Physiology 2 Flashcards

(39 cards)

1
Q

What are the functions of the kidneys

A
water balance 
salt balance 
maintenance of plasma volume 
maintenance of plasma osmolarity 
acid-base balance 
excretion of metabolic waste products 
excretion of exogenous waste products 
excretion of exogenous foreign compounds 
secretion of renin 
secretion of erythropoietin 
conversion of vitamin D into active form (calcitriol)
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2
Q

what is secreted by the kidneys

A

renin (to control arterial BP)

erythropoietin (RBC production)

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3
Q

what is the PRIMARY function of the kidneys

A

to regulate the volume, composition and osmolarity of the body fluids via the controlled excretion of electrolytes and other substances

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4
Q

what are the 2 main parts of the kidney

A

cortex

medulla

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5
Q

what is the nephron

A

functional unit of the kidney (smallest structural compartment that can perform all the primary functions)

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6
Q

what are the functions of the nephron

A

filtration
reabsorption
secretion

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7
Q

what is the firs place the blood is filtered in the nephron

A

bowman’s capsule

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8
Q

how does blood enter the bowman’s capsule

A

it goes through an afferent arterial which drains into a glomerular capillary

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9
Q

where does the blood drain after the glomerulus

A

the blood that did not go through the filter continues through the efferent tubule into the PERITUBULAR CAPILLARIES

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10
Q

how thick are the renal tubules

A

1 cell thick - single layer of epithelial cells

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11
Q

where do the peritubular capillaries drain into

A

a venule and then a vein

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12
Q

what is the function of the peritubular capillaries

A

supply tubular cells with nutrients as well as receive any substances reabsorbed from the tubular fluid

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13
Q

what are the 4 different segments of the nephron

A

Bowman’s capsule
Proximal tubule
Loop of Henle
Distal tubule

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14
Q

where does the distal tubule empty into

A

into collecting ducts

originates in cortex but travels down into the medulla where it empties into the renal pelvis

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15
Q

what do you call the fluid in the renal tubules

A

tubular fluid

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16
Q

what do you call the fluid in the collecting duct

17
Q

what are the 2 types of nephron

A

cortical

juxtamedullary

18
Q

how does the juxtamedullary nephron differ from the cortical nephron

A

Much longer loop of Henle
Has a single capillary instead of a network following the tubule
produces more concentrated urine

19
Q

what is the tubular capillary in the juxtamedullary nephron called

20
Q

how are nephrons arranges in the kidney

A

in a radial fashion with the loops of Henle pointing down into the medulla giving its striated appearance

21
Q

the diameter of the efferent arterial is wider than that of the afferent true/false

A

false

the afferent arteriole is wider than the efferent - this is so more blood can come in and be held in the glomerulus to create

if there is contraction of the afferent arteriole there is a change in blood volume in the glomerulus

relaxation of the afferent arteriole increases blood flow into the glomerulus

22
Q

what 3 layers does blood have to pass through to get from the glomerular capillary into the tubular fluid

A

Capillary endothelial cells
Basement membrane
Podocyte cells

23
Q

what are the 3 layers collectively called (in the bowman’s capsule)

A

the glomerular membrane

24
Q

what does the glomerular membrane do

A

works as a molecular sieve letting small molecules through and preventing large ones going through (RBCs and proteins)

25
what is the juxtaglomerular apparatus
specialised cells in the part of the distal tubule where it passes between the afferent and efferent arterioles
26
what specialised cells are found in the juxtaglomerular apparatus and what do they do
granular cells - produce and secrete renin to initiate RAS Macula dena cells - monitor the amount of salt in tubular fluid as it passes this region
27
what is urine
notified filtrate of blood
28
what are the 3 main processes done to the blood by the kidney to make urine
glomerular filtration tubular reabsorption tubular secretion
29
what is tubular secretion
substances being secreted from the peritubular capillaries into the tubule
30
what is reabsorption
molecules going back into the peritubular capillaries from the tubular fluid
31
how do you calculate the rate of excretion
rate of excretion = rate of filtration + rate of secretion - rate of reabsorption
32
what is GFR
glomerular filtration rate
33
how do you calculate the rate of filtration of a substance
rate of filtration = plasma concentration of substance x GFR
34
how do you calculate the rate of excretion of a substance
rate of excretion = concentration of substance in urine x urine production
35
how do you calculate the rate of reabsorption of a substance
reabsorption = rate of filtration - rate of excretion
36
what does it mean if rate of filtration > rate of excretion
a net reabsorption of the substance has occurred
37
what does it mean is the rate of filtration < rate of excretion
a net secretion of a substance has occurred
38
how do you calculate the rate of secretion of a substance
secretion = rate of excretion - rate of filtration
39
what is a normal GFR
125 mms/m