Renal Flashcards

1
Q

Where does gluconeogenesis occur?

A

Kidney

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2
Q

where is erythropoietin produced

A

interstitial fibroblasts of the kidney

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3
Q

What are the 3 layers of the bowmen’s capsule

A

Fenestrated capillaries
Basement membrane - type 4 collagen
Podocyte foot processes

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4
Q

give the glomerular filtration rate ratios

A

20% of blood flow is to kidneys - 5*.2= 1L/min
60% of blood is plasma - 600ml
20% of plasma is filtered - 120ml/min

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5
Q

what substance is used to estimate GFR?

A

Creatinine - freely filtered but not secreted or reabsorbed

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6
Q

How can you calculate clearance

A

plasma concentration

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7
Q

what is renal clearance

A

the volume of plasma required to pass through the kidney to remove a substance per unit time

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8
Q

Where does the bulk of glucose, sodium, Chloride, lactate, amino acids, water, and bicarb reabsorption occur

A

Proximal tubule

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9
Q

what is the longest segment of the renal tubule?

A

proximal tubule

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10
Q

What is the Macula Densa

A

Proximal part of the distal tubule that detects Na+ concentration
Paracrine stimulation of juxtaglomerular cells to release renin
Effects the afferent arteriole

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11
Q

The macula dense detects low sodium levels, what is the response

A

Low sodium concentration means blood pressure and GFR is low

  • Dilation of afferent arteriole - More filtration
  • Release of Renin - Sodium and water reabsorption
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12
Q

Action of ADH/vasopressin

A

Aquaporin insertion into Collecting Ducts - water absorption

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13
Q

action of Aldosterone

A

Insertion of sodium transporters to the distal tubule and collecting ducts to increase sodium reabsorption

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14
Q

What is the function of intercalated cells of the kidney

A

Secretes acid for acid/base homeostasis

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15
Q

what is the kidney’s response to acidosis

A

Produces new HCO3-

Decreases excretion of HCO3-

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16
Q

What is the kidney’s response to Alkalosis

A

Increase HCO3- excretion

17
Q

Through what mechanisms is acid secreted in the kidney

A

H+ from newly synthesized carbonic acid is pumped into the collecting ducts where it binds the filtered and unabsorbed HCO3- or Phosphate
Glutamine is metabolized and NH4+ is excreted

18
Q

What releases Atrial Natriuretic Peptide

A

Atrial Myocytes in response to high pressure causing Na+ excretion

19
Q

where is ADH secreted from

A

Posterior Pituitary

20
Q

Where are Osmoreceptors found

A

In the Hypothalamus