Week 20 Flashcards

1
Q

What are the main roles of the kidney?

A

Filter blood to make urine
Regulate blood volume and ion concentration
Production of hormones

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2
Q

How much water on average does the human body contain?

A

42L

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3
Q

What is the tube that connects the kidneys to the bladder called?

A

ureter

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4
Q

How long is the urethra in males vs females?

A

Female= 4cm
male=20cm

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5
Q

Describe where the cortex and medulla are in the kidney?

A

Cortex is outermost part, contains the nephrons
Medulla is more inner, contains renal papilla, and connects to urinary pelvis of the kidney

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6
Q

What percentage of nephrons are cortical vs juxtaglomedullary?

A

Cortical= 80%
Juxtamedullary= 20%

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7
Q

What’s the difference between cortical and juxtamedullary nephrons?

A

Cortical= shorter loops of henle, main role is to filter blood

Juxtamedullary= longer loops of henle, as you go down medulla it gets saltier so more resposible for urine concentration

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8
Q

WHat is the renal corpsucle?

A

the initial filtering component of a nephron in the kidney, consisting of the glomerulus and Bowman’s capsule

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9
Q

What supplies blood to the glomereular capillaries and takes blood away?

A

Afferent arterioles
efferent arterioles

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10
Q

Where are podocytes located?

A

Hug around glomerular capillary

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11
Q

What does a substance have to pass thru to get into urine?

A
  1. Fenestration in capillary endothelium
  2. basement membrane (like a fishing net)
  3. Filtration slit between podocytes
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12
Q

Describe the Juxtaglomereular apparatus

A

The Glomereulus is supplied with blood and filters into the bowmans capsule which travels thru proximal and distal convoluted tubules via loops of henle then to collecting duct then ureter and bladder.

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13
Q

WHere are macula densa cells and what do they do?

A

found in the distal convoluted tubule

Monitors sodium chloride (NaCl) concentration in the filtrate

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14
Q

Where are juxtaglomerular cells and what do they do?

A

Where: Smooth muscle cells in the wall of the afferent arteriole.

release renin when macula densa signals for them to do so

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15
Q

What is the role of vitamin D in the body?

A

Helps absorb clacium and phosphate from the gut

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16
Q

Where do humans get vitamin D from?

A

made from cholesterol and sunlight on the skin

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17
Q

WHere does inactive vitamin D become active?

A

The kidney

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18
Q

What is erythropoietin?

A

A hormone made by the kidneys that causes bone marrow to make RBCs

19
Q

Describe how eryhtropoietin functions?

A
  1. Kidney detects lo O2 in the renal cortex
    2.Hypoxia inducible factor (HIF) is made
  2. More erythropoietin is transcribed
  3. Stimulates progenitor cells in bone marrow to make eryhtrocytes
20
Q

How much EPO is the kidney responsible for making?

21
Q

In a 24hr period, how many times will the kidney filter blood plasma?

22
Q

Where does the energy to do glomerular filtration come from?

A

The hydrostatic pressure of blood from the beat of the heart

23
Q

What should glomerular filtration not contain?

A

No Cells
No traces of protein

24
Q

What do blood plasma and glomerular filtrate have in common?

A

Same conc of ions and small organic substances

25
What does the rate of glomerular filtration of a particular substance rely on?
1. Molecular weight 2. Shape 3. Electrical charge
26
Rate these from easiest to hardest for a substance to filter thru? Neutral, +ve and -ve
Easiest= positive Hardest=negative
27
Define renal clearance
Rate at which certain given substance is removed from the blood plasma
28
How could i calculate renal clearance?
Urine conc of substance times by urine flow rate all divided by plasma conc of blood
29
When would the rate of filtration = the rate of excretion?
If substance is absorbed at Bowmans capsule (no tubular transport)
30
What two substances are nearly completely absorbed at the Bowman's capsule?
Inulin Creatinine
31
Define tubular transport
Reabsoprtion from tubular lumen to blood
32
Define tubular secretion
Secretion from the blood to the tubular lumen
33
When transcellular transport is taking place, what 2 barriers need to be crossed?
Apical basolateral
34
What is transport between cells called?
PAracellular (via tight junction)
35
What are the two parts of the proximal tubule called and howare they different form one another?
Convoluta= wiggly pars recta=straight
36
What is the majority of the kidney's energy spent on?
Reabsorbing what the glomereulus filtered out
37
What are some adaptions of the proximal tubule?
Brush border of microvilli many mitochondria stereotyped function (not hormonal control)
38
What is supposed to be fully reabsorbed?
Glucose and amino acids
39
How would water move transcellularly vs paracellularly?
Transcellular= aquaporins Paracellular= gap junction
40
What enters and leaves the loops of henle?
Isotonic plasma enters LEaves a bit more dilute
41
WHat does a longer loop of henle mean?
Larger osmotic gradient So more concentrated urine
42
What are loops of henle referred to as?
Countercurrent multipliers
43
What is aldosterone?
A hormone promoting K+ secretion and H+ secretion that acts on the distal nephron
44
Why is hyperkalaemia dangerous?
Heart implications as muscle cells are very excitable, quicker repolaristation of membranes (kidney issues can be detected thru ECG)