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Chapter 24

64 Questions
Book Quizzes & Trivia

Chapter 24: Pee Pee System!!

Questions and Answers
  • 1. 
    • A. 

      Peritubular capillaries

    • B. 

      Renal artery

    • C. 

      Glomerulus

    • D. 

      Renal veins

  • 2. 
    What is the major artery that supplies the kidneys?
    • A. 

      Carotid

    • B. 

      Portal

    • C. 

      Celiac axis

    • D. 

      Renal

  • 3. 
    • A. 

      One kidney

    • B. 

      One ureter

    • C. 

      Two urinary bladders

    • D. 

      One urethra

  • 4. 
    The urinary tract is lined with
    • A. 

      Serous membrane

    • B. 

      The renal capsule

    • C. 

      Mucous membrane

    • D. 

      Tubular epithelium

  • 5. 
    The renal cortex descends between the pyramids as the
    • A. 

      Pelvis

    • B. 

      Collecting ducts

    • C. 

      Calyces

    • D. 

      Renal columns

  • 6. 
    The renal capsule
    • A. 

      Lines the tubules

    • B. 

      Lines the urinary bladder

    • C. 

      Surrounds the kidneys

    • D. 

      Outlines the trigone

  • 7. 
    • A. 

      Renal artery

    • B. 

      Glomeruli

    • C. 

      Renal vein

    • D. 

      Peritubular capillaries

  • 8. 
    What is the urine-making strucutre of the kidney?
    • A. 

      Trigone

    • B. 

      Renal pyramid

    • C. 

      Renal capsule

    • D. 

      Nephron unit

  • 9. 
    • A. 

      Glomeruli

    • B. 

      Efferent arteriole

    • C. 

      Distal convulted tubule

    • D. 

      Ascending limb (loop of Henle)

  • 10. 
    • A. 

      Peritubular capillaries

    • B. 

      Afferent arterioles

    • C. 

      Glomeruli

    • D. 

      Renal artery

  • 11. 
    The proximal convulated tubules extend to become the
    • A. 

      Peritubular capillaries

    • B. 

      Collecting duct

    • C. 

      Descending limb (loop of Henle)

    • D. 

      Glomeruli

  • 12. 
    Urine flows from the ascending limb (loop of Henle) into the
    • A. 

      Glomeruli

    • B. 

      Proximal convulated tubule

    • C. 

      Distal convulated tubule

    • D. 

      Ureter

  • 13. 
    The calyces receive urine from the
    • A. 

      Proximal convulated tubule

    • B. 

      Collecting ducts

    • C. 

      Glomeruli

    • D. 

      Peritubular capillaries

  • 14. 
    ADH exerts its effects on the
    • A. 

      Proximal convulated tubule

    • B. 

      Afferent arteriole

    • C. 

      Collecting duct

    • D. 

      Renal pelvis

  • 15. 
    • A. 

      Glomeruli

    • B. 

      Ureters

    • C. 

      Urinary bladder

    • D. 

      Urethra

  • 16. 
    The detrusor muscle is located in the
    • A. 

      Urethra

    • B. 

      Renal pelvis

    • C. 

      Urinary bladder

    • D. 

      Glomeruli

  • 17. 
    The word voiding refers to
    • A. 

      Urine formation

    • B. 

      Catherization

    • C. 

      Micturition

    • D. 

      Cystitis

  • 18. 
    Which of the following words best describes the function of the urinary bladder?
    • A. 

      Filtration

    • B. 

      Storage

    • C. 

      Reabsorption

    • D. 

      Buffering of H+

  • 19. 
    This structure is located between the renal pelvis and the urinary bladder
    • A. 

      Urethra

    • B. 

      Trigone

    • C. 

      Urinary meatus

    • D. 

      Ureter

  • 20. 
    The urinary meatus is part of the
    • A. 

      Ureter

    • B. 

      Urinary bladder

    • C. 

      Urethra

    • D. 

      Collecting duct

  • 21. 
    The detrusor muscle is concerned with
    • A. 

      Urine formation

    • B. 

      Micturition

    • C. 

      Sodium reabsorption

    • D. 

      Potassium excretion

  • 22. 
    Kaliuresis refers to the renal excretion of
    • A. 

      Sodium

    • B. 

      Bicarbonate

    • C. 

      Water

    • D. 

      Potassium

  • 23. 
    Natriuresis refers to the renal excretion of
    • A. 

      K+

    • B. 

      Na+

    • C. 

      Water

    • D. 

      Bicarbonate

  • 24. 
    The renal excretion of Na+ is generally accompanied by the excretion of
    • A. 

      Bocarbonate

    • B. 

      Water

    • C. 

      Albumin

    • D. 

      Renin

  • 25. 
    The juxtaglomerular apparatus (JGA) secretes
    • A. 

      Aldosterone

    • B. 

      ADH

    • C. 

      Angotensin

    • D. 

      Renin

  • 26. 
    Renin activates
    • A. 

      Aldosterone

    • B. 

      Converting enzyme

    • C. 

      Agiotensinogen

    • D. 

      Angiotensin II

  • 27. 
    Activation of the renin-angiotensin-aldosterone system
    • A. 

      Reabsorbs K+ and eliminates Na+ in the urine

    • B. 

      Causes albuminuria

    • C. 

      Expands blood volume

    • D. 

      Causes hematuria

  • 28. 
    Aldosterone
    • A. 

      Depletes blood volume

    • B. 

      Cuses potassium reabsorption

    • C. 

      Causes sodium excretion

    • D. 

      Causes Na+ and water reabsorption

  • 29. 
    The juxtaglomerular apparatus (JGA) is located near the
    • A. 

      Collecting duct

    • B. 

      Afferent arteriole

    • C. 

      Ureter

    • D. 

      Renal pelvis

  • 30. 
    The internal and external sphincters are associated with (the)
    • A. 

      Renal pelvis

    • B. 

      Bowman's capsule

    • C. 

      Juxtaglomerular apparatus

    • D. 

      Urinary bladder

  • 31. 
    • A. 

      Trigone

    • B. 

      Detrusor muscle

    • C. 

      Internal spincter

    • D. 

      Calyces

  • 32. 
    Which of the following should not be found in the glomerular filtrate?
    • A. 

      Albumin

    • B. 

      Sodium

    • C. 

      Potassium

    • D. 

      Water

  • 33. 
    Which of the following is most likely to cause polyuria?
    • A. 

      Oversecretion of aldosterone

    • B. 

      Decreased gloerular filtration rate (GFR)

    • C. 

      Deficiency of ADH

    • D. 

      Activation of angiotensinogen

  • 34. 
    Which of the following is not true of ADH?
    • A. 

      Secreted by the posterior pituitary gland

    • B. 

      Secreted in response to low blood volume and concentrated plasma (as in dehydration)

    • C. 

      Causes renal excretion of sodium, potassium, and water

    • D. 

      A deficiency causes diabetes insipidus

  • 35. 
    Which of the following is absorbed across the walls of the collectiong duct under he influence of ADH?
    • A. 

      Potassium

    • B. 

      Urea

    • C. 

      Water

    • D. 

      Albumin

  • 36. 
    Pyuria is indicative of
    • A. 

      Infection

    • B. 

      Glomerular damage

    • C. 

      Deficiency of ADH

    • D. 

      Excess secretion of aldosterone

  • 37. 
    This substance is filtered by the glomerulus and is excreted in the urine; there is minimal reabsorption
    • A. 

      Albumin

    • B. 

      Glucose

    • C. 

      Sodium

    • D. 

      Creatinine

  • 38. 
    Cystitis refers to inflammation of the
    • A. 

      Kidneys

    • B. 

      Meatus

    • C. 

      Urinary bladder

    • D. 

      Renal pelvis

  • 39. 
    Which of the following is found in the kidney?
    • A. 

      Detrusor muscle

    • B. 

      Trigone

    • C. 

      Nephron units

    • D. 

      Urethra

  • 40. 
    Bowman's capsule is part of the
    • A. 

      Nephron unit

    • B. 

      Renal pelvis

    • C. 

      Collecting duct

    • D. 

      Urinary bladder

  • 41. 
    What part of the nephron unit filters 180L of water per day?
    • A. 

      Peritubular capillaries

    • B. 

      Glomeruli

    • C. 

      Calyces

    • D. 

      Trigone

  • 42. 
    Creatinine is
    • A. 

      Completely reabsorbed by the peritubular capillaries

    • B. 

      A waste product that is filtered and not reabsorbed

    • C. 

      A renal enzyme that activates angiotensinogen

    • D. 

      A renal hormone that stimulates red blood cell production by the bone marrow

  • 43. 
    A diuretic
    • A. 

      Cause the excretion of sodium and water in the urine

    • B. 

      Causes hyperglycemia

    • C. 

      Blocks the effects of PTH

    • D. 

      Stimulates the reabsorption of sodium by the peritubular capillaries

  • 44. 
    Which of the following occurs at the distal convoluted tubule?
    • A. 

      180L of water is filtered into the tubules

    • B. 

      Renin is secreted

    • C. 

      Urine flows from the distal convuluted tubule into the ascending loop of Henle

    • D. 

      Sodium and water are reabsorbed

  • 45. 
    Which of the following terms refers to the voluntary expulsion of urine?
    • A. 

      Polyuria

    • B. 

      Diuresis

    • C. 

      Micturition

    • D. 

      Dialysis

  • 46. 
    With regard to reabsorption, which structure plays the most important role?
    • A. 

      Glomeruli

    • B. 

      Renal pelvis

    • C. 

      Urinary bladder

    • D. 

      Peritubular capillaries

  • 47. 
    ADH
    • A. 

      Is secreted by the anterior pituitary gland

    • B. 

      Is a mineralocorticoid that is secreted by the adrenal cortex

    • C. 

      Stimulates the collecting duct to reabsorb water

    • D. 

      Increases GFR

  • 48. 
    Low levels of oxygen stimulate the kidneys to secrete this hormone
    • A. 

      Renin

    • B. 

      Aldosterone

    • C. 

      Erythropoietin

    • D. 

      Converting enzyme

  • 49. 
    In the process of secretion, a substance moves from the peritubular capillaries into this structure
    • A. 

      Glomeruli

    • B. 

      Calyces

    • C. 

      Renal pelvis

    • D. 

      Tubules

  • 50. 
    Under normal conditions, this substance is present in the urine
    • A. 

      Creatinine

    • B. 

      Fibrinogen

    • C. 

      Myosin

    • D. 

      Albumin

  • 51. 
    Which condition is associated with proteinuria?
    • A. 

      A bladder infection

    • B. 

      Urethritis

    • C. 

      Glomerular disease

    • D. 

      Deficiency of ADH

  • 52. 
    Which of the following is caused by a deficiency of erythropoietin?
    • A. 

      Oliguria

    • B. 

      Anemia

    • C. 

      Albuminuria

    • D. 

      Cystitis

  • 53. 
    Which hormone affects blood volume?
    • A. 

      PTH

    • B. 

      Erythropoietin

    • C. 

      Insulin

    • D. 

      Aldosterone

  • 54. 
    Aldosterone
    • A. 

      Is secreted by the posterior pituitary gland

    • B. 

      Acts on the collecting duct blocking the reabsorption of water

    • C. 

      Stimulates the reabsorption of water, but has no effect on potassium

    • D. 

      Is a mineralocorticoid that stimulates the reabsorption of sodium

  • 55. 
    Which of the following is caused by prolonged hypotension?
    • A. 

      Oliguria

    • B. 

      Albuminuria

    • C. 

      Cystitis

    • D. 

      Glomerulonephritis

  • 56. 
    What is the meaning of an elevated serum creatinine?
    • A. 

      The kidneys are making too much creatinine

    • B. 

      Too much creatinine is being reabsorbed by the peritubular capillaries

    • C. 

      The kidneys are not filtering creatinine; this is a sign of kidney failure

    • D. 

      The kidneys are excreting too much urine

  • 57. 
    A drug is classified as a uretic.  Most likely the drug
    • A. 

      Decreases GFR

    • B. 

      Blocks the tubular reabsorption of Na+

    • C. 

      Activates the renin-angiotensin-aldosterone system

    • D. 

      Causes the release of ADH

  • 58. 
    Which condition is characterized by hematuria and pyuria?
    • A. 

      Renal failure

    • B. 

      Diuresis

    • C. 

      Urinary retention

    • D. 

      Cystitis

  • 59. 
    Renal failure causes anemia because of
    • A. 

      A lack of erythropoietin

    • B. 

      Gross hematuria

    • C. 

      Uremia-induced hemolysis

    • D. 

      Uremia-induced hypokalemia

  • 60. 
    The urinary bladder
    • A. 

      Contains only skeletal muscle

    • B. 

      Recieves urine from two urethras

    • C. 

      Causes diuresis in response to ADH deficiency

    • D. 

      Causes micturition when the detrusor muscle contracts and the internal sphincter relaxes

  • 61. 
    When the arterial blood pressure declines to 70/50 mm Hg,
    • A. 

      GFR decreases

    • B. 

      Diuresis occurs

    • C. 

      Aldosterone secretion decreases

    • D. 

      ADH secretion diminishes

  • 62. 
    What happens at the glomerular membrane?
    • A. 

      Water and dissolved solute are filtered into Bowman's capsule

    • B. 

      The JGA cells release ADH

    • C. 

      The JGA cells release aldosterone

    • D. 

      Na+ is reabsorbed

  • 63. 
    The distal convoluted tubule
    • A. 

      Receives urine from the collecting duct

    • B. 

      Reabsorbs Na+ in response to aldosterone

    • C. 

      Is the nephron structure that is primarily associated with filtration

    • D. 

      Empties its urine into Bowman's capsule

  • 64. 
    A patient with stenosis (narrowing) of the renal artery is most likely to present with
    • A. 

      Uremia

    • B. 

      Hypertension

    • C. 

      Albuminuria, hypoalbuminemia, and edema

    • D. 

      Glucosuria

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