Kidney 1 Flashcards

(30 cards)

1
Q

What is the main function of the kidneys?

A

To removes organic, potentially toxic, waste products of cellular metabolism from the body. Especially nitrogenous waste in the form of urea/uric acid and creatinine

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2
Q

What are 5 other functions of the kidney?

A
  • Regulates blood volume and hence blood pressure
  • Controls ionic composition of plasma (Na+, K+, Cl-, Ca2+)
  • Helps maintain optimal blood pH (H+, HCO3-)
  • Reabsorbs useful nutrients that might otherwise be excreted
  • Can also, during periods of extreme starvation, assist in breakdown of protein to provide fuel for other cells of the body
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3
Q

What 4 organs are part of the urinary system?

A
  1. Kidney
  2. Ureter
  3. Urinary bladder
  4. Urethra
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4
Q

What percentage of cardiac output do the kidneys receive?

A

20-25%

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5
Q

How many litres of blood flows through the kidneys each minute?

A

1.2L

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6
Q

What does each nephron consist of?

A

Each nephron consists of a renal corpuscle and a renal tubule

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7
Q

What is the renal corpuscle composed of?

A

Bowman’s capsule and the glomerulus

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8
Q

What is the renal tubule composed of?

A
  1. Proximal convoluted tubule (PCT)
  2. Loop of Henle
  3. Distal convoluted tubule (DCT)
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9
Q

What are the 4 functions of a nephron?

A
  1. Production of filtrate
  2. Reabsorption of organic
    nutrients
  3. Reabsorption of water and ions
  4. Secretion of waste products into tubular fluid
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10
Q

What percentage of all nephrons are cortical nephrons?

A

85%

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11
Q

Where are the cortical nephrons located?

A

In the cortex

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12
Q

Where are the juxtamedullary nephrons located?

A

Nearer the renal medulla

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13
Q

What do the Loops of Henle extend into?

A

Deep into the renal pyramids

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14
Q

What are the 3 basic processes of urine formation?

A
  1. Filtration
  2. Reabsorption
  3. Secretion
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15
Q

Which arteriole is wider, the afferent or the efferent?

A

Afferent arteriole

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16
Q

How does glomerular filtration occur?

A

Occurs as fluids move across the glomerulus in response to glomerular hydrostatic pressure

17
Q

What is glomerular hydrostatic pressure?

A

Blood pressure in the glomerular capillaries

18
Q

What is nitrate composed of?

A

The filtrate is composed of water and small solutes able to pass through the filtration slits (e.g. sodium, potassium, chloride, glucose)

19
Q

What is the rate of filtration per minute?

A

125 ml/min (180 litres each day)

20
Q

How many litres of blood is in you body?

21
Q

How many times a day does your blood get filtered?

A

Approximately 35 times

22
Q

How do you calculate the GFR (Glomerular filtration rate)?

A
GFR = UV/P
U = Urine solute conc. V = Volume of urine excreted per minute P = Plasma solute conc.
23
Q

What 4 things does a substance have to be before the GFR can be calculated?

A
  1. Filtered freely
  2. Not secreted or reabsorbed
  3. Not toxic
  4. Not metabolised/broken down
24
Q

What is GFR?

A

Amount of filtrate produced in the kidneys per minute

25
How is GFR regulated?
By the sympathetic nervous system or the endocrine system or auto-regulated
26
How is GFR regulated by the sympathetic nervous system?
Produces powerful vasoconstriction of afferent arterioles • Decreases GFR and slows production of filtrate • Changes the regional pattern of blood flow • Alters GFR
27
How is GFR auto-regulated?
Changes in the diameters of the afferent and efferent arterioles as well as the glomerular capillaries
28
How is GFR regulated by the endocrine system?
A drop in filtration pressure stimulates Juxtaglomerular apparatus (JGA) • Releases renin, which increases filtration pressure
29
What is auto-regulation of GFR?
A mechanism to maintain normal GFR when there are local alterations in blood flow and pressure
30
What does a reduction in blood flow at the corpuscle and a subsequent decrease in glomerular blood pressure cause?
1. Dilation of the afferent arteriole 2. Dilation of the glomerular capillaries 3. Constriction of the efferent arteriole