Renal Physiology Part 3 Flashcards

(24 cards)

1
Q

What are the three types of cells in the juxtaglomerular apparatus?

A

1.Macula densa
2. Juxtaglomerular (granular) cells
3. Extraglomerular mesangial cells

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2
Q

What is the primary function of extraglomerular mesangial cells?

A

They play a role in immune response and regulation of glomerular filtration.

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3
Q

How do extraglomerular mesangial cells help maintain the glomerular filtration barrier?

A

By phagocytosing and clearing immune complexes and debris.

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4
Q

What is the primary function of extraglomerular mesangial cells?

A

They play a role in immune response and regulation of glomerular filtration.

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5
Q

What is the formula for urinary excretion rate?

A

Urinary excretion rate = Filtration rate – Reabsorption rate + Secretion rate

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6
Q

Why is the clearance function of extraglomerular mesangial cells important?

A

It helps preserve the integrity of the glomerular filtration barrier and prevents damage.

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7
Q

What are the three main processes involved in urine formation?

A
  1. Glomerular filtration
    1. Reabsorption
    2. Secretion
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8
Q

Where does glomerular filtration occur?

A

In the glomerular capillaries inside Bowman’s capsule.

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9
Q

What is secretion in the context of urine formation?

A

The transfer of substances from the blood into the renal tubules.

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10
Q

What happens during reabsorption in the nephron?

A

Substances are reabsorbed from the renal tubules back into the blood.

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11
Q

What vessels are involved in bringing blood into and out of the glomerulus?

A

Afferent arteriole (in), Efferent arteriole (out)

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12
Q

Which capillaries are involved in reabsorption and secretion?

A

Peritubular capillaries

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13
Q

Where does urine formation begin?

A

It begins with the filtration of plasma from the glomerular capillaries into Bowman’s space.

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14
Q

What is glomerular filtrate?

A

A cell-free, protein-free filtrate containing all plasma substances in the same concentrations.

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15
Q

What is another name for glomerular filtrate?

A

Ultrafiltrate

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16
Q

Panel A, how is the substance handled by the kidney?

A

It is freely filtered, not reabsorbed or secreted; excretion rate = filtration rate (e.g., creatinine).

17
Q

What processes follow glomerular filtration in urine formation?

A

Reabsorption and tubular secretion in the tubules and collecting ducts.

18
Q

What is another name for glomerular filtrate?

A

Ultrafiltrate

19
Q

What does an increase in blood creatinine indicate?

A

Kidney dysfunction or impaired filtration.

20
Q

In Panel B, how is the substance handled?

A

It is freely filtered and partially reabsorbed; excretion rate = filtration rate – reabsorption rate (e.g., Na⁺, Cl⁻).

21
Q

: In Panel C, what happens to the filtered substance?

A

It is completely reabsorbed, so nothing is excreted in the urine (e.g., glucose, amino acids).

22
Q

What does an increase in blood creatinine indicate?

A

Kidney dysfunction or impaired filtration.

23
Q

In Panel D, how is the substance handled?

A

It is freely filtered and secreted into the tubules, not reabsorbed; excretion rate = filtration rate + secretion rate (e.g., organic acids).

24
Q

What is the purpose of secretion in the nephron?

A

To rapidly clear substances like organic acids from the blood and excrete them in urine.