Intro To RBF/GFR DSA Flashcards

1
Q

Name some waste products that can be excreted by the kidneys

A
Urea
Creatinine
Acid
Bilirubin
Metabolites
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How do kidneys respond to increase in water content

A

By increasing the output of water in the urine

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

What important blood pro-product do kidneys make

A

EPO

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

What is the stimulus for production of EPO

A

Decreased O2 in the Kidneys

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

The cortex of the kidney contains what

A

Corpuscles

Coiled blood vessels and coiled tubules

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

The medulla of the kidney contains what

A

Straight blood vessels and straight tubules

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

The kidneys receive aprox. How much CO

A

20%

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

The glomerular capillaries have what in terms of hydrostatic pressure

What about the peritubular capillaries

A

GC - high

PC - low

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

What is the purpose of the peritubular network

A

To reabsorb filtered fluid from the tubule lumen

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

What high hydrostatic pressure in the glomerular capillaries favors what

A

Filtration

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

Define vasa recta

A

Long medullary PTC

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

The rate and perfusion of renal blood flow in the kidney is highest and lowest where

A

Highest in the cortex

Lowest in the inner medulla

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

What do JG nephrons do

A

Secrete renin

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

What is the role of the PCT

A

Reabsorption of the largest fraction of glomerular filtrate

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

What is the role of the LoH

A

Urine concentration and secretion of Tamm-Horsfall Glycoprotein

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

What is the role of the DCT

A

Fine control of salt and water excretion

17
Q

The podocytes are part of what in the glomerulus

A

The visceral part

18
Q

What signals would cause vasoconstriction and lower GFR

A

NE
E
Endothelin

19
Q

What signals would cause vasodilation and cause an increase in GFR

A

NO
Prostaglandin
ANP
DA

20
Q

What does ANG II do to the GFR

A

Maintains it by selectively constricting efferent arterioles

21
Q

Do systemic activation of the SNS due to baroreceptor reflexes (low P/BP) have much of an effect on RBF or GFR

22
Q

ANG II effects which arteriole

23
Q

general SNS via a1 effects which arteriole most

24
Q

What produces the filtration slits

A

The podocytes

25
What are the layers in order that the filtrate must pass through to begin filtration
Endothelium basement membrane Podocyte filtration slits
26
What three things forms the glycocalyx
Proteins, hyaluronan, and heparan sulfate
27
What is the role of nephrin
Binds podocytes together and stope the passage of large proteins
28
What is the role of the Tamm-Horsfall Protein
Secreted by ThALoH Inhibits Ca crystallization which stops kidney stones and UTI’s
29
What is the role of the glycocalyx
Produces a (-) charge which repels (-) proteins (anions) such as albumin
30
If there is a large amount of albumin in the blood, what can we surmise is wrong
An issue with the glycocalyx
31
What would happen in there was a large net loss of albumin
A decrease (Pi)GC which would mean less absorption and more filtration which would lead to edema
32
If excretion is greater than filtration, what has happened
Tubular secretion
33
Define renal clearance
The rate at which substances are removed from the plasma
34
Increased Cr means what in terms of GFR
Decreased GFR
35
What receptors activate increased Na/K ATPase and subsequently increased Na reabsorption to increase BP
A1
36
The a1 receptors act on which arteriole to cause vasoconstriction
Afferent
37
What does an increased BUN/Cr mean
A pre-renal problem BUN REBS is increased (>20) which means hypovolemia, dehydration, decreased renal perfusion, or a high protein diet
38
What does a decreased BUN/Cr mean
An intrarenal problem Ration <10 which means liver disease or a low protein diet
39
Increased PAH mean what
Increased RBF