2024-03-28T22:43:19+03:00[Europe/Moscow] en true <p>The kidneys filter ______ liters of ______ daily allowing toxins, metabolic wastes and excess ions to leave the body in _______ while returning needed substances to the ______</p>, <p><strong>Blood pressure regulation through renal hormones </strong></p><p></p><p>___________________ of the juxtaglomerular complex of the _______ release ________</p>, <p><strong>Erythropoietin production</strong></p><p></p><p>1. What is the stimulus for erythropoietin production?</p>, <p><strong>Erythropoietin production</strong></p><p></p><p>2. Where is erythropoietin produced?</p>, <p><strong>Erythropoietin production</strong></p><p></p><p>3. What does erythropoietin do? </p><p></p><p></p><p> - Stimulates ___________________</p><p> - enhanced _________ increases ________________</p><p> - ___________ carrying ability of ________ rises</p>, <p><strong>Role of kidneys in Vitamin D synthesis (1/2)</strong></p><p></p><p><strong>_____________________ </strong>produce the hormone ______________ (provitamin D3)</p>, <p><strong>Role of kidneys in Vitamin D synthesis (2/2)</strong></p><p></p><p>____________________ is activated by the ____________ in response to _____________ _____________ , this activates ______________ (Vitamin d3)</p>, <p><strong>Glomerulus Function</strong></p><p></p><p>specialized ___________ ____ that is adapted for __________</p>, <p><em>Porous membrane filter that lies between the blood in the glomerulus and the filtrate in the capsular space</em></p>, <p><strong>Three layers of the filtration membrane (1/3)</strong></p><p></p><p>1.<strong> _______________ _________________ </strong>of the _____________ ___________</p><p></p><p>fenestrations allow all ________ components except ______ ______ to pass through</p>, <p><strong>Three layers of the filtration membrane (2/3)</strong></p><p></p><p>2. _______________ ______________</p><p></p><p>forms a _______ __________ that blocks all but the smallest ________ while still permitting most other _______ to pass</p><p></p><p>______________ give the ___________ a negative charge to repel many negatively charged macromolecular anions like ________ ________</p>, <p><strong>Three layers of the filtration membrane (3/3)</strong></p><p></p><p><strong>3. _______ ___________ </strong>of ________________ of the _____________ ___________</p><p></p><p>traps any _________________ that make it past the ________ _________ in slit diaphragms, thin membranes that extend across the filtration slits of the podocytes</p>, <p>The glomerulus is fed and drained by ___________</p>, <p>The ________ ____________ is _______ has less ________ ___________ and __________ each _____________</p>, <p>The ______ ___________ is __________ has more ____________ ____________ and ___________ each ___________</p>, <p><strong>Why the blood pressure in the glomerulus is high</strong></p><p></p><p>The _______ passage and less _________ _________ causes more ______ to enter the __________ which causes the blood pressure to be ___ mm Hg compared to the average __ mm Hg in other capillary beds</p>, <p><em>The structural and functional units of the kidneys</em></p>, <p>Each nephron consists of a _______ _________ and a _______ ________</p>, <p>The two major groups of nephrons are the ________ and _________________ nephrons </p>, <p><strong>Nephron structure </strong></p><p></p><p>The renal corpuscle is composed of two structures, the _____________ and the _____________ ____________</p>, <p><strong>Nephron structure </strong></p><p></p><p>The _____________ ________ is continuous with the ____ ______ and completely surrounds the glomerulus </p>, <p><strong>Nephron structure </strong></p><p></p><p>The glomerular capsule has two layers, the ________ ________ and the ________ _________</p>, <p><strong>Nephron structure </strong></p><p></p><p>The parietal layer of the glomerular capsule is composed of the ______ ___________ ____________ tissue</p>, <p><strong>Nephron structure </strong></p><p></p><p>The visceral layer of the glomerular capsule clings to __________ ___________ and is formed from modified branching epithelial cells called ____________</p>, <p><strong>Nephron structure </strong></p><p></p><p>The _______ ________ begins in the kidney ______ and pass into the ________ before returning to the _______</p>, <p><strong>Nephron structure </strong></p><p></p><p>The three layers of the renal tubule are the:</p><p>1.</p><p>2.</p><p>3.</p>, <p><strong>Nephron structure </strong></p><p></p><p>In the _____ ______, proximal convoluted tubule is composed of __________ __________ _____ with large mitochondria, their apical surfaces bear dense __________ to increase the ________ _____</p><p>cuboidal epithelial cells</p>, <p><strong>Nephron structure </strong></p><p></p><p>In the _____ ______, the proximal descending limb of the nephron loop is continuous with the PCT and contains ________ __________ _____, the rest contains ______ ________ __________, in the ascending nephron loop the epithelium becomes _____________ ___________ ______</p>, <p><strong>Nephron structure </strong></p><p></p><p>In the _____ ______, the distal convoluted tubule contains __________ ___________ _____ confined to the cortex</p>, <p><strong>Nephron classes</strong></p><p></p><p>____________ _____________<strong> </strong>account for 85% of the nephrons in the kidneys and are located entirely in the _________</p>, <p><strong>Juxtamedullary Nephrons </strong></p><p></p><p>originate close to the ________-_______ ________, long nephron loops enter _________ and ascending limbs have _____ and _____ segments</p>, <p><strong>Nephron function</strong></p><p></p><p>The nephron creates a ______ and _______-_____ _______ from the _____</p>, <p><strong>Nephron function</strong></p><p></p><p>The ____________ recovers chemicals the body needs while also _______________ into the _____________ selected chemicals the body needs to ___________</p>, <p><strong>____________ _______ </strong>collect and convey nephron __________ which then becomes the _______ into the ________ _________</p><p></p>, <p>Filtrate contains __________ found in _______ ________ except _________</p>, <p>Urine contains ___________ substances such as ________ ____ and ____________ _______</p>, <p><em>Passage of a solvent with dissolved substances through a membrane or filter&nbsp;</em></p>, <p><em>Process by which needed substances are moved from the filtrate and returned to blood</em></p>, <p><em>Passage of a material formed by a cell to its exterior</em></p>, <p>The ___________ __________ ___________ of the renal tubule is lined with __________ which contributes to the brush border, this increases the surface area for ______________ of ________ and _________ from the __________ and increases the surface area for ___________ of substances </p>, <p>The __________ ____________ ___________ of the renal tubule has no ________ because it empties the ______from the _______ into the __________ _______</p>, <p>The ___________ ___________ is reported in mg/min and reflects the number of _________ _________ in the ________ _________ available to ferry a particular substance</p>, <p><strong>Transport maximum </strong></p><p></p><p>there are a lot of _________ _________ for substances like _________ that need to be ____________ and few or no ___________ _________ for ______ substances </p>, <p><strong>Transport maximum </strong></p><p></p><p>When __________ __________ are ___________ and bound to all the substances they transport the ______ is _________ in ______</p>, <p><strong>Transport maximum</strong></p><p></p><p>_____________ individuals with uncontrolled __________ _________ contain higher amounts of _________ in _______ due to lack of ________ carrier protein to ferry glucose</p>, <p>_______________ ____________ inhibits diuresis which is ______ _______</p><p></p><p>Causes the body to produce a concentrated urine to allow us to survive for a limited time without water</p><p>ADH increases number of aquaporins (water channels) in collecting duct</p><p>Increases water reabsorption from collecting duct</p><p>Creates a small volume of concentrated urine</p>, <p>_____________ __________ causes the body to produce a ______ volume of _______________ ______ to allow us to survive for a limited time without water, this hormone increases the number of __________ or water channels in the ________ _________ which increases ____________ ____________</p>, <p>Incoming ______ distends the ________ and stimulates its muscularis to ________, propelling urine into the _________ , the strength and frequency of ___________ depends on the rate of _________ __________</p>, <p><em>Smooth collapsible muscular sac that stores urine temporarily</em></p><p></p><p></p><p></p>, <p><strong>Three layers of the bladder </strong></p><p>1. ________ containing ____________ ________</p><p>2. Thick muscular layer called the __________</p><p>3. __________ __________ except on _________ surface where it is covered by the _____________</p>, <p><em>micturition refers to </em></p>, <p>The _______ __________ _________ inhibits voiding </p>, <p>The ________ ________ __________ promotes voiding</p>, <p><strong>UTI</strong></p><p>Location of the female ________ near the _____ predisposes it to colonization by ______ __________</p><p></p>, <p><strong>UTI</strong></p><p>_________ _______ of the __________ _______ being continuous from the _________ to the __________ can cause the __________ to ascend to the kidney causes <strong>_____________</strong></p><p>Fever</p><p>Back pain</p><p>Other systems of systemic illness</p>, <p><em>________________ ___________ </em>takes place in the renal corpuscle and produces a cell- and protein-free _______</p>, <p>_______________ ____________ is the process of selectively moving substances from the filtrate back into the blood, it takes place in the _________ ________ and ____________ __________, it reclaims almost everything filtered all of the _________ and ________ ____ and 99% of the ________, _____ and other components, anything that is not reabsorbed becomes _____</p>, <p>_____________ __________ is the process of selectively moving substances from the _______ into the _________, like tubular reabsorption is occurs along the length of the ________ and the ______________ ________</p> flashcards
chapter 25 prelecture

chapter 25 prelecture

  • The kidneys filter ______ liters of ______ daily allowing toxins, metabolic wastes and excess ions to leave the body in _______ while returning needed substances to the ______

    200

    fluid

    urine

    blood

  • Blood pressure regulation through renal hormones

    ___________________ of the juxtaglomerular complex of the _______ release ________

    granular cells

    kidneys

    renin

  • Erythropoietin production

    1. What is the stimulus for erythropoietin production?

    Hypoxia, inadequate oxygen delivery from decreased RBCs

  • Erythropoietin production

    2. Where is erythropoietin produced?

    Mostly kidneys

    liver

  • Erythropoietin production

    3. What does erythropoietin do?

    - Stimulates ___________________

    - enhanced _________ increases ________________

    - ___________ carrying ability of ________ rises

    red bone marrow

    erythropoiesis

    RBC count

    oxygen

    blood

  • Role of kidneys in Vitamin D synthesis (1/2)

    _____________________ produce the hormone ______________ (provitamin D3)

    epidermal cells

    cholecalciferol

  • Role of kidneys in Vitamin D synthesis (2/2)

    ____________________ is activated by the ____________ in response to _____________ _____________ , this activates ______________ (Vitamin d3)

    cholecalciferol

    kidneys

    parathyroid hormone

    calcitriol

  • Glomerulus Function

    specialized ___________ ____ that is adapted for __________

    capillary bed

    filtration

  • Porous membrane filter that lies between the blood in the glomerulus and the filtrate in the capsular space

    Filtration Membrane

  • Three layers of the filtration membrane (1/3)

    1. _______________ _________________ of the _____________ ___________

    fenestrations allow all ________ components except ______ ______ to pass through

    fenestrated endothelium

    glomerular capillaries

    blood

    blood cells

  • Three layers of the filtration membrane (2/3)

    2. _______________ ______________

    forms a _______ __________ that blocks all but the smallest ________ while still permitting most other _______ to pass

    ______________ give the ___________ a negative charge to repel many negatively charged macromolecular anions like ________ ________

    basement membrane

    physical barrier

    proteins

    solutes

    glycoproteins

    membrane

    plasma proteins

  • Three layers of the filtration membrane (3/3)

    3. _______ ___________ of ________________ of the _____________ ___________

    traps any _________________ that make it past the ________ _________ in slit diaphragms, thin membranes that extend across the filtration slits of the podocytes

    foot processes

    podocytes

    glomerular capsule

    macromolecules

    basement membrane

  • The glomerulus is fed and drained by ___________

    arterioles

  • The ________ ____________ is _______ has less ________ ___________ and __________ each _____________

    afferent arteriole

    wider

    peripheral resistance

    supplies

    glomerulus

  • The ______ ___________ is __________ has more ____________ ____________ and ___________ each ___________

    efferent arteriole

    narrower

    peripheral resistance

    drains

    glomerulus

  • Why the blood pressure in the glomerulus is high

    The _______ passage and less _________ _________ causes more ______ to enter the __________ which causes the blood pressure to be ___ mm Hg compared to the average __ mm Hg in other capillary beds

    wider

    peripheral resistance

    blood

    glomerulus

    55

    26

  • The structural and functional units of the kidneys

    Nephron

  • Each nephron consists of a _______ _________ and a _______ ________

    renal corpuscle

    renal tubule

  • The two major groups of nephrons are the ________ and _________________ nephrons

    cortical

    juxtamedullary

  • Nephron structure

    The renal corpuscle is composed of two structures, the _____________ and the _____________ ____________

    glomerulus

    glomerular capsule

  • Nephron structure

    The _____________ ________ is continuous with the ____ ______ and completely surrounds the glomerulus

    glomerular capsule

    renal tubule

  • Nephron structure

    The glomerular capsule has two layers, the ________ ________ and the ________ _________

    parietal layer

    visceral layer

  • Nephron structure

    The parietal layer of the glomerular capsule is composed of the ______ ___________ ____________ tissue

    simple squamous epithelium

  • Nephron structure

    The visceral layer of the glomerular capsule clings to __________ ___________ and is formed from modified branching epithelial cells called ____________

    glomerular capillaries

    podocytes

  • Nephron structure

    The _______ ________ begins in the kidney ______ and pass into the ________ before returning to the _______

    renal tubule

    cortex

    medulla

    cortex

  • Nephron structure

    The three layers of the renal tubule are the:

    1.

    2.

    3.

    Proximal convoluted tubule

    Nephron loop

    Distal convoluted tubule

  • Nephron structure

    In the _____ ______, proximal convoluted tubule is composed of __________ __________ _____ with large mitochondria, their apical surfaces bear dense __________ to increase the ________ _____

    cuboidal epithelial cells

    renal tubule

    cuboidal epithelial cells

    microvilli

    surface area

  • Nephron structure

    In the _____ ______, the proximal descending limb of the nephron loop is continuous with the PCT and contains ________ __________ _____, the rest contains ______ ________ __________, in the ascending nephron loop the epithelium becomes _____________ ___________ ______

    renal tubule

    cuboidal epithelial cells

    simple squamous epithelium

    cuboidal epithelial cells

  • Nephron structure

    In the _____ ______, the distal convoluted tubule contains __________ ___________ _____ confined to the cortex

    renal tubule

    cuboidal epithelial cells

  • Nephron classes

    ____________ _____________ account for 85% of the nephrons in the kidneys and are located entirely in the _________

    cortical nephrons

    cortex

  • Juxtamedullary Nephrons

    originate close to the ________-_______ ________, long nephron loops enter _________ and ascending limbs have _____ and _____ segments

    cortex-medulla junction

    medulla

    thin

    thick

  • Nephron function

    The nephron creates a ______ and _______-_____ _______ from the _____

    cell

    protein free filtrate

    blood

  • Nephron function

    The ____________ recovers chemicals the body needs while also _______________ into the _____________ selected chemicals the body needs to ___________

    nephron

    secreting

    filtrate

    eliminate

  • ____________ _______ collect and convey nephron __________ which then becomes the _______ into the ________ _________

    collecting ducts

    filtrate

    urine

    renal pelvis

  • Filtrate contains __________ found in _______ ________ except _________

    everything

    blood plasma

    proteins

  • Urine contains ___________ substances such as ________ ____ and ____________ _______

    unneeded

    excess salts

    metabolic wastes

  • Passage of a solvent with dissolved substances through a membrane or filter 

    filtration

  • Process by which needed substances are moved from the filtrate and returned to blood

    Reabsorption

  • Passage of a material formed by a cell to its exterior

    Secretion 

  • The ___________ __________ ___________ of the renal tubule is lined with __________ which contributes to the brush border, this increases the surface area for ______________ of ________ and _________ from the __________ and increases the surface area for ___________ of substances

    proximal convoluted tubule

    microvilli

    reabsorption

    water

    solutes

    filtrate

    secretion

  • The __________ ____________ ___________ of the renal tubule has no ________ because it empties the ______from the _______ into the __________ _______

    distal convoluted tubule

    microvilli

    urine

    filtrate

    collecting duct

  • The ___________ ___________ is reported in mg/min and reflects the number of _________ _________ in the ________ _________ available to ferry a particular substance

    transport maximum

    transport proteins

    renal tubules

  • Transport maximum

    there are a lot of _________ _________ for substances like _________ that need to be ____________ and few or no ___________ _________ for ______ substances

    transport proteins

    glucose

    retained

    transport proteins

    waste

  • Transport maximum

    When __________ __________ are ___________ and bound to all the substances they transport the ______ is _________ in ______

    transport proteins

    saturated

    excess

    excreted

    urine

  • Transport maximum

    _____________ individuals with uncontrolled __________ _________ contain higher amounts of _________ in _______ due to lack of ________ carrier protein to ferry glucose

    hyperglycemic

    diabetes mellitus

    glucose

    urine

    insulin

  • _______________ ____________ inhibits diuresis which is ______ _______

    Causes the body to produce a concentrated urine to allow us to survive for a limited time without water

    ADH increases number of aquaporins (water channels) in collecting duct

    Increases water reabsorption from collecting duct

    Creates a small volume of concentrated urine

    antidiuretic hormone

    urine output

  • _____________ __________ causes the body to produce a ______ volume of _______________ ______ to allow us to survive for a limited time without water, this hormone increases the number of __________ or water channels in the ________ _________ which increases ____________ ____________

    antidiuretic hormone

    small

    concentrated urine

    aquaporins

    collecting duct

    water reabsorption

  • Incoming ______ distends the ________ and stimulates its muscularis to ________, propelling urine into the _________ , the strength and frequency of ___________ depends on the rate of _________ __________

    urine

    ureters

    contract

    bladder

    peristalsis

    urine formation

  • Smooth collapsible muscular sac that stores urine temporarily

    bladder

  • Three layers of the bladder

    1. ________ containing ____________ ________

    2. Thick muscular layer called the __________

    3. __________ __________ except on _________ surface where it is covered by the _____________

    mucosa

    transitional epithelium

    detrusor

    fibrous adventitia

    superior

    peritoneum

  • micturition refers to

    urination

  • The _______ __________ _________ inhibits voiding

    pontine storage center

  • The ________ ________ __________ promotes voiding

    pontine micturition center

  • UTI

    Location of the female ________ near the _____ predisposes it to colonization by ______ __________

    urethra

    anus

    fecal bacteria

  • UTI

    _________ _______ of the __________ _______ being continuous from the _________ to the __________ can cause the __________ to ascend to the kidney causes _____________

    Fever

    Back pain

    Other systems of systemic illness

    mucosal lining

    urinary tract

    urethra

    kidneys

    infection

    pyelonephritis

  • ________________ ___________ takes place in the renal corpuscle and produces a cell- and protein-free _______

    glomerular filtration

    filtrate

  • _______________ ____________ is the process of selectively moving substances from the filtrate back into the blood, it takes place in the _________ ________ and ____________ __________, it reclaims almost everything filtered all of the _________ and ________ ____ and 99% of the ________, _____ and other components, anything that is not reabsorbed becomes _____

    tubular reabsorption

    renal tubules

    collecting ducts

    glucose

    amino acids

    water

    salt

    urine

  • _____________ __________ is the process of selectively moving substances from the _______ into the _________, like tubular reabsorption is occurs along the length of the ________ and the ______________ ________

    tubular secretion

    blood

    filtrate

    tubule

    collecting duct