Renal Function 2 Flashcards

(35 cards)

1
Q

If the Kidney filters so much and secretes so little then where is all this filtrate going?

A

Most of the filtrate is returned back to the blood via the proximal tubule

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2
Q

What % of filtrate is returned to the plasma via the proximal convoluted​ tubule?

A

65-70% and is relatively non-selective in its absorption
- mostly based on Na co-transport

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3
Q

Na co-transport occurs linked to: (6)

A
  1. Glucose
  2. Amino acids
  3. Hydrogen ions being secreted
  4. Phosphate
  5. Chloride flux
  6. Water follows passively / osmosis
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4
Q

Histology of proximal tubular cells:

A

Brush border: had microvilli (increasing surface area)
Basement membrane: packed full of mitochondria (need energy for transporting​)

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5
Q

Where does the energy for these co-transport processes come from?

A

mitochondria from ATPase pump on basolateral surface

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6
Q

excretion of glucose is dependent on?

A

GFR: It increases with concentration

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7
Q

Peri- tubular capillaries have High___ and Low ___

A

High: colloid​ osmotic pressure
Low: hydrostatic pressure
*Favors resorption of water into capillaries

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8
Q

During Proximal tubule function what is absorbed?

A

glucose, amino acids, and bicarbonate

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9
Q

during proximal tubule function, what remains at the same concentration?

A

Na and Cl

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10
Q

During proximal tubule functiion what is reabsorbed ?

A

peptides and small proteins

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11
Q

proximal tubular cells make?

A

calcitriol

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12
Q

What is the loop of Henle involved in?

A

the counter-current mechanism to generate a concentrated renal medulla

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13
Q

Animals with long loops of Henle:

A

are best adapted to concentrate urine

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14
Q

Why does the medulla defrost faster than the cortex?

A

because it has a higher salt content thsn cortex

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15
Q

What part of the loop of Henle is highly permeable to water?

A

descending loop of Henle beause concentartion of Na is higher and draws that water out

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16
Q

What about the ascending​ loop?

A

impermeable to water

17
Q

Where is Na, K, and Cl transported out of the tubule (water does not follow)

A

thick ascending loop

18
Q

Fluid leaving the tubule is

A

hypotonic (dilute)

19
Q

What direction is the flow of blood via hairpin capillaries (Vasa recta)

A

Opposite direction and flow is slow
*If fast would take away watwr to quickly

20
Q

Transport process in the thick acending loop of loop is a

A

NA/K/Cl co-tramsporter
- energy is provided via Na/K ATPase on basolateral surface

21
Q

What happens to K+

A

most is recycled back to lumen

22
Q

The loop of Henle removes more ___ than ___

A

Na than water therefore fluid that leaves the loop is dilute

23
Q

another name for late distal tubele?

A

connecting tubule

24
Q

What part of the nephron is sensitive to anti-diuretics​ (ADH)

A

collecting tubule and collecting duct
- increases water and urea permeability​

25
Urea permeability increased by ADH will do what?
return more urea to the blood
26
How is water balance achieved?
via ADH
27
The concentraion gradient in the medulla is determined by?
- # of nephrons with long loops of Henle and their length - total # of functioning nephrons - slow blood flow via vasa recta - amount of protein in diet (because less protein = less ability to concentrate urine)
28
If osmolarity is high ADH will
- stimulate nerve cell bodies that secrete ADH
29
osmoreceptors:
sense ECF and CSF fluid osmolarity
30
What does ADH do?
acts on V2 receptors at connecting tubule and collecting duct on basolateral membranes - This is a Gs protein-coupled receptor that causes cAMP to form - results in aquaporins in the apical membrane that increase water permeability
31
True or false: ADH increases Urea permeability
true:
32
at higher concentrations what does ADH act on?
V1 receptors on blood vessels - cause vasoconstriction
33
What determines urine volume requires to excrete NaCl?
Max urine osmolarity possible (-VE free water clearance
34
Is Na+ excretion regulated by ADH?
No
35
What happens if ECF osmolarity is tightly regulated?
Amount of Na+ in ECF determines ECF