Block 6 Renal Physio Prt 2
- 1.
If a freshly voided urine sample is very dark in color, which of the following will be true?
- A.
Its pH is below normal
- B.
It will have the odor of ammonia
- C.
It will contain excessive sodium
- D.
It will contain large amounts of urochrome
- E.
It will contain excess bicarbonate ion
Correct Answer
D. It will contain large amounts of urochromeExplanation
Urochrome is a pigment that gives urine its characteristic yellow color. If a urine sample is very dark in color, it indicates that there are large amounts of urochrome present in the urine.Rate this question:
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- 2.
In a normal kidney, which of the following would cause an increase in the glomerular filtration rate (GFR)?
- A.
Constriction of the afferent arteriole
- B.
Decrease in the pressure of the glomerulus
- C.
An increase in capsular hydrostatic pressure
- D.
A decrease in the concentration of plasma proteins in the blood
- E.
A decrease in the net glomerular filtration pressure
Correct Answer
D. A decrease in the concentration of plasma proteins in the bloodExplanation
A decrease in the concentration of plasma proteins in the blood would cause an increase in the glomerular filtration rate (GFR). This is because plasma proteins exert an osmotic pressure that opposes the filtration of fluid from the glomerulus into the Bowman's capsule. When the concentration of plasma proteins decreases, the osmotic pressure decreases, allowing for more fluid to be filtered out of the glomerulus and increasing the GFR.Rate this question:
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- 3.
Characteristics of carrier-mediated transport processes include:
- A.
A carrier protein that can bind a wide variety of substances
- B.
A carrier protein that normally can move materials in either direction across the membrane
- C.
A variable distribution of carrier proteins from one portion of the cell surface to another
- D.
No saturation point
- E.
A distribution of only one type of carrier in any one cell membrane
Correct Answer
C. A variable distribution of carrier proteins from one portion of the cell surface to anotherExplanation
Carrier-mediated transport processes involve the use of carrier proteins to transport substances across the cell membrane. One characteristic of these processes is a variable distribution of carrier proteins from one portion of the cell surface to another. This means that the concentration of carrier proteins may vary in different areas of the cell membrane, allowing for selective transport of specific substances. This variability in distribution allows for efficient and regulated transport of different molecules across the membrane.Rate this question:
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- 4.
Urea is:
- A.
Actively secreted in the distal convoluted tubule
- B.
Actively reabsorbed in the proximal convoluted tubule
- C.
Actively transported into the filtrate by the cells of the collecting duct
- D.
Completely eliminated in the urine
- E.
Passively reabsorbed in the proximal convoluted tubule
Correct Answer
E. Passively reabsorbed in the proximal convoluted tubuleExplanation
Urea is passively reabsorbed in the proximal convoluted tubule. This means that it is reabsorbed without the need for active transport mechanisms. Urea is a waste product that is filtered out of the blood by the kidneys and enters the renal tubules. In the proximal convoluted tubule, water is reabsorbed along with other solutes, including urea, through passive diffusion. This allows the body to conserve water while still eliminating waste products. Therefore, the correct answer is that urea is passively reabsorbed in the proximal convoluted tubule.Rate this question:
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- 5.
The mechanisms for maintaining the solute concentration gradient in the renal medulla require:
- A.
Active transport of sodium and chloride ions from the ascending limb of the loop of nephron
- B.
Active transport of sodium and chloride ions from the ascending limb of the vasa recta
- C.
The ascending limb of the loop of nephron to be permeable to water
- D.
The vasa recta to be impermeable to water
- E.
All of the above
Correct Answer
A. Active transport of sodium and chloride ions from the ascending limb of the loop of nephronExplanation
The correct answer is "All of the above." This is because the mechanisms for maintaining the solute concentration gradient in the renal medulla require all of the mentioned factors. Active transport of sodium and chloride ions from the ascending limb of the loop of nephron helps to establish the concentration gradient. The ascending limb of the loop of nephron being permeable to water allows for the reabsorption of water, which further concentrates the solutes in the medulla. The vasa recta being impermeable to water helps to maintain the concentration gradient by preventing the dilution of solutes. Therefore, all of these factors are necessary for maintaining the solute concentration gradient in the renal medulla.Rate this question:
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- 6.
In response to excess water in the body:
- A.
Antidiuretic hormone(ADH) is secreted by the posterior pituitary gland
- B.
The active transport mechanisms in the ascending limb of the loop of nephron cease functioning
- C.
The permeability of the distal convoluted tubules and collecting ducts to water is decreased
- D.
The permeability of the ascending limb of the loop of nephron is increased
- E.
Glomerular filtration is reduced
Correct Answer
C. The permeability of the distal convoluted tubules and collecting ducts to water is decreasedExplanation
When there is excess water in the body, the permeability of the distal convoluted tubules and collecting ducts to water is decreased. This means that less water is reabsorbed from the urine back into the bloodstream, leading to increased water excretion in the urine. This helps to remove the excess water from the body and maintain water balance.Rate this question:
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- 7.
The renal pelvis fills much of the renal _?_.
- A.
Medulla
- B.
Calices
- C.
Pyramid
- D.
Sinus
- E.
Cortex
Correct Answer
D. SinusExplanation
The renal pelvis fills much of the renal sinus. The renal sinus is a cavity within the kidney that is filled with adipose tissue, blood vessels, nerves, and the renal pelvis. The renal pelvis is a funnel-shaped structure that collects urine from the kidney and transports it to the ureter. Therefore, it is logical to conclude that the renal pelvis fills much of the renal sinus.Rate this question:
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- 8.
Atrial natriuretic factor is secreted in response to:
- A.
Angiotensin
- B.
Aldosterone
- C.
Hypertension
- D.
Hyponatremia
- E.
Hypotension
Correct Answer
C. HypertensionExplanation
Atrial natriuretic factor is secreted in response to hypertension. This hormone is released by the atria of the heart when blood pressure is elevated. Its main function is to promote the excretion of sodium and water by the kidneys, which helps to reduce blood volume and lower blood pressure. Therefore, in the presence of hypertension, the release of atrial natriuretic factor helps to counteract the increased blood pressure by increasing sodium and water excretion.Rate this question:
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- 9.
Because of the _?_, very little albumin escapes from the blood during glomerular filtration.
- A.
Oncotic pressure of the blood
- B.
Basement membrane of glomerulus
- C.
Hydrostatic pressure of the blood
- D.
Juxtaglomerular apparatus
- E.
Fenestrated capillary endothelium
Correct Answer
B. Basement membrane of glomerulusExplanation
The basement membrane of the glomerulus is responsible for preventing the escape of albumin from the blood during glomerular filtration. The basement membrane acts as a selective barrier, allowing only small molecules and waste products to pass through while retaining larger proteins like albumin. This selective barrier helps maintain the proper balance of molecules and prevent excessive loss of important proteins in the urine.Rate this question:
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- 10.
Glucose gets from the tubular fluid into the cytoplasm of the proximal convoluted tubule by means of:
- A.
Osmosis
- B.
Solvent drag
- C.
Secondary active transport
- D.
The paracellular route
- E.
Facilitated diffusion
Correct Answer
C. Secondary active transportExplanation
Glucose gets from the tubular fluid into the cytoplasm of the proximal convoluted tubule by means of secondary active transport. This process involves the use of energy from the sodium-potassium pump to create a concentration gradient of sodium ions. The sodium ions then move back into the cell along with glucose molecules through a co-transporter protein called SGLT-2. This mechanism allows for the reabsorption of glucose from the filtrate back into the bloodstream.Rate this question:
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- 11.
A simple squamous epithelium is found in:
- A.
The parietal and visceral layers of the glomerular capsule
- B.
The parietal layer of the glomerular capsule and the proximal convoluted tubule
- C.
The parietal layer of the glomerular capsule and the thin segment of the nephron loop
- D.
The proximal and distal convoluted tubules
- E.
The ascending limb of the nephron loop and the collecting duct
Correct Answer
C. The parietal layer of the glomerular capsule and the thin segment of the nephron loopExplanation
A simple squamous epithelium is found in the parietal layer of the glomerular capsule and the thin segment of the nephron loop. This type of epithelium is composed of a single layer of flat cells that allow for easy diffusion of substances across the membrane. The parietal layer of the glomerular capsule forms a barrier around the glomerulus, while the thin segment of the nephron loop is responsible for reabsorption of water and ions. Both of these structures require a thin, permeable epithelium to facilitate their functions, making a simple squamous epithelium the appropriate choice.Rate this question:
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- 12.
The collecting duct reabsorbs not only water but also _?_, thus contributing to the osmotic gradient of the renal medulla.
- A.
Sodium
- B.
Potassium
- C.
Protein
- D.
Glucose
- E.
Urea
Correct Answer
E. UreaExplanation
The collecting duct reabsorbs not only water but also urea, thus contributing to the osmotic gradient of the renal medulla. Urea is a waste product produced in the liver from the breakdown of proteins. It is filtered out of the blood by the kidneys and can be reabsorbed by the collecting ducts. This reabsorption helps to concentrate the urine and maintain the osmotic gradient in the renal medulla, which is important for the kidneys' ability to produce concentrated urine.Rate this question:
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- 13.
Which of the following activities is not regulated by the kidneys?
- A.
Regulating the volume of blood plasma and thus blood pressure in the body
- B.
Regulating the concentrations of certain electrolytes and waste products in the blood
- C.
Regulating the absorption of substances from the gastrointestinal tract
- D.
Regulating the acid-base balance (pH) of the blood plasma
Correct Answer
C. Regulating the absorption of substances from the gastrointestinal tractExplanation
The kidneys are responsible for regulating the volume of blood plasma and thus blood pressure in the body, regulating the concentrations of certain electrolytes and waste products in the blood, and regulating the acid-base balance (pH) of the blood plasma. However, the absorption of substances from the gastrointestinal tract is not regulated by the kidneys. This process is primarily controlled by the intestines and the digestive system.Rate this question:
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- 14.
Kidney stones are primarily composed of
- A.
Cholesterol and esters of other steroid compounds
- B.
Crystals and proteins that grow in the renal medulla
- C.
Heavy metals that precipitate in the urinary filtrate
- D.
Salts of weak acids that serve as buffers in the nephron
Correct Answer
B. Crystals and proteins that grow in the renal medullaExplanation
Kidney stones are formed when crystals and proteins accumulate and grow in the renal medulla. This occurs when there is an imbalance in the urine composition, leading to the formation of solid particles. These particles can then clump together and form larger stones. Cholesterol and esters of other steroid compounds, heavy metals, and salts of weak acids are not the primary components of kidney stones.Rate this question:
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- 15.
Which statement about the process of micturition is false?
- A.
It is controlled by a reflex center located in the sacral levels of the spinal cord.
- B.
Stretch receptors in the bladder initiate this reflex when stretched by filling with urine
- C.
Firing of the reflex centers, results in simultaneous contraction of the detrusor muscle and relaxation of the external urethral sphincter, pressuring urine into the urethra.
- D.
The urge to urinate is a reflex involving the stimulation of specific autonomic nerves
Correct Answer
C. Firing of the reflex centers, results in simultaneous contraction of the detrusor muscle and relaxation of the external urethral sphincter, pressuring urine into the urethra.Explanation
The statement that is false is "Firing of the reflex centers, results in simultaneous contraction of the detrusor muscle and relaxation of the external urethral sphincter, pressuring urine into the urethra." In reality, firing of the reflex centers results in simultaneous relaxation of the detrusor muscle and contraction of the external urethral sphincter, allowing urine to be expelled from the bladder.Rate this question:
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- 16.
The name of the blood vessel delivering blood directly to the glomerulus is the
- A.
Renal artery
- B.
Interlobar artery
- C.
Arcuate artery
- D.
Afferent arteriole
Correct Answer
D. Afferent arterioleExplanation
The afferent arteriole is the correct answer because it is the blood vessel that directly delivers blood to the glomerulus. The glomerulus is a network of capillaries in the kidney responsible for filtration, and the afferent arteriole brings blood into this network. The renal artery is too large to directly deliver blood to the glomerulus, while the interlobar and arcuate arteries are part of the larger renal circulation and do not directly supply blood to the glomerulus.Rate this question:
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- 17.
That portion of the nephron consisting of a single layer of cuboidal cells with microvilli to increase the surface area for reabsorption is the
- A.
Glomerular capsule
- B.
Proximal convoluted tubule
- C.
Loop of Henle
- D.
Distal convoluted tubule
Correct Answer
B. Proximal convoluted tubuleExplanation
The proximal convoluted tubule is the correct answer because it consists of a single layer of cuboidal cells with microvilli. The microvilli increase the surface area of the tubule, allowing for more efficient reabsorption of substances such as water, glucose, and amino acids from the filtrate back into the bloodstream. This reabsorption process is an important step in urine formation and maintaining the body's fluid balance.Rate this question:
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- 18.
The name of the blood vessels that are found in the medulla as part of the vasa recta are the
- A.
Peritubular capillaries
- B.
Afferent arterioles
- C.
Arcuate arteries
- D.
Efferent arterioles
Correct Answer
A. Peritubular capillariesExplanation
The peritubular capillaries are the blood vessels found in the medulla as part of the vasa recta. These capillaries surround the renal tubules and play a crucial role in the reabsorption and secretion of substances in the kidney. They help in the exchange of nutrients, waste products, and ions between the blood and the renal tubules, aiding in the regulation of fluid and electrolyte balance. The peritubular capillaries also contribute to the formation of urine by reabsorbing water and solutes from the filtrate.Rate this question:
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- 19.
Which substance is easily filtered by the glomerulus and thus is normally found in the ultrafiltrate?
- A.
Red and white blood cells
- B.
Platelets
- C.
Proteins
- D.
Electrolytes
Correct Answer
D. ElectrolytesExplanation
Electrolytes are easily filtered by the glomerulus and are normally found in the ultrafiltrate. The glomerulus is a part of the kidney's filtration system that allows small molecules and ions to pass through while preventing larger substances like red and white blood cells, platelets, and proteins from being filtered. Electrolytes, such as sodium, potassium, and chloride, are small ions that are essential for maintaining the body's fluid balance and are easily filtered through the glomerulus.Rate this question:
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- 20.
The net filtration pressure at the glomerulus that results in the formation of ultrafiltrate is
- A.
About equal to arterial blood pressure at 100 mmHg
- B.
Partially due to the very low colloid osmotic pressure of plasma
- C.
Opposed by the high osmotic pressure of ultrafiltrate
- D.
Estimated to be approximately 10 mmHg
Correct Answer
D. Estimated to be approximately 10 mmHgExplanation
The net filtration pressure at the glomerulus is estimated to be approximately 10 mmHg. This means that there is a pressure gradient of 10 mmHg favoring the filtration of fluid from the glomerulus into the Bowman's capsule. This pressure is lower than the arterial blood pressure of 100 mmHg, which suggests that there are other factors at play in preventing excessive filtration. One such factor is the very low colloid osmotic pressure of plasma, which opposes filtration. Additionally, the high osmotic pressure of the ultrafiltrate also contributes to the balance of pressures and prevents excessive filtration.Rate this question:
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- 21.
Which statement about the glomerular filtration rate (GFR) is false?
- A.
The GFR averages approximately 180 L per day (about 45 gallons).
- B.
The GFR will increase during fight-or-flight situations due to the vasodilation of afferent arterioles.
- C.
A decrease in GFR results in a decrease in the total urine output.
- D.
Renal autoregulation maintains the GFR at a relatively constant rate despite fluctuations in the mean arterial blood pressure.
Correct Answer
B. The GFR will increase during fight-or-flight situations due to the vasodilation of afferent arterioles.Explanation
During fight-or-flight situations, the sympathetic nervous system is activated, leading to vasoconstriction of the afferent arterioles. This vasoconstriction reduces the blood flow to the glomerulus and decreases the glomerular filtration rate (GFR). Therefore, the statement that the GFR will increase during fight-or-flight situations due to the vasodilation of afferent arterioles is false.Rate this question:
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- 22.
The return of filtered molecules from the nephron tubules back into the blood is called
- A.
Filtration
- B.
Reabsorption
- C.
Secretion
- D.
Excretion
Correct Answer
B. ReabsorptionExplanation
Reabsorption refers to the process of filtered molecules being returned from the nephron tubules back into the blood. This process occurs in the kidneys and is essential for maintaining the body's balance of water and electrolytes. Reabsorption helps to conserve valuable substances such as glucose, amino acids, and water, while also removing waste products. It plays a crucial role in regulating blood pressure, pH levels, and overall fluid balance within the body.Rate this question:
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- 23.
Which event does not occur in the proximal tubule section of the kidney nephron?
- A.
Na+ is actively pumped out of the epithelial cells across the basal membranes.
- B.
From a higher concentration in the filtrate, Na+ diffuses passively toward a lower concentration in the epithelial cells.
- C.
Cl- follows Na+ passively from the filtrate and into the epithelial cells.
- D.
Reabsorption of dissolved solutes leaves the remaining filtrate entering the loop of Henle very dilute (hypotonic).
Correct Answer
D. Reabsorption of dissolved solutes leaves the remaining filtrate entering the loop of Henle very dilute (hypotonic). -
- 24.
Which of these statements about the proximal tubule is false?
- A.
Sixty-five percent of the original glomerular ultrafiltrate is reabsorbed here and returned to the blood
- B.
Reabsorption in this portion of the nephron is not regulated by hormones.
- C.
Although ATP is consumed, the overall energy expenditure here is minimal.
- D.
The tubular fluid entering the loop of Henle remains isosmotic with blood at about 300 mOsm.
Correct Answer
C. Although ATP is consumed, the overall energy expenditure here is minimal.Explanation
The given statement that is false is "Although ATP is consumed, the overall energy expenditure here is minimal." This means that the proximal tubule does not have a minimal energy expenditure despite consuming ATP.Rate this question:
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- 25.
Which event does not occur in the ascending limb of the loop of Henle?
- A.
Na+, K+, and Cl- are all actively pumped from the filtrate into the ascending limb cells.
- B.
Na+ is actively pumped across the basolateral membranes of the epithelial cells to the interstitial tissue fluid.
- C.
By passive electrical attraction, Cl- follows the Na+ into the tissue fluid.
- D.
K+ passively diffuses back into the filtrate or out the basolateral membrane.
Correct Answer
A. Na+, K+, and Cl- are all actively pumped from the filtrate into the ascending limb cells.Explanation
In the ascending limb of the loop of Henle, Na+, K+, and Cl- are all actively pumped from the filtrate into the ascending limb cells. This process is important for reabsorbing these ions and maintaining the concentration gradient necessary for water reabsorption in the collecting duct. Therefore, the given answer is incorrect.Rate this question:
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