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23 Cards in this Set

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  • Back
Define Renal blood flow.
the amount of blood flowing into the kidney /minute
--> 20% of the CO = 1100 mls/min
Define Renal plasma flow.
amount of plasma flowing into the glomeruli/ min
→ RPF= (1-Ht) x RBF = 0.55 x 1100= 605 mls/min
What is filtration fraction?
GFR/RPF
=125/605=20%
What is Vasa recta?
(meaning straight vessels), vessels branching off the efferent arterioles coming of the glomerulus of the juxta-medullary nephrons, that run parallel to the loop of Henle. They have got a role in the maintenance of the counter-current exchange.
What is Pressure diuresis?
due to the lack of ability to autoregulate RBF in the juxtamedullary nephrons; ↑RBF there-->washout of solutes in that region -->↓concentrating ability of the kindneys
Define Glomerular filtration.
it is the process by which water and solutes (protein-free version of the plasma) leaves the intravascular compartment through the filtration barrier and into Bowman's capsule(which is topologically outside the body).
Is the glomerular filtrate totally protein-free?
No.
Total protein concentration is very low. Many small proteins that have low plasma concentrations, such as peptide hormons, are freely or nearly freely filtered.
What is the fraction of endothelial surface area in the glomerulus that is occupied by fenestrae?
10 %
What is the selectivity of the filtration barrier to filtered solutes based on?
1- molecular size (freely filtererd if < 7000 Da)

2- electrical charge-->negative charge is a hinderence to filtration in 'large' molecules.
What percentage of the albumin present in plasma is actually filtered?
0.02%
What determines K+ excretion?
the amount of K+ intake

this is adjusted via controlling the amount of K+ secreted in the DCT and cortical collecting ducts
What cells secrete K+?
the principal cells in:
1-DCT
2- Cortical collecting ducts
What cells reabsorb K+?
type A intercalated cells
How can the total body water be measured?
using dilution markers that diffuse throughout the total body water. e.g.
isotopically labelled water (using deuterium (2H) or trituim (3H)
What markers are used to determine the ECF compartment volume?
Inulin, mannitor, radiosodium, radiochloride, and thiosulfate.

Those does not cross into the intra-cellular compartment
What markers are used to determined the intravascular compartment volume?
radio-labelled albumin
dye Evans blue that binds to albumin
What is ADH?
-is a peptide

-produced by a group of hypothalamic neurons, in the supra-optic nucleus whose cells bodies terminate in the posterior pituitary

-stimuli to its release come from:
1-osmoreceptors
2-baroreceptors
What are the stimulants for thirst?
- decreased ECF volume
-increased osmolality
-dryness of the mouth
-angiotensin II: decreased ECF-->angiotensin II is secreted--> stimulate thirst center in the brain
How do you convert mg/dL of glucose to mmol/L?
divide by 18
what is 'filtered load'?
it equals:
GFR x plasma concentration
What is SGLUT-1?
co-transporter of glucose, studied in the rats, found to transport 2 Na+ and 1 glucose

associated with GLUT-1

SGLUT-2 is present in the PCT's to transport glucose
Define the splay.
the rounded curve representing the ‘actual’ glucose reabsorption compared to the ‘ideal’curve
Define active transport.
Is the process by which a substance is moved 'up' its electrochemical gradient, requires energy