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What is the Micturition Reflex
An involuntary spinal reflex that causes the bladder to contract and empty (urination) when its walls are stretched or filling
Is the Internal Urethral Sphincter Voluntary or Involunary
Involuntary
Is the External Urethral Sphincter Voluntary or Involunary
Voluntary
Where is the Internal Urethral Sphincter located
Neck of Bladder
Where is the External Urethral Sphincter located
Pelvic Floor
Arteries bring blood (in/out) of the nephron
In
Veins bring blood (in/out) of the nephron
Out
Nephrons Produce ________
Filtrate
Nephrons secrete waste into _____
Filtrate
What does filtrate do
Cleans the blood and balances the body fluid
Where do each renal tube empty into
The collecting system
What is the flow through the nephron (4)
Renal corpuscle, Proximal Convoluted Tubule, Nephron Loop, Distal Convoluted Tubule
Where is the renal corpuscle located
Renal Cortex
Where is the Proximal Convoluted Tubule located
Renal Cortex
Where is the Nephron Loop Located
Renal Cortex, partially extending into medulla
Where is the Distal Convoluted Tubule located
Renal Cortex
Filtrate changes in _____ while traveling alone the tubules
Composition
What is filtration as a basic process of urine formation
Pressure forcing water & solutes out of glomerular capillaries into into the capsular space
What does filtration create
Filtrate
What is reabsorption as a basic process of urine formation
Absorption of water & solutes from filtrate back into the blood as well as from the filtrate into the peritubular fluid
What is secretion as a basic process of urine formation
Transport of solutes from peritubular fluid into the filtrate
Blood is delivered by (afferent/efferent) arterioles
Afferent
Blood leaves by (afferent/efferent) arterioles
Efferent
What are podocytes
Cells with feet that line the glomerular capillaries
What are filtration slits
Thin spaces between the feet of podocytes that allow blood to be filtered through
Filtration Membrane Includes (3):
Fenestrated Endothelium
Basement Membrane
Filtration Slits
What can not be filtered in renal corpuscle
Larger solutes like plasma proteins
What solution moves into tubules/is produced by renal corpuscle
Protein-free filtrate
What is glomerular hydrostatic pressure
Blood pressure in glomerular capillaries
Glomerular Hydrostatic Pressure is (higher/lower) than normal capillaries
Higher
Glomerular hydrostatic pressure pushes water and solutes out of _____ into ______
Blood; Filtrate
Capsular Hydrostatic pressure results from ______ in nephron
Resistance to flow
Capsular Hydrostatic Pressure pushes water and solutes out of ______ into ______
Filtrate; Blood
Blood Colloid Osmotic Pressure pushes water and solutes out of ______ into ______
Filtrate; Blood
Blood colloid osmotic pressure is pressure from _____ in blood
Proteins
What does glomerular filtration rate measure
The amount of filtrate produced by both kidneys in one minute
Net filtration pressure creates _____
filtrate
Net filtration pressure and glomerular filtration rate have a ______ correlation
Positive
If net filtration pressure goes up, glomerular filtration rate will go _____
up
Glomerular filtration rate is regulated by what 3 interacting levels of control:
Autoregulation
Hormonal Regulation
Autonomic Regulation
Autonomic Regulation involves the __________
Sympathetic Division
What is the purpose of Autoregulation of glomerular filtration rate
To maintain glomerular filtration rate despite changes in local blood pressure/flow
How does autoregulation of glomerular filtration rate effect afferent/efferent arterioles and glomerular capillaries
By changing the luminal diameters
Autoregulaion of glomerular filtration rate changes the luminal diameters of (3):
Afferent Arterioles
Efferent Arterioles
Glomerular Capillaries
What are involved in Hormonal regulation of glomerular filtration rate (2):
Renin-angiotensin-alosterone-system (RAAS)
Natriuretic Peptides
The Renin-angiotensin-alosterone-system (RAAS) ________ blood pressure
Increases
Natriuretic Peptides ________ blood pressure
Decreases
The Juxtaglomerular Complex consists of the (3):
Macula Densa
Juxtaglomerular Cells
Extraglomerular mesangial cells
Why would the Juxtaglomerular complex release renin (3) :
Decrease in blood pressure at glomerulus
Stimulation of juxtaglomerular cells by sympathetic nervous system
Changes in osmotic concentration of filtrate at macula densa
Renin converts _________ to ________
angiotensinogen; angiotensin I
Angiotensin I is converted to _________ in _________
Angiotensin II; The lungs
Angiotensin II (increases/decreases) aldosterone secretion
Increases
Angiotensin II (increases/decreases) sodium retention
Increases
Angiotensin II (increases/decreases) production of ADH
Increases
Angiotensin II (increases/decreases) water reabsorption
Increases
Angiotensin II stimulates ______ centers
Thirst
Angiotensin II (vasoconstricts/vasodilates) systemic capillaries & efferent arterioles
Vasoconstricts
Natriuretic Peptides (increase/decrease) sodium reabsorption
Decrease
Natriuretic Peptides (increase/decrease) water reabsorption
Decrease
Natriuretic Peptides (increase/decrease) thirst
Decrease
Natriuretic Peptides (vasoconstricts/vasodilates) systemic capillaries
Vasodilates
Natriuretic Peptides (vasoconstricts/vasodilates) systemic capillaries while Angiotensin II (vasoconstricts/vasodilates) systemic capillaries
Vasodilates; Vasoconstricts
Natriuretic Peptides (increase/decrease) thirst while Angiotensin II (increases/decreases) thirst
Decreases; Increases
Natriuretic Peptides (increase/decrease) BP while Angiotensin II (increases/decreases) BP
Decrease; Increase
Natriuretic Peptides are released by ______
the heart
Natriuretic Peptides are the opposite of (2):
ADH
Aldosterone
During sympathetic innervation of autonomic regulation of GFR, glomerular artierioles will (vasoconstrict/vasodilate)
Vasoconstrict
During sympathetic innervation of autonomic regulation of GFR, GFR will (increase/decrease)
Decrease
During sympathetic innervation of autonomic regulation of GFR, filtrate production will (slow down/speed up)
Slow down
During sympathetic innervation of autonomic regulation of GFR, blood will move (to/away) the/from kidneys
Away (going towards brain and muscles that need it more)
What part of tubule/collecting system does reabsorption and secretion happen at
Every part
Reabsorption and secretion involve (4):
Diffusion
Osmosis
Leak Channels
Carrier Mediated Transport
What kind of epithelium is found in the proximal convoluted tubule
Cuboidal cells with microvilli
The proximal convoluted tubule reabsorbs __% of filtrate volume
70%
The proximal convoluted tubule reabsorbs __% of organic nutrients
100%
The driving force behind solute transport in the proximal convoluted tubule is ______
Sodium
The descending loop of the nephron is (impermeable/permeable) to water
Permeable
The ascending loop of the nephron is (impermeable/permeable) to water
Impermeable
The descending loop of the nephron is freely permeable to ___ but not to _____
Water; Solutes
The descending loop of the nephron receives much (more/less) filtrate
Less
The epithelium of the descending loop of henle
Squamous cells with no microvilli or mitochondria
____ coats the inside of the ascending loop of henle
Glycoprotein
The (ascending/descending) loop of henle is very long in juxtamedullary nephrons
Ascending
What is the collecting system
A series of tubes that carry urine away from the nephrons
What do the collecting ducts do
Receive fluid from many nephrons
Collecting ducts begin in the _______, descend to the _______, and carry fluid to the ______
Cortex; Medulla; Papillary duct
Which kind of nephron is more common
Cortical
Cortical nephrons have a (long/short) loop of henle
Short
Where are cortical nephrons located
Mostly in superficial cortex
Juxtamedullary nephrons have a (long/short) loop of henle
Long
Where are juxtamedullary nephrons located
partially in the cortex, but extending deep into the medulla
What is the function of the vasa recta
To delivery oxygen and nutrients to medullary tissue
Blood flow in the vasa recta moves (with/opposite) filtrate flow
opposite
Vasa recta does/does not disturb concentration gradient
Does not
When Vasa Recta moves down toward the _____, it has (high/low) osmolarity
Medulla; High
When Vasa Recta moves up toward the _____, it has (high/low) osmolarity
Cortex; Low
When the vasa recta has high osmolarity, sodium and chloride (do/dont) enter
Do
When the vasa recta has high osmolarity, sodium and chloride (do/dont) enter
Dont