4.02

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COURSE
ESSENTIAL
STANDARD
OBJECTIVE
ESSENTIAL
QUESTIONS
Human body’s communication
and hormone control systems
4.00
B2
28%
Understand the body’s systems of
hormone control.
4.02
B2
5%
Understand the functions and
disorders of the urinary system.
 What are the functions of the urinary system?
 What are some disorders of the urinary system?
 How are disorders of the urinary system treated?
 How do you relate the body’s hormone control to the urinary system?
7240 Health Science I
Unit B
Unpacked Content
I.
II.
Functions of the urinary system
A. Excretion
B. Formation of urine
1. Filtration
2. Reabsorption
3. Secretion
C. Fluid and electrolyte balance
1. Chemical control
a. Antidiuretic hormone (ADH)
b. Aldosterone
2. Nervous control
D. Elimination of urine
1. Urinary output
2. Urinalysis
Disorders of the urinary system and their treatments
A. Cystitis
B. Glomerulonephritis
1. Acute
2. Chronic
C. Renal calculi
D. Renal failure
1. Acute
2. Chronic
7240 Health Science I
Summer 2012
Page 293
ACTIVITIES
1.
2.
3.
Functions of the Nephron
 Students will use their
nephron model from
objective 4.01 for this
activity.
 Place students in pairs to
review nephron structures.
 Paired students will then
label the nephron model
with its function.
 The teacher will circulate
around the classroom to
correct misconceptions.
 Students will use their
nephron models as a study
tool.
Functions of the Urinary
System
 Present PowerPoint
presentation slides 1-29.
 Discuss with students how
urine formation occurs while
reviewing models with each
group.
 Students will refer to their
nephron model while
participating in class
discussion.
 Students will record notes
and class discussion in their
notebooks.
Hormone Control of the
Urinary System
 Distribute the handout.
 Assign the skit for students
to present on another class
day.
 Students should follow the
directions as presented on
the handout.
 Allow students some class
time to prepare for the skit, if
7240 Health Science I
RELEVANCY TO OBJECTIVE
RESOURCES
Students will UNDERSTAND
4.01 Nephron Model
(B2) the functions of the urinary
system.
Textbook and any
other teacher approved
resource
Labels
4.02 Understand the
Students will UNDERSTAND
(B2) the functions of the urinary functions and disorders
of the urinary system
system.
PowerPoint Presentation,
slides 1-29
Student notebooks
Students will UNDERSTAND
4.02 Hormone Control
(B2) the functions of the urinary of the Urinary System
system.
Skit Handout
Summer 2012
Page 294
ACTIVITIES
4.
5.
6.
time permits, otherwise use
this activity as a homework
assignment. Students
should be able to dress up
to present their function.
Pathway of Urine Formation
 Note: Prepare Pathway of
Urine Flow Cards ahead of
time. Make enough sets to
accommodate the number
of students in your class.
 Distribute to cards to
students as they enter the
classroom.
 Have student line up in the
proper order (and in the
appropriate shape if
applicable) of the urine
formation process.
 Students should state what
process occurs at their point
of the formation of urine.
 Repeat as often as needed
until students understand
the process of urine
formation.
Hormone Control of the
Urinary System Review
 In pairs, have students
discuss how urine
production is affected by
(1) dehydration
(2) decreased BP
(3) excess intake of caffeine
(4) excess intake of salt
 Facilitate discussion and
clear any misconceptions.
Urinary System Matching
 Distribute the handout.
 Have students complete the
handout as assigned.
 Collect the handouts as
7240 Health Science I
RELEVANCY TO OBJECTIVE
RESOURCES
4.02 Pathway of Urine
Students will UNDERSTAND
(B2) the functions of the urinary Formation Cards
system.
4.02 Understand the
Students will UNDERSTAND
(B2) the functions of the urinary functions and disorders
of the urinary system
system.
PowerPoint Presentation,
slides as needed
Students will UNDERSTAND
4.02 Urinary System
(B2) the functions of the urinary Matching Quiz
system.
Summer 2012
Page 295
ACTIVITIES
7.
8.
students complete the quiz.
 Grade and return the
quizzes on the next class
day.
 Review the quizzes with the
class to clear up
misconceptions.
Urinary System Key Terms
 Place the students in pairs.
 Distribute the handout.
 Have each pair of students
discuss the terms and the
relevance of that function to
health.
 Pair each pair of students
with another pair to discuss
the terms and the relevance
of that function to health.
 Facilitate discussion by
asking:
o When do you think a
urinary catheterization is
used?
o Have students infer
which terms relate to the
use of a urinary catheter.
 Answer questions as
presented by the students.
 Students will use the
handout as a study tool.
Disorders of the Urinary
System
 Distribute the handout.
 Present the PowerPoint
presentation, slides 30-48.
 Facilitates discussion.
 Have students record their
notes and class discussion
on the handout.
 Students will use the
handout as a study tool.
7240 Health Science I
RELEVANCY TO OBJECTIVE
RESOURCES
Students will UNDERSTAND
(B2) the relevance of urinary
function to health.
4.02 Key Terms Related
to Urinary System
Functions
Students will UNDERSTAND
(B2) disorders of the urinary
system and their impact on
health.
4.02 Understand the
functions and disorders
of the urinary system
PowerPoint
Presentation,
slides 30-48
4.02 Urinary System
Disorders Handout
Summer 2012
Page 296
ACTIVITIES
9.
Medical Decisions
 Distribute the handout.
 Place students in groups of
3-4.
 Students will complete the
activity using HOSA
Creative Problem Solving
guidelines.
 Review the guidelines with
the class.
 Upon completion, allow
students to present who
gets the kidney and the
rationale for the decision.
 Use the competitive event
rating sheet to evaluate
each group.
10. What do you think
happened?
 Distribute the handout.
 Instruct students to
complete the handout as
directed.
 Upon completion, review
answers with class.
 Facilitate discussion and
clear up misconceptions.
11. 4.02 Understand the
functions and disorders of
the urinary system
Assessment
 Distribute the assessment.
 Allow students the class
time to complete the
assessment.
 Grade papers and return to
students as soon as
possible.
12. 4.03 Remember the
structures of the endocrine
system Preparation
 Assign students to use their
7240 Health Science I
RELEVANCY TO OBJECTIVE
RESOURCES
Students will UNDERSTAND
(B2) disorders of the urinary
system and their impact on
health.
4.02 Medical Decisions
Handout
Students will UNDERSTAND
(B2) disorders of the urinary
system and their impact on
health.
4.02 What do you think
happened? Handout
HOSA Guidelines:
Creative Problem
Solving
http://www.hosa.org/na
torg/sectb/cativ/cps.pdf
Students will UNDERSTAND
(B2) the urinary system.
4.02 Understand the
functions and
disorders of the
urinary system
Assessment as
prepared by the
teacher or as
provided
Students will REMEMBER
(A1) the structures of the
endocrine system.
Textbook
Summer 2012
Notebook
Page 297
ACTIVITIES
RELEVANCY TO OBJECTIVE
textbooks to read about the
endocrine system.
 Students should be given
an assignment to complete
to facilitate learning.
 Note: This could be an
assignment from the
materials provided or as
provided by the teacher.)
 Review and return these
materials to students prior
to beginning the next
objective.
7240 Health Science I
RESOURCES
OR
Materials provided
Summer 2012
Page 298
4.02 Let Me Entertain You!
Skit Handout
Name ________________
Date _________________
Directions:
1. The teacher will assign groups of 3-5 students.
2. Working in your group, write a skit using the terms listed below. The skit may or
may not pertain to the urinary system; however, the use of the terms has to
indicate your understanding of them.
3. Present the skit to the class.
4. The skit should demonstrate thorough knowledge of the following processes:
Diffusion
Filtration
Osmosis
Reabsorption
Secretion
5. The teacher may want to video the skits to share with other students, parents,
Open House events, or school TV news report.
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4.02 Urinary System Matching Quiz
Handout
Name _________________
Date __________________
Directions: Match the following terms and with their functions.
_____ 1.
Retroperitoneal
A.
The process of removing nitrogenous waste
material, certain salts, and excess water from the
blood.
_____ 2.
Excretion
_____ 3.
Nephron
B.
Performs filtration
_____ 4.
Glomerulus
C.
The opposite of reabsorption
_____ 5.
Filtrate
D.
The basic structural and functional unit of the
kidney.
_____ 6.
Secretion
E.
Located behind the peritoneum.
F.
Under the control of the hypothalamus, this hormone
increases the permeability of water in distal and
collecting tubules
G.
A hormone released by the kidneys when blood
pressure drops.
_____ 11. Proximal convoluted
tubules
H.
A fluid consisting of water, glucose, amino acids,
some salts and urea.
_____ 12. Filtration
I.
An examination of the urine
_____ 13. Bladder
J.
Stores urine until about 500cc has accumulated
_____ 14. ADH
K.
The first step in urine formation
_____ 15. Cortex
L.
Adrenal hormone that controls urinary secretion
M.
Contains the nephrons
N.
Where 80% of the water filtered out of the blood by
the glomerulus is reabsorbed
O.
They increase urinary output by inhibiting the
reabsorption of water.
_____ 7.
Urinalysis
_____ 8.
Aldosterone
_____ 9.
Diuretics
_____ 10. Renin
7240 Health Science I
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4.02 Urinary System Matching Quiz
Handout
KEY
Name _________________
Date __________________
Directions: Match the following terms and with their functions.
__E__ 1. Retroperitoneal
A.
The process of removing nitrogenous waste material,
certain salts, and excess water from the blood.
B.
Performs filtration
C.
The opposite of reabsorption
D.
The basic structural and functional unit of the kidney.
E.
Located behind the peritoneum.
F.
Under the control of the hypothalamus, this hormone
increases the permeability of water in distal and
collecting tubules
G.
A hormone released by the kidneys when blood
pressure drops.
__G__ 10. Renin
H.
A fluid consisting of water, glucose, amino acids,
some salts and urea.
__N__ 11. Proximal convoluted
tubules
I.
An examination of the urine
__K__ 12. Filtration
J.
Stores urine until about 500cc has accumulated
__J__ 13. Bladder
K.
The first step in urine formation
__F__ 14. ADH
L.
Adrenal hormone that controls urinary secretion
__M__ 15. Cortex
M.
Contains the nephrons
N.
Where 80% of the water filtered out of the blood by
the glomerulus is reabsorbed
O.
They increase urinary output by inhibiting the
reabsorption of water.
__A __ 2. Excretion
__D__ 3. Nephron
__B__ 4. Glomerulus
__H__ 5. Filtrate
__C__ 6. Secretion
__I___ 7. Urinalysis
__L__ 8. Aldosterone
__O__ 9. Diuretics
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Summer 2012
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4.01 Key Terms Related to Urinary System Functions
Handout
Key Term
Definition
anuria
absence of urine
diuretic
drug that increases urinary
output
dysuria
painful urination
enuresis
bedwetting
filtrate
fluid that has passed through a
filter
glycosuria
presence of glucose in urine
hematuria
presence of blood in urine
incontinence
involuntary urination
micturate
to urinate
nephralgia
pain in a kidney
neurogenic
bladder
nocturia
damage to the nerve that
controls the bladder
frequent urination at night
oliguria
reduced production of urine
polyuria
excessive urination
pyuria
pus in the urine
uremia
urinalysis
presence of urinary waste
products in the blood
examination of the urine
urinary
catheterization
urinary retention
insertion of a sterile tube into the
urinary bladder
inability to urinate
urinate
emptying of urine from the
urinary bladder
emptying of urine from the
urinary bladder
void
7240 Health Science I
Summer 2012
Name _________________
Date __________________
Relevance to Health
Page 302
4.02 Urinary System Disorders
Handout
Name ________________
Date _________________
Directions: Record notes and class discussion about urinary system disorders while
viewing the Power Point Presentation. Use this handout as a study tool.
Urinary
System
Disorders
Cystitis
___________
___________
___________
___
___________
___
Acute
________________
________________
________________
Glomerulonephritis
__________________
__________________
__________________
______
Renal Calculi
________________
________________
________________
Chronic
________________
________________
________________
_
Acute
_______________
_______________
_______________
_______________
_______________
__
Renal Failure
____________________
____________________
____________________
____
Chronic
_______________
_______________
_______________
_______________
_______________
Other notes: ___________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
7240 Health Science I
Summer 2012
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______________________________________________________________________
______________________________________________________________________
4.02 Medical Decisions
Handout
Directions:
Name ____________________
Date _____________________
You have been assigned to a Medical Decisions Board for a university hospital. Today, your
decision involves a very common dilemma: four patients in complete renal failure, all in need of
a kidney transplant and there is only one kidney. Your assignment is to determine who gets the
available kidney? Your teacher will inform you of the due dates for each part of the process.
Date ______ Read information about kidney transplants, either in your textbook, in other class
print materials, in your school’s media center, or on the Internet
Date _______ Work with your group using the guidelines for HOSA’s Creative Problem Solving
event to determine who gets the kidney.
Date _______ Present your decision and rationale to a group of judges or your class.
All of the following patients are compatible recipients for the kidney to be transplanted. The
kidney donor was a 17 year old male who was killed in a car crash. The parents have
requested that the kidney be transplanted in a teenager.
7240 Health Science I
Summer 2012
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Name, Age and
Occupation
Mary Greaves
54
Housewife
Michelle Mantle
35
Former tennis
pro
Renal Status
Dialysis: 15
years
Transplant
waiting list: 7
years
Dialysis: 1 year
Transplant
waiting list: 6
months
Phyllis Puckett
19
College student
Dialysis: 2 years
Transplant
waiting list: 9
months
Geri Sanchez
43
Auto mechanic
Dialysis: 7 years
Transplant
waiting list: 2
years
Other Medical
factors
Financial
Status
Arthritis
Post-menopausal
hormone
replacement
Hypertension
Overall health –
Fair
Multiple sclerosis –
2 years – Mod.
Overall health –
Fair
$46,000/yr
Medicaid
Overall health –
Good
Regularly uses
cocaine, other
illegal substances
have been present
in blood specimens
Overall health –
Excellent
Social Factors


Net worth –
20 million
dollars
No
insurance

Parents:
$120,000/y
r
Blue
Cross/Blue
Shield


$25,000/yr
Managed
care – will
cover 50%
of costs

4.02 What do you think happened?
Handout


Has 6 grown kids, all
supportive
Husband is reformed
alcoholic with stable
income and in good
health, age 60
High profile patient
would bring much
media attention to the
medical center
Potential exists for
financial gain for the
medical center,
publicity for organ
donations
Parents are supportive
Patient resists medical
regimen as prescribed
by physicians
Has 16 year old son in
school who lives in the
home
Wife died of Leukemia
in 1995
Name ____________________
Date _____________________
Directions: Read each scenario. Based on your understanding of the structure and
function of the urinary system, what do you think has happened?
1.
Taylor is on the track team at school. After running a mile on a very hot day,
Taylor went to the bathroom to urinate, and was concerned that there was a very
small amount urine and the color was deep amber. Explain why this happened.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
7240 Health Science I
Summer 2012
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2.
Carlos was playing football and was hit pretty hard in his right flank area. Later
that night, when he urinated, he noticed the water in the toilet bowl was light pink.
What could have caused this? Should he be alarmed? Explain your answer.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
3.
Carla’s grandmother had a CVA and was hospitalized. When Cara went to visit
her grandmother, and saw a clear plastic bag filled with urine hanging on the side
of the bed. A tube leading from the bag went to her grandmother.
Why does Carla’s grandmother have this device? What purpose does it serve?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
4.
Whitney went to camp. After a few days there, she began to have dysuria, and
noticed that her urine smelled unusual and was cloudy.
What might her symptoms indicate?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
4.02 Prototype Assessment Items
Note: These items illustrate the types of items used in the item bank for this objective.
All items have been written to match the cognitive process of the understand verb in the
objective. Questions require students to interpret, summarize or explain safety
procedures. These exact questions will not be used on the secured test, but questions
in similar formats will be used.
These assessment items may be used as prototypes by teachers and students to
generate similar items to comprise formative assessments for you classroom. This
strategy is especially helpful during the field test year when classroom item banks are
not available. Results of formative assessment should be used to diagnose levels of
mastery, determine if re-teaching is needed, and guide further instruction.
1. Which structure in the nephron is responsible for reabsorption?
a. Bowman’s Capsule
7240 Health Science I
Summer 2012
Page 306
b. Glomerulus
c. Renal Pelvis
d. Tubules
D
2. Anna has had a fever and blood in her urine for 2 days. She has to urinate
frequently. She does not have any pain in her lower back. These symptoms are
most likely from:
a. Acute kidney failure
b. Cystitis
c. Enuresis
d. Kidney Stones
B
3. What structure in the nephron is responsible for filtration?
a. Distal Convoluted Tubules
b. Glomerulus
c. Proximal Convoluted Tubule
d. Renal Pelvis
B
7240 Health Science I
Summer 2012
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