Exam 1 Flashcards

(49 cards)

1
Q

What do the colors in the safety diamond mean

A

blue-health
red-flammability
yellow-reactivity
white-specific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the 3 types of urine specimen

A

first morning
random
Times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the pros and cons of first morning specimen

A

good for testing things that need to be in high concentration to be detected like formed elements

high concentrated salt can crystallize, not the most convenientq for patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the pros and cons of random urine specimen

A

pro: easy, good for routine, good for cytology
con: may not be so accurate, exercise and fluid intake affect results

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the pros and cons of timed specimen

A

common errors
needs strict timing
24hrs can reveal a lot, good for albumin to creatinine ratio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What physical changes can occur if you don’t preserve urine correctly

A

color darkens, clarity decreases, odor increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the microscopic changes that could occur if you don’t preserve urine

A

blood cells, casts and trichomonads all decrease

bacteria increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the chemical changes that can occur if urine is unpreserved

A

pH and nitrite increase

glucose, ketones, bilirubin and urobilinogen decrease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How should urine be preserved

A

refrigerated

brought back to room temp to be tested

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which preservative is good for sediment preservation

A

thymol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which preservative is good for cytology testing

A

formalin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

which preservative is used for analysis of steroids and hormones

A

Acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which preservative is used for analysis of prophyrins

A

sodium carbonate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How to determine that something is actually urine

A

pH- 4-8
specific gravity 1.002-1.0035
mostly high creatinine concentration 50x the plasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 2 distinct areas within the kidney, what structure surround it

A

cortex- outer
medulla-inner (contain papilla)–> contain minor and major calyces
fibrous capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which structure is funnel shaped, has indented region and narrows to join the ureter

A

renal pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the function of each calyx, how many are there

A

12 minor, 3 major

act as funnel to receive urine from collecting ducts onto renal pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe the flow of urine

A

nephron-> minor-> major-> renal pelvis-> ureters-> bladder-> urethra->out of body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Where is the last place urine is altered

A

the minor and major calyces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which structure of the nephron is a capillary tuft surrounded by a thin epithelial layer of cells, what is the layer called?

A

tuft-glomerulus

layer-bowmans capsule

21
Q

The bowmans capsule is the originating end of a ___

22
Q

What kidney structure collects initial ultrafiltrate

A

bowmans capsule

23
Q

Which structure of the kidney has thin and thick descending and ascending limbs that have a hairpin turn,

A

loop of henle

24
Q

Which nephron structure has a straight distal tubule that enters back into the cortex

A

distal convulted tubule

25
which kidney structure has multiple DCT that join to convey urine from several nephrons
collectng duct
26
Which nephron structure extends from the glomerulus through the cortex in a circuitous route, eventually straightens out and turns downward to become the Loop of Henle
PCT
27
the artery leads to the
kidney
28
the veins lead to the
heart
29
The structure that supplies blood individually to the glomerulus of each nephron
afferent
30
capillary network comes together as it leaves the glomerulus to form the
EFFERENT
31
the long U-shaped vessels that descend deep into the renal medulla close to the loops of Henle
vasa recta
32
What part of the nephron exerts the biggest pressure
glomerulus
33
Does the bowmans capsule have high or low pressure? does it drive or oppose filtration and the plasma ?
bowman-lowest, opposes | plasma-higher, opposes
34
What is the outcome of the 3 pressure differences
positive pressure, forms plasma ultrafiltrate
35
Difference between oncotic and hydrostatic
oncotic- into blood capillaries | hydrostatic-out of blood capilaries
36
What are the 3 processes involved in urine formation
plasma filtration-glomerulus reabsorption- renal tubules secretion- renal tubules
37
What substances should urine never contain
glucose, bicarbonate, albumin
38
urine is made of mostly
water
39
What is the daily urine volume produced in the body
600-1800 mL
40
Which solute is fully reabsorbed ?
glucose 100% reabsorption
41
What three aspects of the glomerulus aid in filtration
fenestrated in EC podocytes- food cell, have filtration slits basement membrane- helps with permeability
42
What is the max size a molecule can be to pass through glomerular filtration
4nm
43
tubular secretion or reabsorption? from lumen to capillary blood from capillary blood to tubular lumen
reabsorption | secretion
44
What solutes are reabsorbed
water, glucose, proteins, Na, K Cl
45
How does the kidney maintain pH in the blood
H ions secretion bicarbonate basic- recovered H ions secretion titratable acids- leave in urine H ions secretion ammonium salts acidic- leaves in urine
46
The hypertonicity of the medulla is important because
it is the only tissue that is hyper tonic compared to normal plasma
47
What is RASS what does it do
sodium reabsorption releases renin into blood, angiotensin stimulates aldosterone hormone aldosteron activates sodiu reabsorption
48
The release of renin would result from what changes in the body
low sodium low blood pressure low blood volume
49
What does ADH do
makes you pee less, controls water reabsorption, acts on collecting ducts