Renal Function Flashcards

Nephron Anatomy & Physiology + Relationship to Urinalysis and Renal Function Testing (51 cards)

1
Q

approximately, how many nephrons does a kidney contain?

A

1 to 1.5 million

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2
Q

functional units of the kidney

A

nephron

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3
Q

2 types of nephrons

A

cortical nephrons and juxtamedullary nephrons

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4
Q

cortical nephrons make up approximately how any percent of the total nephrons?

A

85%

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5
Q

cortical nephrons are situated where?

A

cortex of the kidney (outer / external)

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6
Q

cortical nephrons are responsible primarily for the?

A

removal of waste products and reabsorption of nutrients

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7
Q

juxtamedullary nephrons have longer?

A

loops of henle

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8
Q

juxtamedullary nephrons: primary function

A

concentration of the urine

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9
Q

4 main renal functions

A

renal blood flow
glomerular filtration
tubular reabsorption
tubular secretion

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10
Q

this supplies blood to the kidney

A

renal artery

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11
Q

the kidney receives around __% of the blood pumped through the heart

A

25%

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12
Q

blood enters the capillaries of the nephron through the?

A

afferent arteriole

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13
Q

after the afferent arteriole, blood flows through where next?

A

glomerulus

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14
Q

after the glomerulus, blood flows through where next?

A

efferent arteriole

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15
Q

blood flow in the nephron (3 locations)

A

afferent arteriole
glomerulus
efferent arteriole

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16
Q

the varying sizes of the afferent and efferent arterioles help create what?

A

hydrostatic pressure differential

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17
Q

hydrostatic pressure differential is important for?

A

glomerular filtration
maintenance of glomerular capillary pressure consistency
renal blood flow within the capillaries

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18
Q

smaller arteriole

A

efferent arteriole

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19
Q

why is the efferent arteriole smaller?

A

increases the glomerular capillary pressure

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20
Q

blood in the nephron returns to the?

A

renal vein

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21
Q

after going to the renal vein, blood from the efferent arterioles enters the ___ ___ and the ___ ___.

A

peritubular capillaries
vasa recta

22
Q

after going to the peritubular capillaries and the vasa recta, the blood flows slowly through the?

A

cortex and medulla

23
Q

the peritubular capillaries surround the?

A

proximal and distal convoluted tubules

24
Q

why do the peritubular capillaries surround the proximal and distal convoluted tubules?

A

immediate reabsorption of essential substances from the fluid in the proximal convoluted tubule
final adjustment of the urinary composition in the distal convoluted tubule

25
vasa recta location
adjacent to the ascending and descending loops of henle in juxtamedullary nephrons
26
the ___ ___ is located adjacent to the ascending and descending loops of henle int he juxtamedullary nephrons
vasa recta
27
major exchanges of water and salts take place between the ___ and the ___ ___
blood and the medullary interstitium
28
major exchanges of ___ and ___ take place between the blood and the medullary interstitium
water and salts
29
the exchange of water and salts maintain the ___ ___ in the medulla
osmotic gradient
30
the osmotic gradient is necessary for?
renal concentration
31
the total renal blood flow is approximately?
1200 mL/min
32
the total renal plasma flow ranges from?
600-700 mL/min
33
normal values for renal blood flow and renal function tests depend on?
body size
34
what is the average body surface?
1.73m^2
35
the glomerulus consists of a coil of approximately ___ capillary lobes
8
36
the walls of the 8 capillary lobes are referred to as the?
glomerular filtration barrier
37
the glomerulus is located within the?
bowman capsule
38
the bowman capsule forms the beginning of the?
renal tubule
39
true or false: the glomerulus serves as a SELECTIVE filter of plasma substances with molecular weights less than 70,000
false, non-selective
40
the glomerulus serves as a non-selective filter of plasma substances with molecular weights less than?
70,000
41
4 factors that influence the filtration process of the glomerulus
cellular structure of the capillary walls and bowman capsule hydrostatic pressure oncotic pressure renin-angiotensin-aldosterone system (raas)
42
plasma filtrate must pass through 3 glomerular filtration barrier cellular layers
capillary wall membrane basement membrane (basal lamina) visceral epithelium of the bowman capsule
43
the endothelial cells of the capillary wall differ from those in other capillaries by containing ___
pores
44
the endothelial capillaries contain pores and are referred to as?
fenestrated endothelium
45
the pores ___ capillary permeability but do not allow the passage of large molecules and blood cells
increase
46
the pores increase capillary permeability but do not allow the passage of?
large molecules and blood cells
47
further restriction of large molecules occurs as the filtrate passes through the ___ ___ and the ___ ___ covering the filtration slits formed by the intertwining foot processes of the podocytes of the inner layer of the bowman capsule
basement membrane thin membranes
48
the barrier contains a ___ ___ ___ that repels molecules with a negative charge even though they are small enough to pass through the three layers of the barrier
shield of negativity
49
the shield of negativity in the glomerular filtration barrier repels molecules with a ___ charge
negative
50
the shield of negativity is important because it is the place where ___ has a negative charge and is repelled
albumin
51