Deck 18: Urinary System and Body Fluids
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Deck 18: Urinary System and Body Fluids
1
The predominant solutes in urine are glucose and sodium.
False
2
Buffers adjust deviations in pH by removing hydrogen ions from the body.
False
3
The portion of the nephron that is between the proximal and distal convoluted tubules is the
A) glomerular capsule
B) collecting duct
C) nephron loop
D) glomerulus
E) juxtaglomerular apparatus
A) glomerular capsule
B) collecting duct
C) nephron loop
D) glomerulus
E) juxtaglomerular apparatus
C
4
The kidneys are
A) retroperitoneal and between twelfth thoracic and third lumbar vertebrae
B) retroperitoneal and between the second and fifth lumbar vertebrae
C) retroperitoneal and in the lower right and left quadrants of the abdomen
D) surrounded by peritoneum and attached to the posterior abdominal wall by a mesentery near the first lumbar vertebra
E) surrounded by peritoneum and attached to the posterior abdominal wall by a mesentery near the third lumbar vertebra
A) retroperitoneal and between twelfth thoracic and third lumbar vertebrae
B) retroperitoneal and between the second and fifth lumbar vertebrae
C) retroperitoneal and in the lower right and left quadrants of the abdomen
D) surrounded by peritoneum and attached to the posterior abdominal wall by a mesentery near the first lumbar vertebra
E) surrounded by peritoneum and attached to the posterior abdominal wall by a mesentery near the third lumbar vertebra
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5
Water is reabsorbed by osmosis from all parts of the renal tubule.
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6
A nephron consists of a renal
A) pyramid and a renal column
B) corpuscle and a renal tubule
C) capsule and a renal pelvis
D) calyx and a renal pelvis
E) tubule and nephron loop
A) pyramid and a renal column
B) corpuscle and a renal tubule
C) capsule and a renal pelvis
D) calyx and a renal pelvis
E) tubule and nephron loop
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7
About 40 percent of the body weight is fluid.
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8
Potassium and phosphates are the major intracellular ions.
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9
The capillary complex within the renal corpuscle is the
A) glomerular capsule
B) glomerulus
C) nephron loop
D) peritubular capillary
E) renal papilla
A) glomerular capsule
B) glomerulus
C) nephron loop
D) peritubular capillary
E) renal papilla
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10
The functional unit of the kidney is the
A) glomerulus
B) pyramid
C) papilla
D) nephron
E) nephron loop
A) glomerulus
B) pyramid
C) papilla
D) nephron
E) nephron loop
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11
The structures that receive the filtrate from the nephrons and take it to the minor calyces is the
A) collecting duct
B) descending limb of the nephron loop
C) renal pelvis
D) ureter
E) peritubular capillary
A) collecting duct
B) descending limb of the nephron loop
C) renal pelvis
D) ureter
E) peritubular capillary
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12
The cortical material between the renal pyramids makes up the renal
A) cortex
B) pelvis
C) columns
D) papillae
E) calyces
A) cortex
B) pelvis
C) columns
D) papillae
E) calyces
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13
Urine volume increases as a result of increased ADH.
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14
The triangular,striated regions that make up the renal medulla are the renal
A) columns
B) pyramids
C) papillae
D) pelvises
E) calyces
A) columns
B) pyramids
C) papillae
D) pelvises
E) calyces
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15
The maintenance of the volume and composition of body fluids is the basic function of the _____ system.
A) cardiovascular
B) digestive
C) nervous
D) urinary
E) respiratory
A) cardiovascular
B) digestive
C) nervous
D) urinary
E) respiratory
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16
The renal medulla contains the
A) glomerulus and glomerular capsule
B) proximal and distal convoluted tubules
C) distal convoluted tubules and collecting ducts
D) nephron loops and collecting ducts
E) renal corpuscles and proximal convoluted tubules
A) glomerulus and glomerular capsule
B) proximal and distal convoluted tubules
C) distal convoluted tubules and collecting ducts
D) nephron loops and collecting ducts
E) renal corpuscles and proximal convoluted tubules
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17
Blood plasma accounts for most of the extracellular fluid volume.
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18
An increase in pH above normal is termed acidosis.
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19
Glucose normally passes freely from the blood into the glomerular capsule.
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20
The respiratory system compensates for deviations in pH by adjusting the amount of carbon dioxide that is exhaled.
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21
The vessel that returns blood from the kidney directly into the IVC is the _____ vein.
A) interlobar
B) renal
C) splenic
D) hepatic
E) segmental
A) interlobar
B) renal
C) splenic
D) hepatic
E) segmental
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22
The volume of filtrate formed in a 24 hour period is about
A) 180 gallons
B) 2 liters
C) 125 gallons
D) 180 liters
E) 125 liters
A) 180 gallons
B) 2 liters
C) 125 gallons
D) 180 liters
E) 125 liters
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23
The female urethra is _____ than in the male and opens _____ to the opening for the vagina.
A) shorter;posterior
B) shorter;anterior
C) longer;posterior
D) longer;anterior
A) shorter;posterior
B) shorter;anterior
C) longer;posterior
D) longer;anterior
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24
All of the following affect net filtration pressure EXCEPT
A) blood pressure in the glomerulus
B) hydrostatic pressure in the glomerular capsule
C) blood pressure in the peritubular capillaries
D) osmotic pressure in the blood of the glomerulus
A) blood pressure in the glomerulus
B) hydrostatic pressure in the glomerular capsule
C) blood pressure in the peritubular capillaries
D) osmotic pressure in the blood of the glomerulus
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25
If glomerular hydrostatic pressure is 60 mm Hg,glomerular osmotic pressure is 32 mm Hg,and capsular hydrostatic pressure is 18 mm Hg,the net filtration pressure is _____ mm Hg.
A) 64
B) 10
C) 20
D) 46
E) 28
A) 64
B) 10
C) 20
D) 46
E) 28
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26
The urinary bladder is located _____ the peritoneum.
A) posterior to the symphysis pubis and below
B) posterior to the symphysis pubis and above
C) anterior to the symphysis pubis and below
D) anterior to the symphysis pubis and above
E) in the midline of the abdominal cavity and above
A) posterior to the symphysis pubis and below
B) posterior to the symphysis pubis and above
C) anterior to the symphysis pubis and below
D) anterior to the symphysis pubis and above
E) in the midline of the abdominal cavity and above
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27
In tubular reabsorption,substances move from the
A) proximal convoluted tubule into the nephron loop
B) peritubular capillaries into the renal tubule
C) proximal convoluted tubule into the glomerular capsule
D) renal tubules into the peritubular capillaries
E) peritubular capillaries into the nephron loop
A) proximal convoluted tubule into the nephron loop
B) peritubular capillaries into the renal tubule
C) proximal convoluted tubule into the glomerular capsule
D) renal tubules into the peritubular capillaries
E) peritubular capillaries into the nephron loop
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28
Afferent arterioles are branches of the
A) interlobar artery
B) arcuate artery
C) segmental artery
D) peritubular capillary
E) interlobular artery
A) interlobar artery
B) arcuate artery
C) segmental artery
D) peritubular capillary
E) interlobular artery
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29
The juxtaglomerular cells of the juxtaglomerular apparatus are specialized cells in the
A) ascending limb of the nephron loop
B) macula densa
C) afferent arteriole
D) efferent arteriole
E) proximal convoluted tubule
A) ascending limb of the nephron loop
B) macula densa
C) afferent arteriole
D) efferent arteriole
E) proximal convoluted tubule
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30
Some substances,such as glucose,are reabsorbed by facilitated diffusion.This means that reabsorption is limited by the
A) amount of ATP available
B) number of carrier molecules present
C) permeability of the tubular cells
D) hydrostatic pressure in the tubule
E) osmotic pressure in the tubule
A) amount of ATP available
B) number of carrier molecules present
C) permeability of the tubular cells
D) hydrostatic pressure in the tubule
E) osmotic pressure in the tubule
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31
Which is true concerning the internal and external urethral sphincters?
A) The internal sphincter is involuntary smooth muscle and the external is voluntary striated muscle.
B) The internal sphincter is voluntary striated muscle and the external is involuntary smooth muscle.
C) Both are involuntary smooth muscle.
D) Both are voluntary striated muscle.
A) The internal sphincter is involuntary smooth muscle and the external is voluntary striated muscle.
B) The internal sphincter is voluntary striated muscle and the external is involuntary smooth muscle.
C) Both are involuntary smooth muscle.
D) Both are voluntary striated muscle.
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32
The portion of the nephron tubule that is not permeable to water is the
A) proximal convoluted tubule
B) descending limb of the nephron loop
C) ascending limb of the nephron loop
D) distal convoluted tubule
E) collecting duct
A) proximal convoluted tubule
B) descending limb of the nephron loop
C) ascending limb of the nephron loop
D) distal convoluted tubule
E) collecting duct
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33
Water reabsorption is the result of
A) hydrostatic pressure
B) facilitated diffusion
C) active transport
D) osmosis
E) pinocytosis
A) hydrostatic pressure
B) facilitated diffusion
C) active transport
D) osmosis
E) pinocytosis
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34
The act of expelling urine from the bladder is called
A) urination
B) voiding
C) micturition
D) both a and b
E) a,b,and c
A) urination
B) voiding
C) micturition
D) both a and b
E) a,b,and c
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35
The smooth muscle in the wall of the urinary bladder is the _____ muscle.
A) sphincter
B) detrusor
C) cremaster
D) dartos
A) sphincter
B) detrusor
C) cremaster
D) dartos
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36
The openings for the ureters and urethra form a triangular area on the floor of the bladder that is called the
A) pyramid
B) detrusor area
C) prostatic area
D) trigone
E) transurethral area
A) pyramid
B) detrusor area
C) prostatic area
D) trigone
E) transurethral area
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37
Urine is transported away from the kidney in the
A) renal pelvis
B) renal sinus
C) ureter
D) collecting tubule
E) urethra
A) renal pelvis
B) renal sinus
C) ureter
D) collecting tubule
E) urethra
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38
Most of the tubular reabsorption occurs in the
A) glomerular capsule
B) proximal tubule
C) nephron loop
D) distal tubule
E) collecting duct
A) glomerular capsule
B) proximal tubule
C) nephron loop
D) distal tubule
E) collecting duct
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39
The formation of urine involves three basic steps.These are
A) secretion,excretion,and urination
B) filtration,osmosis,and transport
C) filtration,tubular reabsorption,tubular secretion
D) osmosis,active transport,facilitated diffusion
E) tubular filtration,capsular reabsorption,capillary secretion
A) secretion,excretion,and urination
B) filtration,osmosis,and transport
C) filtration,tubular reabsorption,tubular secretion
D) osmosis,active transport,facilitated diffusion
E) tubular filtration,capsular reabsorption,capillary secretion
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40
In glomerular filtration,fluid passes from the
A) glomerulus into the glomerular capsule
B) glomerular capsule into the proximal tubule
C) afferent arteriole into the glomerulus
D) glomerular capsule into the glomerulus
E) glomerulus into the efferent arteriole
A) glomerulus into the glomerular capsule
B) glomerular capsule into the proximal tubule
C) afferent arteriole into the glomerulus
D) glomerular capsule into the glomerulus
E) glomerulus into the efferent arteriole
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41
The pituitary hormone that increases the permeability of collecting ducts to water is
A) oxytocin
B) antidiuretic hormone
C) luteinizing hormone
D) adrenocorticotropic hormone
E) aldosterone
A) oxytocin
B) antidiuretic hormone
C) luteinizing hormone
D) adrenocorticotropic hormone
E) aldosterone
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42
Which of the following represents a normal pH for urine?
A) 3
B) 4
C) 6
D) 9
E) 10
A) 3
B) 4
C) 6
D) 9
E) 10
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43
Excess hydrogen ions are removed from the blood by
A) glomerular filtration
B) tubular reabsorption
C) tubular osmosis
D) tubular secretion
A) glomerular filtration
B) tubular reabsorption
C) tubular osmosis
D) tubular secretion
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44
Angiotensin II increases blood pressure by
A) vasoconstriction of systemic arteries and stimulation of aldosterone
B) vasodilation of systemic arteries and stimulation of aldosterone
C) vasoconstriction of systemic arteries and stimulation of antidiuretic hormone
D) vasodilation of systemic arteries and stimulation of antidiuretic hormone
A) vasoconstriction of systemic arteries and stimulation of aldosterone
B) vasodilation of systemic arteries and stimulation of aldosterone
C) vasoconstriction of systemic arteries and stimulation of antidiuretic hormone
D) vasodilation of systemic arteries and stimulation of antidiuretic hormone
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45
The primary hormone that regulates electrolyte concentration is
A) antidiuretic hormone
B) angiotensin
C) aldosterone
D) atrial natriuretic hormone
E) adrenocorticotropic hormone
A) antidiuretic hormone
B) angiotensin
C) aldosterone
D) atrial natriuretic hormone
E) adrenocorticotropic hormone
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46
Substances in body fluids that help prevent significant changes in pH are
A) bicarbonate ions
B) buffers
C) weak acids
D) water molecules
E) salts
A) bicarbonate ions
B) buffers
C) weak acids
D) water molecules
E) salts
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47
Which substance is present in the blood and filtrate but normally is not present in the urine?
A) plasma proteins
B) glucose
C) sodium
D) hydrogen ions
E) urea
A) plasma proteins
B) glucose
C) sodium
D) hydrogen ions
E) urea
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48
All of the following are avenues of fluid loss from the body EXCEPT
A) urine
B) perspiration
C) air that is exhaled
D) feces
E) utilization of nutrients
A) urine
B) perspiration
C) air that is exhaled
D) feces
E) utilization of nutrients
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49
The predominant extracellular cation is
A) chloride
B) sodium
C) phosphate
D) hydrogen
E) potassium
A) chloride
B) sodium
C) phosphate
D) hydrogen
E) potassium
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50
Which substance is present in the blood but not normally present in the filtrate or the urine?
A) plasma proteins
B) glucose
C) sodium
D) hydrogen ions
E) urea
A) plasma proteins
B) glucose
C) sodium
D) hydrogen ions
E) urea
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51
A pH of 7.3 indicates
A) normal blood pH
B) acidosis
C) alkalosis
D) less than normal hydrogen ions
A) normal blood pH
B) acidosis
C) alkalosis
D) less than normal hydrogen ions
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52
Three-fourths of the extracellular fluid in the body is
A) intravascular fluid
B) plasma
C) cerebrospinal fluid
D) interstitial fluid
E) fluid inside the cells
A) intravascular fluid
B) plasma
C) cerebrospinal fluid
D) interstitial fluid
E) fluid inside the cells
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53
The predominant solute in urine is
A) glucose
B) urea
C) sodium
D) bicarbonate ions
E) chloride ions
A) glucose
B) urea
C) sodium
D) bicarbonate ions
E) chloride ions
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54
The movement of substances from the blood in the peritubular capillary into the renal tubule is known as
A) glomerular filtration
B) tubular reabsorption
C) tubular osmosis
D) tubular secretion
A) glomerular filtration
B) tubular reabsorption
C) tubular osmosis
D) tubular secretion
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55
Urethratresia means
A) inflammation of the urethra
B) inflammation of the ureter
C) lack of an opening in the urethra
D) obstruction of the urethra
E) suture of the urinary bladder
A) inflammation of the urethra
B) inflammation of the ureter
C) lack of an opening in the urethra
D) obstruction of the urethra
E) suture of the urinary bladder
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56
The surgical removal of a stone from the renal pelvis is
A) nephrolithiasis
B) urethratresia
C) cystectasy
D) pyelolithotomy
E) periureteritis
A) nephrolithiasis
B) urethratresia
C) cystectasy
D) pyelolithotomy
E) periureteritis
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57
An enzyme produced by the kidneys is
A) angiotensin
B) catalase
C) renin
D) erythropoietin
E) atriopeptin
A) angiotensin
B) catalase
C) renin
D) erythropoietin
E) atriopeptin
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58
Aldosterone causes the reabsorption of sodium.This action triggers the passive reabsorption of _____ and _____ urine output.
A) proteins;increases
B) glucose;increases
C) glucose;decreases
D) water;decreases
E) water;increases
A) proteins;increases
B) glucose;increases
C) glucose;decreases
D) water;decreases
E) water;increases
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59
Under normal conditions,which of the following accounts for most fluid intake?
A) water-containing foods
B) water produced as a result of metabolism
C) water from beverages
A) water-containing foods
B) water produced as a result of metabolism
C) water from beverages
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60
Which one of the following is normally present in the urine?
A) urochrome
B) albumin
C) glucose
D) ketone bodies
E) bilirubin
A) urochrome
B) albumin
C) glucose
D) ketone bodies
E) bilirubin
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61
What is the term for the presence of red blood cells in the urine?
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62
What is the collective term for the muscle in the wall of the urinary bladder?
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63
What is another term for urination or voiding?
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64
What is the term for the specific region where most of the tubular reabsorption occurs?
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65
What is the term for the process in the renal corpuscle by which plasma components leave the blood and enter the renal tubules?
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66
What is the term for the cluster of capillaries in the renal corpuscle?
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67
What is the term for the structure that forms where the ascending limb touches the afferent arteriole?
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68
What is the term for the portion of renal tubule adjacent to the glomerular capsule?
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69
What is the term for the arteries that are located in the renal columns?
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70
What is the term for the enzyme produced by the kidneys that promotes the production of angiotensin II?
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71
What is the term for the striated appearing structures that make up the medulla of the kidney?
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72
What is the term for the central collecting structure in the kidney that is continuous with the ureter?
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73
What are two hormones that have a direct influence urine concentration and volume?
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74
What is the term for the tubular structure that carries urine from the urinary bladder to the exterior?
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