Urinary System And The Adrenal Flashcards

(50 cards)

1
Q

How many lobes does a rat kidney have

A

1 - they are Unilobar

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2
Q

How many lobes does a human kidney have

A

8 - it is multilobar

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3
Q

Describe the lobar structure of the human kidney

A

It becomes indistinct on the surface at birth

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4
Q

Describe the kidney cortex

A

Has a profuse blood supply and contains units where ultrafiltration occurs

This is where the majority of reabsorption takes place

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5
Q

What are the units of the kidney cortex where ultrafiltration takes place

A

Malpighian/ renal corpuscles

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6
Q

Describe the renal medulla

A

Has a poorer blood supply that the cortex and contains tubules and blood vessels running in parallel bands

The medulla tapers down from the cortex to end in a blunt pyramid (the papilla)

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7
Q

True or false:

The number of cortical nephrons is much greater than that if juxtamedullary nephrons

A

True

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8
Q

How many nephrons are in the human kidney

A

1 million

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9
Q

What does each renal corpuscle consist of

A

A glomerulus and Bowman’s capsule

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10
Q

What does Bowman’s capsule consist of

A

2 epithelial layers with Bowman’s space between them

The inner epithelium is in close association with the glomerular capillaries and reflects at the vascular pole to form the parietal layer, which is continuous with the PCT

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11
Q

What forms the visceral layer of Bowman’s capsule

What about the parietal layer?

A

Podocytes

Squamous epithelium

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12
Q

Describe the podocytes of the inner epithelium of Bowman’s capsule

A

They have long cytoplasmic extensions (primary processes) that give rise to secondary foot processes, both of which embrace the capillary loops

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13
Q

What is the vascular pile of the renal corpuscle

A

Where the blood supply enters and leaves the glomerulus

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14
Q

What is the urinary pole

A

Where the PCT joins Bowman’s capsule

It is opposite the vascular pole

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15
Q

What distinguishes the PCT

A

A brush border

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16
Q

What is the macula densa

What does it look like in a LM

A

A distinct epithelial region found at the junction of the thick ascending limb and the DCT, closely opposing the glomerular vascular pole

Look for a distal tubule touching the outer glomerulus, showing many nuclei side by side or even overlapping

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17
Q

Which cells are the macula densa cells in contact with at the glomerular vascular pole

A

The extra glomerular mesangial cells

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18
Q

What does the macula densa do

A

Monitors the change in [NaCl] in tubular fluid

Mediates renin release by juxtaglomerular cells

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19
Q

What does the Mesangium consist of

A

Mesangial cells and mesangial matrix interposed between glomerular capillaries

The extra- and intraglomerular mesangial cells are continuous

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20
Q

What do mesangial cells do (5)

A

Produce mesangial matrix

They have contractile properties

provide structural support to the capillary network

Play an indirect role in glomerular filtration by regulating blood flow via endothelins

They are phagocytic and remove trapped residues and aggregated protein from capillary basement membrane to keep the filter free of debris

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21
Q

What is characteristic about where the renal papilla projects into the calyx

A

The presence of a high cuboidal epithelium, with no brush border and the lateral cells are distinctly visible with LM

22
Q

What are the only tubules between the papillary ducts

A

Thin limbs of loops of Henle and capillaries

23
Q

What does the glomerular barrier through which plasma is filtered consist of

A

Fenestrated capillary endothelium

A basement membrane

Podocyte layer

24
Q

Describe the fenestrated layer of the filtration barrier of the glomerulus

A

Contains numerous fenestrations of ~50 -100nm in diameter

25
Describe the basement membrane of the filtration barrier of the glomerulus
Shared by endothelial and podocyte layer Functions as a highly selective filter Negatively charged meshwork of specialised extracellular matrix composed of type IV collagen, proteoglycans and glycoproteins
26
Describe the podocyte layer of the filtration barrier of the glomerulus
The podocytes have long branching foot like processes that encircle the glomerular capillary surface The endings of the podocyte processes are separated by gaps (filtration slits) bridges by a thin porous diaphragm with pores of ~4-14nm
27
Which molecules are not easily filtered in the glomerulus
Negatively charged ones sir or the electrostatic repulsion by the negative charge of the basal lamina and podocyte layer
28
Where are umbrella cells found Why do these cells contain vesicles
Urinary bladder The vesicles are made up of plaques which fuse into the membrane when the area of the cell needs to increase to allow distension of the bladder
29
What are the layers of tissue in the bladder
Transitional epithelium Lamina propria Muscular coat (3 layers: inner longitudinal, middle circular and outer longitudinal) Adventitia
30
What does the adrenal cortex secrete
Steroids: Glucocorticoids ‘Mineralocorticoids Sex hormones
31
What does the adrenal medulla secrete
Catecholamines | Eg adrenaline, noradrenaline, dopamine
32
What are the 3 layers of the adrenal cortex, from superficial to deep? How much of the cortex does each take up
Zona glomerulosa (10-15%) Zona fasciculate (75%) Zona reticularis (5-10%)
33
What does the zona glomerulosa produce What do these do Eg
Mineralocorticoids Regulate electrolyte and water balance Eg aldosterone that promotes Na+ reabsorption in the kidney
34
What are steroid secreting cells characterised By
Numerous lipid droplets, mitochondria (with tubular cristae) and an extensive sER
35
Why do the steroid secreting cells have lots of mitochondria
Oxidation of fatty acids provides acetate for cholesterol synthesis by the sER
36
What 3 hormones are secreted by the kidney
Renin 1,25-DHCC erythropoietin
37
What is 1,25-DHCC
1,25-dihydroxycholecalciferol AKA: calcitriol It is a hydroxylated derivative of vit D3
38
What is the juxtaglomerular apparatus made up of
The juxtaglomerular granular cells of the afferent arteriole The extraglomerular mesangial cells The macula densa
39
What do the juxtaglomerular cells do
They are modified smooth muscle cells that secrete renin
40
Where are extraglomerular mesangial cells found
They are found in the junction between afferent and efferent arterioles
41
What properties does the JGA have
Both chemoreceptor and baroreceptor properties These are vital for control of GFR and renin secretion
42
What is ANP When and where is it released What does it do
Atrial natriuretic peptide Released by atrial myocardial cells when distended as a result of increased blood volume ANP promotes sodium excretion and inhibits production
43
Is the duct system more prominent in the salivary gland or pancreas
More prominent in salivary gland
44
What is a characteristic feature of secretory acini in the pancreas
They are composed exclusively of serous cells
45
The pancreas is a mixed exocrine and endocrine gland. Which component occupies most of the gland
Exocrine component
46
What are the exocrine components of the pancreas
The acini
47
What volume of the pancreas does the endocrine component make up
1-2% These are the islets of Langerhans
48
What are secreted by the different cells of the islets of Langerhans
α cells: glucagon β cells: insulin Δ cells: somatostatin F: pancreatic polypeptide
49
Why do pancreatic acinar cells have abundant rER
For protein synthesis
50
Name an endocrine function of the liver
Secretion of plasma proteins, lipoproteins and glucose into the space of Disse