Exam 1: Intro To Renal Function Flashcards

1
Q

What can cause negative sodium and water balance?

A

Diarrhea, diuretic medication, and insufficient aldosterone

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2
Q

What can cause positive water and sodium balances?

A

Excess steroids, CHF, and salt retaining disease

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3
Q

What part of the kidney are the renal pyramids in?

A

The medulla

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4
Q

What makes up the renal corpuscle?

A

Glomerulus and Bowman’s capsule

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5
Q

What drains Bowman’s capsule?

A

The proximal tubule

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6
Q

What part of the nephron generates osmotic gradients in the medulla that allow kidney to concentrate the urine?

A

Loop of Henle

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7
Q

What is the Juxtaglomerular apparatus?

A

Where the thick ascending lumb passes between afferent and efferent arterioles

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8
Q

What controls the water permeability in the collecting duct?

A

Vasopressin (ADH)

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9
Q

What are the cortical nephrons?

A

They have their glomeruli in the outer cortex. They have short LOHs and do not extend into the inner medulla

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10
Q

What are the juxtamedullary nephrons?

A

Goleruli near the cortocomedullary border. They have long LOH and extend deep into the inner medulla

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11
Q

The ability to produce concentrated urine is proportional to the number of what?

A

Juxtamedullary nephrons

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12
Q

What are the 3 layers that make up the filtration barrier of the renal corpuscle?

A

The capillary endothelium, the glomerular basement membrane, and the visceral epithelial cells (podocytes)

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13
Q

What is the function of the juxtaglomerular apparatus?

A

Helps control GFR and controls renin secretion (blood pressure and volume)

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14
Q

Where are the mesangial cells and what do they do?

A

Between capillary loops, they contract in response to the hormone angiotensin II

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15
Q

What is the Vasa recta?

A

Specialized peri-tubular capillaries of juxtamedullary nephrons that follow the LOH. They supplt nutrients to the medullary tissue and important for recovery of water

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16
Q

What kind of innervation do renal nerves have?

A

Sympathetic (release NE and dopamine)

-Parasympathetic innervation is absent

17
Q

What kind of receptors are found on the afferent and efferent arterioles?

A

Alpha 1

18
Q

What does sympathetic stimulation do to the kidneys?

A

Tends to reduce renal blood flow and GFR, but the simultaneous release of prostaglandins PGE2 and PGI2 oppose alpha mediated vasoconstriction, melanin reductions in RBF and GFR are minimized.

19
Q

What is released when the B1 receptors of granular cells are stimulated?

A

Renin is released

20
Q

What is glomerular filtration and what is the normal rate?

A

The production of protein-free filtrate.

Normal is 120-125 ml/min

21
Q

Do nephrons function in parallel or series?

A

Parallel

22
Q

Do the arterioles and capillary beds function in parallel or series?

A

In series