Lecture 4 Reabsorption and Secretion Flashcards

1
Q

What percentage of plasma is filtered into the bowman’s capsule from the glomerulus

A

20%

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2
Q

What happens when carriers maximum transport capacity in exceeded

A

Excess substrate enters the kidneys

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3
Q

Up to how many mmoles/l will the be absorbed in man before it appears in the urine

A

10mmoles/l

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4
Q

if plasma glucose os 15mmoles/l how much will be absorbed and how much will be excreted

A

10 mmoles/l absorbed

5 moles/l secreted

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5
Q

What levels of sulphate and phosphate lead to saturation and excretion

A

Normal levels

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6
Q

What is the most abundant ion in the ECF

A

Na+

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7
Q

Where does majority of Na+ ion resorption occur

A

Proximal tubule

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8
Q

How is Na+ reabsorbed

A

• Not reabsorbed by a Tm mechanism, but by active transport, which establishes a gradient for Na+ across the tubule wall.
Moves Na+ into blood and K+ into cell to create a gradient for Na+ to passively move into the tubule cells across the luminal surface

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9
Q

Why does the proximal tubule cells brush border have a high permeability to Na+ ions

A

Enormous surface area offered by the microvilli and larger number of Na+ ion channels

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10
Q

The active transport of Na+ leads to the movement of what other components

A

Cl- (passie) and H2O (osmosis)

Permeable solutes are reabsorbed by diffusion as the fluid volume in the lumen has decreased

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11
Q

What percentage of urea is absorbed

A

50%

Remainder stays in tubule

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12
Q

The tubular membrane is impermeable to

A

Inulin and mannitol

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13
Q

What substances share the same carrier molecule as Na+ (symport)

A

Glucose

Amino acids

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14
Q

Tubular secretion in the peritubular lumen is important for ___

A

Elimination of potentially harmful substances

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15
Q

The amount of solute secreted can be calculated by

A

Amount filtered - amount reabsorbed + amount secreted

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16
Q

What is the normal ECF level of K+

A

4mmoles/l

17
Q

What are the consequences of Hyperkalaemia

A

reduced resting membrane potential of excitable cells and eventually ventricular fibrillation and death

18
Q

What are the consequences of Hypokalaemia

A

increase in resting membrane potential  hyperpolarise muscle, cardiac cells cardiac arrhythmias and eventually death

19
Q

What hormone regulates the secretion of K+

A

Aldosterone

20
Q

An increase in potassium in ECF stimulates what

A

Aldosterone release which circulates to the kidneys to stimulate increase in renal tubule cell K+ secretion