Physiology 2 Flashcards

1
Q

The thin descending loop of Henle is impermeable to _______, and thus reabsorbs _______.

A

sodium, water

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2
Q

The thin descending Loop of Henle absorbs water b/c of medullary _______.

A

hypertonicity

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3
Q

The thick ascending loop of Henle is impermeable to _______, and thus reabsorbs _______.

A

water; Na+, K+, and Cl- (directly) and Mg++ and Ca++ indirectly.

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4
Q

What kind of transport brings Na+, K+, and Cl- into the epithelial cells of the ascending loop of Henle from the tubular lumen?

A

Active cotransport

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5
Q

How do Mg++ and Ca++ get reabsorbed from the lumen of the ascending Loop of Henle?

A

They diffuse in between the cells due to a positive charge (+7 mV) inside the lumen.

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6
Q

What are the effects of PTH on tubular reabsorption? (2 segments)

A

Blocks Na+/phosphate cotransport @ PCT.

Increases Na+/Ca++ exchange @ DCT.

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7
Q

There is a renal tubular transporter on which Thiazide diuretics and Ang II have opposite effects. What is it and where is it located?

A

Na+/Cl- cotransporter in the DCT

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8
Q

Site of action of furosemide.

A

Na+/K+/Cl- cotransporter in the TAL

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9
Q

Aldosterone and potassium-sparing diuretics have opposite actions on the same channel. What channel is this and where is it located?

A

Na+ channel (ENaC) in the principal cells of the collecting tubule

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10
Q

What are the (2) aldosterne antagonist K+-sparing diuretics?

A

Spironolactone and eplerenone

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11
Q

What are the ENaC inhibiting K+-sparing diuretics?

A

Amiloride and Triamterene

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12
Q

How does ADH work?

A

Causes the insertion of aquaporins into the luminal membrane of collecting tubule epithelial cells.

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13
Q

What percentage of Na+ is reabsorbed at the PCT?

A

65-80%

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14
Q

What percentage of Na+ is reabsorbed at the TDL

A

0%

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15
Q

What percentage of Na+ is reabsorbed at the TAL?

A

10-20%

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16
Q

What percentage of Na+ is reabsorbedat the DCT?

A

5-10%

17
Q

What percentage of Na+ is reabsorbed at the collecting ducts?

A

3-5%

18
Q

What is a posible side effect of thiazide diuretics?

A

Hypercalcemia