Homeostasis and The Kidney (DONE) Flashcards

1
Q

What is homeostasis?

A

The maintenance of
a constant internal environment

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2
Q

Describe the negative feedback loop
(4 marks)

A
  1. Change to the normal conditions/deviation
  2. Stimuli detected by receptors, which pass on the message to the control centre
  3. Control centre sends message to effector
  4. Effector returns the conditions to normal
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3
Q

What are the functions of the kidney?
(2 marks)

A
  • Excretion, which is the elimination of waste products (N-containing)
  • Osmoregulation, which is the control of water content and solute composition of body fluids
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4
Q

Draw a diagram of the excretory system
(5 marks)

A

The diagram should include
- Vena cava and Aorta
- Renal veins and arteries
- Ureter
- Bladder
- Urethra

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5
Q

What is the function of the renal vein, renal artery and ureter in the excretory system?

A
  • Renal vein removes carbon dioxide and has a lower conc of urea
  • Renal artery supplies oxygen and glucose and has a high conc of urea
  • Ureter transfers urine to the bladder
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6
Q

Draw the gross structure of the kidney
(4 marks)

A

Diagram should include:
- Cortex
- Medulla
- Pelvis
- Ureter

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7
Q

What is the functional unit of the kidneys and what/where is its components located?
(7 marks)

A

The nephron
- The glomerulus, Bowman’s capsule, proximal/1st convoluted tubule and distal/2nd convoluted tubule are in the cortex
- The loop of Henle and collecting duct are in the medulla

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8
Q

Describe the hazards, risk and control measures when carrying out a kidney dissection.

A

Hazard - Scalpels are sharp
Risk - When slicing into kidney there is a risk of cutting or piercing the skin
Control measure - Cut away from the body onto a white tile

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9
Q

Describe briefly how excretion of waste products, such as urea in the form of urine occur.
(5 marks)

A
  • Blood enters the kidney through the renal artery/afferent arteriole (short and wide leading to a low resistant input pathway) at high pressure, into the capillaries in the cortex (glomerulus)
  • Ultrafiltration, which filters out small molecules (urea, glucose, water, amino acids, inorganic ions) into the bowman’s capsule into the nephron
  • Selective reabsorption in which amino acids, glucose and vitamins are reabsorbed back into the bloodstream
  • Substances to be excreted pass along the tubules and ureter and reach the bladder to be disposed of as urine
  • Filtered blood passes out of the kidneys throug h the renal vein
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10
Q

Describe the adaptations of cells within the proximal convoluted tubule that allows for selective reabsorption.
(2 marks)

A
  • Microvilli/Brush border > provides large surface area for simple diffusion and transport proteins (channels,carriers)
  • Many mitochondria for ATP synthesis for active transport
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11
Q

What is reabsorbed back into the blood from the proximal convoluted tubule, in what quantity and by what means.
(4 marks)

A
  • All glucose and amino acids by co-transport
  • Most mineral ions by active transport
  • Most water by osmosis
  • Some proteins and urea by diffusion
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12
Q

Describe the method of selective reabsorption in the proximal convoluted tubule.
(6 marks)

A
  1. Na⁺ are actively transported out of lumen of PCT into blood via Na/K pump
  2. This sets up [gradient] causing Na⁺ to diffuse out of the PCT
  3. Na⁺ enter by carrier proteins, which also carry another molecule with Na⁺ (co-transport)
  4. Amino acids and glucose move out by facilitated diffusion into blood with Na⁺
  5. Water moves down the water potential gradient into blood via osmosis
  6. Urea is reabsorbed as it is non-polar and can diffuse across membranes
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13
Q

What is the function of the loop of Henle?

A

Lowers the water potential gradient of the medulla/create a water potential gradient

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14
Q

Describe the changes in permeability along the loop of henle.
(9 marks)

A

DESCENDING LIMB
- Impermeable to ions, but permeable to water
- Surrounded by salty tissue fluid and thus water moves out of the tubule by osmosis down a water potential gradient
- The filtrate gets more concentrated as it descends down
- The most negative water potential is at the base of the loop

ASCENDING LIMB
- Impermeable to water, but permeable to ions
- Ions and are actively transported into tissue fluid of medulla
- The filtrate becomes more dilute

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15
Q

Describe the counter-current adaptation in the loop of Henle
(4 marks)

A
  • Na⁺ are actively transported out of the ascending limb into tissue fluid
  • This lowers water potential of the tissue fluid in medulla
  • Descending limb is permeable to water, so water moves down the water potential into medulla via osmosis and is carried away by the vasa recta
  • The longer the loop, the greater concentration gradient between filtrate and tissue fluid
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16
Q

What controls the permeability of the collecting duct to water?

A

ADH > anti-diuretic hormone

17
Q

Describe what happens in the case of dehydration, where the water content of the blood is too low.
(6 marks)

A
  1. Osmoreceptors in the hypothalamus detect the change (drop in blood water)
  2. The hypothalamus sends nerve impulses to the posterior pituitary gland to release ADH into the blood
  3. ADH attaches to complementary receptors on the cells of the collecting duct
  4. Aquaporins fuse with the membrane of the cells next to the lumen of the collecting duct
  5. Water moves out of the collecting duct and into bloodstream by osmosis, raising the water potential of the blood
  6. A low volume of concentrated urine is produced
18
Q

What are some symptoms of kidney failure?
(4 marks)

A
  • Disrupt of the balance of ions resulting in bones more brittle
  • Swelling due to fluid accumulation
  • Buildup of toxic waste therefore needing to vomit
  • Need to urinate more often
19
Q

List a range of treatments for kidney failure

A
  • Medication to control K and Ca levels to balance fluids
  • Low protein diet to reduce excess amino acids and therefore urea made
  • Drugs to lower blood pressure
  • Dialysis
  • Kidney transplant
20
Q

What are the advantages and disadvantages of kidney transplant?

A

AD
- Full kidney function restored
- No requirements for daily/weekly dialysis
DIS
- Must be compatible blood types
- Immunosuppressants drugs for life
- Few organs/long waiting list

21
Q

What allows for a dialysis machine to be effective?
(6 marks)

A
  • Temperature at 40 to increase rate of diffusion
  • Large number of strands of dialysis tubing increases surface area for diffusion
  • Semipermeable membrane that only allow small molecules through
  • Dialysis fluid has no urea, so all of urea leaves by diffusion
  • No concentration gradient for glucose so it doesn’t leave the blood
  • Counter-current flow allows for the [gradient] to be maintained and so that urea is blood is always met with a lower concentration of urea is dialysis fluid
22
Q

What do the following convert amino acids into and why:
- Mammals
- Fish
- Insects/birds/reptiles

A

Mammals
- Urea in the liver. Medium toxicity and solubility and can be concentrated or diluted according to need to conserve or eliminate water
Fish
- Ammonia by deamination only. Ammonia is highly toxic and soluble. Excreted very easily
Insects/Birds/Reptiles
- Uses more ATP than urea to make uric acid. Insoluble and requires little water to excrete. Makes birds light for flight. Low toxicity