MT #4 Kidney Physiology Flashcards
(101 cards)
Which of the following statements is not true for the function of the kidney?
a. it is the organ of homeothermia
b. it maintains acid/base balance
c. it contributes to homeostasis
d. conserves water, electrolites, glucose and aminoacids
a. it is the organ of homeothermia
What is true for the cortical nephron?
a. its descending segments approach the papilla
b. its tubular system is located in the cortex
c. its special region is the juxtaglomerular apparatus
d. its tubular system is located in the inner medulla
b. its tubular system is located in the cortex
Which of the following statements is not true for the juxtamedullary nephron?
a. its special region is the juxtaglomerular apparatus
b. its tubular system is located in the inner medulla
c. its tubular system is located in the cortex
d. its descending segments approach the papilla
c. its tubular system is located in the cortex
Which of the following histological formations is not a part of the juxtaglomerular apparatus?
a. juxtaglomerular cells
b. macula densa cells
c. mesangial cells
d. cells of the proximal tubule
d. cells of the proximal tubule
What is true for the blood supply of the kidney?
a. the glomerular capillary continues in venules
b. the vas afferens is not a part of the nephron
c. the vas efferens continues in the
peritubular venous capillary system
d. it displays a double capillarization
d. it displays a double capillarization
What is characteristic of the system of vasa recta?
a. it surrounds the collecting tubules
b. they run alongside the deep reaching loops of Henle
c. they run perpendicularly to the proximal tubules
d. their primary function is the nutrient supply to the glomerulus
b. they run alongside the deep reaching loops of Henle
What is true for the sympathetic innervation of the kidney?
a. It is poor
b. It increased sympathetic stimualtion and causes the GFR to increase
c. most sympathetic fibres get to the afferent arterioles
d. at rest considerable sympathetic discharge can be detected
c. most sympathetic fibres get to the afferent arterioles
What is true for the parasympathetic innervation of the kidney?
a. they mostly get to the afferent arterioles
b. they detect the firmness of the renal capsule
c. the kidney is very rich in parasympathetic nerves
d. it acts through cholinergic mediation
d. it acts through cholinergic mediation
What is the role of the pain sensing fibres in the renal capsule?
a. they sense the firmness of the renal capsule
b. they react to increased renal blood flow
c. its importance is negligible
d. if activated they indirectly increase the GFR
a. they sense the firmness of the renal capsule
What does the renal autoregulation ensure?
a. a constant 80 mmHg pressure in the renal arteries
b. that the mean arterial pressure can be followed without delay in the vas afferent
c. it ensures constant blood pressure values mainly via the sympathetic nervous system
d. it maintains the pressure needed for filtration by reacting to a higher pressure with constriction and to a lower pressure with dilatation
d. it maintains the pressure needed for filtration by reacting to a higher pressure with constriction and to a lower pressure with dilatation
What is the blood pressure in the renal arterioles?
a. 70-250 mmHg
b. it changes against the midpressure
c. 50 mmHg
d. 120 mmHg
c. 50 mmHg
Where are the vasoregulative factors contributing to the renal autoregulation produced?
a. in the adrenal glands
b. in the juxtaglomerular cells
c. in the mesangial cells
d. probably in the macula densa
d. probably in the macula densa
Which of the following statements is not true for the PGE synthesized in the kidney?
a. it has an effect only on the afferent arteriole
b. it increases the RBF
c. it has a vasodilatator effect
d. it has no effect on the GFR
a. it has an effect only on the afferent arteriole
What is the role of the kallikrein-kinin system in the renal autoregulation?
a. the kinins induce strong vasoconstriction
b. bradykinin induces local vasodilatation
c. it gets activated with falling arterial midpressure
d. one of its components, the PGE, compensates the effect of the angiotensin-II
b. bradykinin induces local vasodilatation
What method can be used to examine the renal osmotic gradient?
a. clearance test
b. isotope measures
c. micropuncture
d. ultrasound
c. micropuncture
What method can be used to follow the renal function in an intact organism?
a. no methods are available
b. micropuncture
c. ultrasound
d. isotope techniques
d. isotope techniques
What method can be used to examine the kidney’s anatomical parts in an intact organism?
a. ultrasound
b. clearance test
c. micropuncture
d. isotope techniques
a. ultrasound
What method can be used to examine the renal blood flow?
a. collecting urine
b. clearance test
c. ultrasound
d. only a direct surgical operation is possible
b. clearance test
What is the reason for the 100 times larger filtration coefficient in the renal glomerulus compared to any other parts of the microcirculation?
a. there is a higher effective filtration pressure
the portal circulation of the kidney
b. the special permeability of the basal membrane
c. the increase of the colloid osmotic
d. pressure because of the protein retention
c. the increase of the colloid osmotic
Which of the following factors does not influence the rate of ultrafiltration in the renal?
a. effective filtration pressure
b. the size of the filtrating area
c. the quality of the barrier
d. the value of the arterial midpressure
d. the value of the arterial midpressure
Which formula describes the renal effective filtration pressure?
a. EFP = glomerular pressure - (capsular pressure + glomerular colloid osmotic pressure)
b. EFP = (glomerular pressure + capsular pressure) - glomerular colloid osmotic pressure
c. EFP = (glomerular pressure - glomerular colloid osmotic pressure) + capsular pressure
d. EFP = glomerular pressure - glomerular colloid osmotic pressure
a. EFP = glomerular pressure - (capsular pressure + glomerular colloid osmotic pressure)
What describes the glomerular colloid osmotic pressure within the glomerulus?
a. towards the vas efferent the pressure falls from 36 mmHg to 28 mmHg
b. towards the vas efferent the pressure rises from 28 mmHg to 36 mmHg
c. at the beginning of the vas afferent the pressure is 36 mmHg
d. it is a constant value, 36 mmHg
b. towards the vas efferent the pressure rises from 28 mmHg to 36 mmHg
What is the value of the effective filtration pressure in the vas efferent?
a. it is lower than the pressure in the vas afferent but it is never equal to 0
b. 12 mmHg
c. 4 mmHg
d. 36 mmHg
c. 4 mmHg
How much is the total ultrafiltration per day?
a. 60 litre / 100 kgbwt
b. 28-36 litre / 100 kgbwt
c. 100-120 litre / 100 kgbwt
d. 180-200 litre /100 kgbwt
d. 180-200 litre /100 kgbwt