Lecture 15 Flashcards

1
Q

What is the full name for ADH

A

anti-diuretic hormone

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2
Q

Filtrate at the top of ascending limb is _____

A

dilute

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3
Q

Why is the filtrate at the top of the ascending limb dilute

A

due to salt removal

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4
Q

What type of urine is produced in the abscence of ADH

A

very dilute urine

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5
Q

What is the function of adh

A

to make the body retain water

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6
Q

what happens to the collecting ducts in the absence of ADH

A

they become impermeable to water

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7
Q

Where is ADH released from

A

Posterior pituitary

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8
Q

Where does ADH act upon

A

Collecting ducts

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9
Q

What does adh do to principal cells

A

Increases number of water channels in these cells

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10
Q

Urea contributes to the _____ gradient

A

Osmotic

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11
Q

How does urea help in the interstitial space

A

It allows for a higher osmolarity, to draw water out of the nephron loop

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12
Q

What is a diuretic

A

Something that enhances urinary output

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13
Q

How does alcohol affect urine formation

A

It inhibits release of ADH - you wont be able to concentrate your urine

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14
Q

What is the formula for renal clearance

A

RC=UV/P

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15
Q

Describe clearance

A

Volume of blood cleaned of a substance/min

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16
Q

When would clearance be equal to GFR

A

Freely filtered
Not secreted or reabsorbed

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17
Q

What does the U stand for in RC

A

concentration of substance in urine (mg/mL)

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18
Q

What does the V stand for in RC

A

flow rate of urine formation (mL/min)

19
Q

What does the P stand for in RC

A

The concentration of substance in the blood plasma (mg/mL)

20
Q

What polysaccharide is used as a standard for RC

21
Q

What is inulin

A

A polysaccharide used for RC standard

22
Q

What if RC (substance) < RC (inulin)? eg: urea: RC = 70 ml/min

A

You arent removing all the urea from the 125mL of plasma, you’re reabsorbing some

23
Q

What if RC (substance) = 0?

A

You’re reabsorbing all of the substance

24
Q

What if RC (substance) > RC (inulin)? eg: creatinine: RC = 140 ml/min

A

We’re secreting extra of the substance

25
Deepness of urine colour indicates what?
How much water is in your urine
26
What can cloudy urine be a sign of
UTI - bacteria present
27
What does your pee look like when you have a UTI
Cloudy
28
What pigment is responsible for the colour of urine
Urochrome
29
What is urochrome
The pigment responsible for urine colour
30
Where does urochrome come from
Heme degradation
31
What odour will urine develop if left to stand too long
Ammonia
32
Why would urine develop an ammonia odor if left to stand too long
Due to bacterial metabolism of urea
33
What is the typical pH of urine (provide the range)
6, range is 4.5-8
34
When will you have acidic urine
Diet rich in proteins and whole wheat
35
When will you get alkaline urine
Diet rich in veggies
36
Diet rich in veggies cause what
alkaline urine
37
Diet rich in proteins and whole wheat causes what
acidic urine
38
What is the specific gravity of urine
1.001-1.035
39
What is specific gravity
referring to the solute concentration
40
What does specific gravity depend on
It depends on how dilute/concentrated it is (lower number=more concentrated)
41
What is the solute in highest concentration in urine
Urea
42
Uric acid as a waste product comes from
Nucleic acid metabolism
43
Where does creatinine as a waste product come from
Skeletal muscle
44
What is the ratio of water to solutes in urine
95% water 5% solutes