Quiz 7 Flashcards

1
Q

What fraction of electrolytes and other substances are reabsorbed in the PCT?

A

2/3

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2
Q

What is the difference between the thin and thick parts of the loop of Henle?

A

thin- very permeable to water

thick- not very permeable, needs pumps

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3
Q

What does the adrenal medulla secrete?

A

catecholamines

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4
Q

What does the zona reticularis secrete?

A

androgens- think sex hormones

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5
Q

What does the zona fasciculata secrete?

A

glucocorticoids- think sugars

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6
Q

What does the zona glomerulosa secrete?

A

aldosterone- think salt

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7
Q

Where does the “fine tuning” occur in the nephron?

A

distal tubule and collecting duct

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8
Q

What happens to urine in hyperglycemia?

A

pumps are overwhelmed- glucose excreted in urine (not normal)

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9
Q

What % of CO do the kidneys receive?

A

20-25%

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10
Q

Afferent vs efferent arteriole

A

afferent- into glomerulus

efferent- out of glomerulus

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11
Q

What happens in the PCT?

A

reabsorption of nutrients

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12
Q

What happens in the nephron loop?

A

establishes osmotic gradient- promotes water reabsorption

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13
Q

What happens in the DCT?

A

makes further adjustments in composition of tubular fluid- combination of secretion and reabsorption

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14
Q

What happens in the collecting duct?

A

receives urine and performs final adjustments of volume and composition- carries tubular fluid through osmotic gradient in renal medulla

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15
Q

What substances filter into the Bowman’s capsule?

A

water and low molecular weight substances

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16
Q

renal blood flow is directly proportional to:

A

pressure difference between renal artery and renal vein

17
Q

Renal blood flow is indirectly proportional to:

A

resistance of renal vasculature

18
Q

Difference between cortex and medulla

A

cortex- receives 90-95% of BF- contains pumps

medulla- flow is restricted by vascular resistance- slow for concentrating urine

19
Q

What causes the glomerular capillaries to be a high pressure system?

A

resistance of efferent arteriole

20
Q

What leads to decrease in RBF?

A

vasoconstriction of renal arterioles (SNS activation, angiotensin II)

21
Q

What leads to increase in RBF?

A

vasodilation of renal arterioles (prostaglandins, bradykinin, NO, dopamine)

22
Q

What are the 2 mechanisms for autoregulation of RBF?

A

myogenic mechanism and tubuloglomerular feedback

23
Q

Myogenic mechanism

A

renal afferent arterioles contract in response to stretch- increased renal arterial pressure stretches arterioles, which contract and increase resistance to maintain constant RBF

24
Q

Tubuloglomerular feedback

A

increased renal arterial pressure leads to increased delivery of fluid to macula densa- which senses increased load and causes constriction of nearby afferent arteriole, increasing resistance to maintain BF

25
What do juxtaglomerular cells do?
release renin into circulation in response to decreased RBF from hypovolemia, hypotension, renal ischemia, or SNS stim
26
Filtration pressure=
MAP - (colloidal oncotic P + glomerular filtrate P) | should always be + in normal physiology
27
Effects of constriction of afferent arteriole
Decreased GFR Decreased renal plasma flow no change in filtration fraction
28
Effects of constriction of efferent arteriole
increased GFR decreased renal plasma flow increased filtration fraction
29
Effects of increased plasma proteins
decreased GFR no change in renal plasma flow decreased filtration fraction
30
Effects of ureteral stone
decreased GFR no change in renal plasma flow decreased filtration fraction
31
Effects of anesthesia on RBF
redistributes blood flow away from cortex (vasodilation)- causes sodium and water conservation (less u.o.) decreases in BF causes release of AVP (vasopressin)
32
Does intraop u.o. correlate with postop changes in renal function?
no