3 Kidney Tubule Flashcards

(33 cards)

1
Q

Which cells in the collecting duct play an important role in Na+ reabsorption?

A

Principal cells

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2
Q

Which cells in the collecting duct play an important role in regulating acid/base balance?

A

Intercalated cells

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3
Q

What are the two steps of reabsorption in the kidney tubule?

A

1) Substances are actively or passively extracted from tubular fluid into interstitium
2) Substances are transported from the interstitium into the blood stream

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4
Q

Does secretion occur primarily due to active or passive transport?

A

Active transport

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5
Q

Secretion plays a major role in regulating balance of what?

A

K+ levels and acid/base balance

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6
Q

What is the average amount of fluid filtered daily? Excreted daily?

A

180 liters filtered per day, 1-2 liters excreted per day

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7
Q

What solute transporter is common to all tubule cells?

A

Na+/K+ ATPase

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8
Q

Where is the Na+/K+ ATPase located in the cell, and what is its primary function?

A

Basolateral membrane; establishes electric charge gradient

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9
Q

Is transport in the distal nephron primarily transcellular, or paracellular?

A

Transcellular due to the presence of tight junctions

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10
Q

Name some examples of Na+ reabsorption transporters.

A

1) Na+ glucose cotransporter
2) Na+ H+ exchanger
3) Na+ phosphate cotransporter
4) Na+ lactate cotransporter
5) Na+ calcium exchanger

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11
Q

Which cells in the collecting duct play an important role in regulating acid/base balance?

A

Intercalated cells

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12
Q

Is transport in the PCT primarily transcellular or paracellular?

A

Paracellular

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13
Q

In which segment of the nephron does iso-osmotic reabsorption of solutes and water occur?

A

PCT

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14
Q

What is obligatory water movement?

A

The movement of water following ions into the interstitial space between tubule and capillary

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15
Q

What is Solvent drag?

A

The movement of solutes from the tubular lumen into the interstitium following water

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16
Q

What are the four primary functions of tubular secretion?

A

1) Movement of drugs into the urine
2) Movement of excess urea and uric acid into the urine
3) Removal of excess K+ from blood
4) Regulation of pH (via H+ ion removal)

17
Q

What main transport proteins are responsible for K+ secretion?

A

K+ channels and K+/Cl- cotransporter

18
Q

T/F: Urine is concentrated in the PCT

A

F: 67% of filtrate is reabsorbed iso-osmotically; neither concentration nor dilution of urine occurs in the PCT

19
Q

In which section of the nephron is the majority of Na+, HCO3-, amino acids, and glucose reabsorbed?

20
Q

Which segment of the nephron, known as the diluting segment, is very permeable to solutes and relatively impermeable to water?

A

Thick ascending limb

21
Q

Which ion transporter is inhibited by the loop diuretic furosemide, and where is it located?

A

Na+/K+/2Cl- symporter, apical membrane of thick ascending limb

22
Q

Which segment of the nephron is freely permeable to water and relatively impermeable to solutes?

A

Descending limb

23
Q

What percentage of solutes is reabsorbed in the TAL?

24
Q

Where is urine concentrated in the nephron?

A

Late segment of DCT and Collecting duct

25
Which ion transporter is inhibited by the thiazide diuretics, and where is it located?
Na+/Cl- symporter; initial segment of DCT
26
What are the functions of Principal cells in the collecting duct?
1) Reabsorb Na+ 2) Secrete K+ 3) Reabsorb water in presence of ADH
27
What are the functions of Intercalated cells in the collecting duct?
1) Secrete H+ | 2) Generate new HCO3- for acid base balance
28
T/F: Reabsorption of glomerular filtrate in the PCT is independent of neural and hormonal control.
T: A set percentage of filtrate is reabsorbed, rather than a specific amount of water or solutes
29
What is the effect of dopamine on tubular transport?
It is a natriuretic; enhances Na+ excretion
30
What is the effect of ADH on the Loop of Henle?
Stimulation of Na+/K+/Cl- cotransporter and K+ channels in TAL
31
What is the effect of aldosterone on the cortical collecting tubules?
Stimulation of Na+ reabsorption
32
What is the effect of ADH on the cortical collecting tubules?
Stimulation of open water channels in the apical membrane
33
What is the effect of ANP on the cortical collecting tubules?
Inhibition of Na+ transport in the collecting duct