Renal Physiology Flashcards

1
Q

Daily and Minute GFR?

A

daily - 180L

minute - 120ml/min

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2
Q

where do circulating catecholamines constrict?

A

primarily afferent

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3
Q

what MBP results in filtration decrease and when do it cease?

A

60mmHg

50mmHg

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4
Q

auto regulatory range in man?

A

60-130mmHg

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5
Q

renal plasma threshold for glucose?

A

beyond 10mmoles/l

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6
Q

reabsorption of Na ions?

A

most abundant in ECF and 99.5% reabsorbed
active transport on basolateral surfaces
creates an osmotic force drawing water out

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7
Q

tubule permeability to urea?

A

only moderately permeable to urea so that only 50% is reabsorbed and the remainder stays in the tubule

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8
Q

most important point about the movement of Na?

A

it is the active transport of Na that establishes the gradients down which other ions, water and solutes pass passively

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9
Q

why is tubular secretion important?

A

important for substances that are protein bound

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10
Q

normal K ECF level?

A

around 4mmoles/l

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11
Q

max concentration of urine produced by kidney?

min obligatory water loss?

A

1200-1400mOsmoles/l

500mls/day

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12
Q

how are kidneys able to produce varying concentrations of urine?

A

loops of hence of juxtamedullary nephrons act as counter-current multipliers

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13
Q

where is ADH synthesised?

half-life?

A

supraoptic and paraventricular nuclei of the hypothalamus

10 mins

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14
Q

normal plasma osmolality?

A

280-290mOsm/kg H20

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15
Q

distribution of body water?

A

plasma 3L
Interstital 11l
= 14L ECF

ICF 28L

total = 42L. 60 40 20

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16
Q

renin production?

A

JG cells

17
Q

renin pathway?

A

renin converts angiotensinogen to angiotensin I

angiotensin I converted by ACE to angiotensin II

angiotensin II increases BP

18
Q

what else does angiotensin II stimulate?

A

aldosterone release in zona glomerulosa in adrenal cortex

19
Q

what controls renin release?

A

JG cell baroreceptors and afferent arteriole

sympathetic nerve activity - fight/flight response

20
Q

why is angiotensin II important in response to hypovolaemia?

A

stimulates aldosterone and therefore water and NaCl retention
potent vasoconstrictor
ADH secretion
thirst and salt appetite

21
Q

what promotes Na excretion?

A

ANP (atrial natriuretic peptide)

22
Q

how do you calculate the anion gap? what is is the normal?

A

(sodium+potassium) - (bicarbonate+chloride)

8-14mmol/l