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Filtration of protein is prevented in the glomerulus by: |
The glomerular filtration barrier |
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The renin - angiotensin - aldosterone system is responsible: |
1. Vasoconstriction of the efferent arteriole 2. Reabsorbing sodium 3. Releasing aldosterone |
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The primary chemical affected by the renin - angiotensin - aldosterone system is: |
Sodium |
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Secretion of renin is stimulated by: |
Macula densa cells |
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The hormone aldosterone is responsible for: |
Sodium retention |
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The fluid leaving the glomerulus has a specific gravity of: |
1.010 |
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For active transport to occur, a chemical: |
Must combine with a carrier protein to create electrochemical energy |
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Which of the tubules is impermeable to water? |
Ascending loop of Henle |
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Glucose will appear in the urine when the: |
1. Blood level of glucose is 200 mg/dL 2. Tm for glucose is reached 3. Renal threshold for glucose is exceeded |
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Concentration of the tubular filtrate by the countercurrent mechanism depends on: |
1. High salt concentration in the medulla
2. Water - impermeable walls of the ascending loop of Henle
3. Reabsorption of sodium and chloride from the Ascending loop of Henle |
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ADH regulates the final urine concentrations by controlling: |
Tubular permability |
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Decreased production of ADH: |
Produces a high urine volume |
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Bicarbonate ions filtered by the glomerulus are returned to the blood: |
Combined with hydrogen ions |
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If ammonia is not produced by the distal convoluted tubule, the urine pH will be: |
Basic |
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The largest source of error in creatinine clearance tests is: |
Improperly timed urine specimens |
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Clearance tests used to determine the glomerular filtration rate must measure substances that are |
Neither reabsorbed or secreted by the tubules |
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Performing a clearance test using radionucleotides: |
1. Eliminates the need to collect urine
2. Provides visualization of the filtration |
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Variable that are included in the MDRD - IDSM estimated creatinine clearance calculations include all of the following: |
Serum Creatinine
Age
Gender |
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An advantage to using cystatin C to monitor GFR is that: |
It is not secreted by the tubules |
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Solute dissolved in solvent will: |
Lower the freezing point |
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Substances that may interfere with freezing point measurement of urine and serum osmolarity include: |
Ethanol
Lactic Acid
Lipids |
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Clinical osmometers use NaCl as a reference solution because |
NaCl is partially ionized similar to the composition of urine |
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The normal serum osmolarity is |
275 to 300 mOsm |
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After controlled fluid intake, the urine to serum osmolarity ratio should be atleast |
1:1 |
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To provide an accurate measure of renal blood flow, a test substance should be completely: |
Cleared on each contact with functional renal tissue |
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Renal tubular acidosis can be caused by the |
inability to produce an acidic urine due to impaired production of ammonia |
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Test performed to detect renal tubular acidosis after administering an ammonium chloride load include all of the following except: |
Arterial pH |
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Function of the Kidney |
Produces Urine |
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Function of the Ureter |
Transports urine to the urinary bladder |
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Function of the Urinary bladder |
Temporarily stores urine prior to elimination |
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Function of the Urethra |
Conducts urine to exterior; in males transports semen as well |
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How is blood supplied to the kidneys? |
Via the renal arteries which are branches of the abdominal aorta |
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How is blood drained from the kidneys? |
Via renal veins which are branches of the inferior vena cava |
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What is the renal functions? |
1. Renal blood flow
2. Glomerular filtration
3. Tubular reabsorption
4. Tubular Secretion |
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Where is the Glomerulus located? |
Bowman's Capsule |
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What is the factors of filtration? |
1. Cellular Structure
2. Hydrostatic and oncotic pressure
3. Renin - angiotensin - aldosterone system |
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What are the three cellular layer of kidney? |
1. Capillary wall
2. Basement membrane
3. Bowman's capsule inner layer |
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How much percent of Albumin is in our urine? |
60% |
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Water reabsorption occurs throughout the nephron except? |
Ascending loop of Henle |
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What does renal function tests evaluate? |
1. Glomerular filtration
2. Tubular reabsorption
3. Tubular Secretion
4. Renal blood flow |
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Why would creatine values decrease? |
Dehydration
COPH & CHF - impairment of blood supply
Glomertitis
Nephrotoxic |