Final review Flashcards

(55 cards)

0
Q

filtration

A

occurs in the glomerulus

  • more permeable to water and solutes than capillaries elsewhere in the body
  • molecules too large are not filtered; large plasma proteins, WBC, RBC, platelets
  • filtrate is forced from from glomerulus into capsule
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1
Q

3 processes of urine formation

A

glomerular filtration
tubular reabsorption
tubular secretion

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2
Q

tubular reabsorption

A

involves the transfer of substances from tubular lumen into peritubular capillaries or back to the blood
- highly selective and variable process

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3
Q

Na+ reabsorption

A
  • an active Na+/K+ pump is essential for Na+ reabsorption of total energy spent by kidneys, 80% is used for Na+ transport
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4
Q

Na+ reabsorption - hormone influence

A

RAAS

  • most important and best known hormonal system involved in regulating Na+
  • aldosterone works mainly in distal convoluted tubule
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5
Q

glucose and amino acids

A

are reabsorbed by active transport in proximal convoluted tubule
- if Tm is reached, glucose is lost in the urine

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6
Q

water

A

most water is passively reabsorbed via osmosis (most common)

  • 65% of water reabsorption is obligatory in the proximal tubule (follows Na+)
  • vasopressin
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7
Q

tubular secretion

A

transfer of substances from peritubular capillaries into the tubular lumen or moving substances into the tubes for excretion

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8
Q

most important secretory systems are for ___ and ____

A

H+ and K+

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9
Q

H+ secretory system

A

important in regulating acid-base balance

secreted in proximal, distal, and collecting tubules

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10
Q

K+ secretory system

A

keeps plasma K+ concentration at appropriate level to maintain normal membrane excitability in muscles and nerves
secreted only in the distal and collecting tubules under control of aldosterone

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11
Q

if Na+ reabsorption increases, K+ secretion ____

A

increases

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12
Q

vascular tone

A

it reflects the state of partial smooth muscle contract to establish baseline resistance

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13
Q

fluid enters the venule end as a result of what two forces?

A

plasma osmotic pressure

interstital fluid hydrostatic pressure

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14
Q

basic function of the formed elements

A

o2 transport
body defense
hemostasis

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15
Q

hematocrit

A

the ratio of the volume occupied by packed RBC to the volume of the whole blood

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16
Q

three types of plasma proteins found in the blood

A
  • immunoglobulins
  • fibrinogen and prothrombin
  • albumins
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17
Q

which plasma proteins functions to maintain osmotic pressure?

A

albumins

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18
Q

hematopoiesis is defined as ………

A

formation of formed elements

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19
Q

neurtophils

A

phagocytes, 1st at scene of injury

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20
Q

esinophils

A

parasitic worms, allergies

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21
Q

basophils

A

mast cells contain histamine

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22
Q

monocytes

A

macrophages, garbage cells

23
Q

lymphocytes

A

immunity, beta cells, t cells

24
where are the platelets produced
myeloid tissue
25
hemostasis
keeping blood where it should be
26
3 steps involved in hemostasis
vascular spasm formation of a platelet plug coagulation (clotting)
27
thrombin
enzyme that changes fibrinogen to fibrin
28
fibrin
thread-like end product of the clotting reaction
29
plasmin
a FIBRINOLYTIC ENZYME
30
tPA
given to patients with blockages/clots
31
ultrafiltration occurs at the
arterial end
32
reabsorption occurs at the
venule end
33
osmotic pressure = _____ force
pulling
34
hydrostatic pressure = _____ force
pushing
35
interstitial fluid
between the cells | fluid outside of the vessel (ECF)
36
capillary
originating within/inside the vessel
37
plasma
originating inside the vessel
38
functions of platelets
- repair damaged blood vessels | - initiates clotting cascade
39
clotting cascade: Vasoprism
abrupt vasoconstriction of damaged vessel | - decrease radius = increase resistance = decrease blood flow = decrease blood loss
40
platelets : formation of platelet plug
collection of platelets in contact with exposed collagen in damaged vessel wall ("burr-like")
41
platelets: coagulation
formation of fibrin - transform blood from liquid -> solid (gel-like) - chemical change to reinforce platelet plug
42
the mechanical process of breathing is called _______
ventilation
43
resting inspiration
diaphragm - contract down | external intercostals - contract to expand ribcage
44
forced inspiration
other accessory muscles (SCM, levator, scap.)
45
resting expiration
none = passive | relaxation of inspiratory muscles
46
forced expiration
internal intercostals - narrow ribcage (decrease volume) | - rectus abdominus (abdominal muscles)
47
the diaphragm and external intercostal muscles contract which will ____ volume. With this change in volume, pressure will ______, making the inside pressure ____ than the outside pressure. Air will flow ___ ; inspiration
increase decrease less in
48
partial pressure = _________x_________
total pressure | % compostition
49
most oxygen in blood travels via ______
hemoglobin
50
saturation =
loading of oxygen
51
dissociation =
unloading of oxygen
52
when partial pressure is high, ________ is high. (lungs)
saturation
53
when partial pressure is low, ______ is high (tissues)
dissociation
54
most CO2 in blood transported as ______
bicarbonate