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true or false: Osmolarity of intersitial fluid of renal medulla varies with depth
true
osmolarity is lower where?
cortex
osmolarity is deeper where?
into the medulla (near renal pelvis)
What is critical to water reabsorption?
gradient
What is the countercurrent multiplier?
two tubules in proximity with flow in opposite direction as it establishes medullary osmotic gradient
What happens to water and solutes in the descending limb?
it’s permeable to water and impermeable to solutes
What happens in the thick ascending limb?
water is impermeable and uses active solute transport
fluid enters the loop at…
300 mOsm
The renal medulla concentrated to…
1200-1400 mOsm
The fluid leaves the loop at…
100 mOsm
Does Na+ reabsorb or secrete in distal tubule and collecting duct?
reabsorb
Does K+ reabsorb or secrete in distal tubule and collecting duct?
secrete
What ion does H20 follow in the distal tubule and collecting duct?
Na+
What happens during secretion?
solutes moves from pertitubular capillaries into tubules (K+ and Na+)
Is the barrier same as for reabsorption?
YES
Is the transport mechanism the same but goes in opposite directions
Yes, they have the same transport mechanism and goes in opposite directions
What are the secreted substances?
K+, H+, choline, creatine, and penicillin
What is the equation to calculate amount of substance excreted?
amount filtered + amount secreted - amount absorbed
Renal processing is determined by 2 simple rules…
if amount of solute excreted per minute is less than filtered load → solute was reabsorbed. If amount of solute excreted per minute is greater than filtered load → solute was secreted.
What is the equation for excretion rate?
U(x) * V; U(x)= concentration in urine; V= urine flow rate
What is clearence?
volume of plasma from which a substance has been removed by kidneys per unit time (volume of plasma that contains the amount of a substance that was excreted per unit time).
What is the equation for clearance
excretion rate/plasma concentration= U(x)*V/P(x)
If C(x) > GFR, then…
substance was secreted
if C(x) < GFR, then…
substances was reabsorbed
If neither secreted nor reabsorbed, then…
C(x)=GFR
What is a solute that is an example that neither secretes or reabsorbs?
inulin