Deck 30: Physiology of the Urinary System
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Deck 30: Physiology of the Urinary System
1
What mechanism causes the movement water and solutes through the filtration membrane in the nephron?
A)Simple diffusion
B)Hydrostatic pressure
C)Osmotic pressure
D)Pinocytosis
A)Simple diffusion
B)Hydrostatic pressure
C)Osmotic pressure
D)Pinocytosis
B
2

Identify the structure labeled "e."
A)Renal corpuscle
B)Glomerular capsule
C)Afferent arteriole
D)Efferent arteriole
D
3
What determines whether a substance can move through the filtration membrane?
A)Size of the substance
B)Electric charge of the substance
C)Shape of the substance
D)Partial pressure of the substance
A)Size of the substance
B)Electric charge of the substance
C)Shape of the substance
D)Partial pressure of the substance
A
4
Of these four events, which would occur first in urine formation?
A)Glomerular filtration
B)Tubular secretion
C)Tubular resorption
D)Urine concentration
A)Glomerular filtration
B)Tubular secretion
C)Tubular resorption
D)Urine concentration
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5
In a simulation of the filtration membrane, which substance should be able to pass through the dialysis tubing?
A)Leukocyte
B)Erythrocyte
C)Glucose
D)Protein
A)Leukocyte
B)Erythrocyte
C)Glucose
D)Protein
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6
The filtration membrane is created by the ________ and ________.
A)glomerulus; podocytes
B)afferent arteriole; vasa recta
C)glomerulus; parietal layer of glomerular capsule
D)glomerular capsule; afferent arteriole
A)glomerulus; podocytes
B)afferent arteriole; vasa recta
C)glomerulus; parietal layer of glomerular capsule
D)glomerular capsule; afferent arteriole
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7

Identify the structure labeled "c."
A)Vasa recta
B)Nephron loop
C)Proximal tubule
D)Distal tubule
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8
What tool is best used to analyze urine for glucose and urea levels?
A)Urinalysis test strip
B)Deionized water
C)Spectrometer
D)Dialysis tubing
A)Urinalysis test strip
B)Deionized water
C)Spectrometer
D)Dialysis tubing
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9
What structure is located between the renal corpuscle and the nephron loop (loop of Henle)?
A)Glomerular capsule
B)Afferent arteriole
C)Distal tubule
D)Proximal tubule
A)Glomerular capsule
B)Afferent arteriole
C)Distal tubule
D)Proximal tubule
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10
What is the dialysis tubing simulating when demonstrating the function of the nephron?
A)Collecting duct
B)Renal pelvis
C)Filtration membrane
D)Blood flow
A)Collecting duct
B)Renal pelvis
C)Filtration membrane
D)Blood flow
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11
Which would not be able to pass through the filtration membrane of a functional nephron?
A)Amino acid
B)Erythrocyte
C)Glucose
D)Sodium
A)Amino acid
B)Erythrocyte
C)Glucose
D)Sodium
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12
What structure drains the glomerulus?
A)Efferent arteriole
B)Afferent arteriole
C)Proximal tubule
D)Vasa recta
A)Efferent arteriole
B)Afferent arteriole
C)Proximal tubule
D)Vasa recta
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13
Why is filtration a passive process?
A)It is driven by osmotic pressure.
B)It is driven by ATP production.
C)It is driven by blood pressure.
D)It is driven by partial pressure gradient.
A)It is driven by osmotic pressure.
B)It is driven by ATP production.
C)It is driven by blood pressure.
D)It is driven by partial pressure gradient.
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14
After the nephron loop, where in the renal tubule would a urea molecule drain into next?
A)Vasa recta
B)Proximal tubule
C)Distal tubule
D)Glomerulus
A)Vasa recta
B)Proximal tubule
C)Distal tubule
D)Glomerulus
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15
Which substance should be found in urine?
A)Plasma proteins
B)Urea
C)Erythrocytes
D)Glucose
A)Plasma proteins
B)Urea
C)Erythrocytes
D)Glucose
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16
What structure is the functional unit of the kidney?
A)Renal pyramid
B)Renal corpuscle
C)Nephron
D)Vasa recta
A)Renal pyramid
B)Renal corpuscle
C)Nephron
D)Vasa recta
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17
Why can't a plasma protein move through the dialysis tubing of the simulated filtration membrane?
A)It is too large.
B)Its shape is incompatible with receptor.
C)It is too small.
D)It has an opposite electrical charge.
A)It is too large.
B)Its shape is incompatible with receptor.
C)It is too small.
D)It has an opposite electrical charge.
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18

Identify the structure labeled "g."
A)Glomerular capsule
B)Renal corpuscle
C)Efferent arteriole
D)Afferent arteriole
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19
Which is not a function of the kidneys?
A)Maintaining the blood's water balance
B)Producing renin
C)Resorbing bile for recycling
D)Regulating the blood's acid-base balance
A)Maintaining the blood's water balance
B)Producing renin
C)Resorbing bile for recycling
D)Regulating the blood's acid-base balance
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20
When demonstrating the function of the filtration membrane in a lab activity, what is used to test for various substances in the urine filtrate?
A)Spectrometer
B)Urinalysis strip
C)Dialysis tubing
D)Deionized water
A)Spectrometer
B)Urinalysis strip
C)Dialysis tubing
D)Deionized water
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21
Which part of the renal tubule is lined with simple cuboidal cells with abundant microvilli?
A)Collecting duct
B)Proximal tubule
C)Nephron loop
D)Distal tubule
A)Collecting duct
B)Proximal tubule
C)Nephron loop
D)Distal tubule
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22
In what part of the renal tubule does most reabsorption of substances occur?
A)Distal tubule
B)Nephron loop
C)Proximal tubule
D)Glomerular capsular space
A)Distal tubule
B)Nephron loop
C)Proximal tubule
D)Glomerular capsular space
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23
Which structure surrounds the proximal and distal tubules?
A)Vasa recta
B)Nephron loop
C)Glomerulus
D)Peritubular capillaries
A)Vasa recta
B)Nephron loop
C)Glomerulus
D)Peritubular capillaries
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24
The juxtaglomerular apparatus is composed of ________.
A)juxtaglomerular cells
B)podocytes
C)macula densa cells
D)both juxtaglomerular and macula densa cells
A)juxtaglomerular cells
B)podocytes
C)macula densa cells
D)both juxtaglomerular and macula densa cells
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25
Explain why filtration is a passive process in the renal corpuscle.
A)The size of the filtration slits and fenestrations is constant.
B)Blood pressure in the glomerulus is constant.
C)Podocyte regulation of filtration is constant.
D)Hydrostatic pressure in the capsular space is constant.
A)The size of the filtration slits and fenestrations is constant.
B)Blood pressure in the glomerulus is constant.
C)Podocyte regulation of filtration is constant.
D)Hydrostatic pressure in the capsular space is constant.
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26
Substance X was isolated in a urine sample, but it is too big to pass through the glomerular filtration membrane. How is this possible?
A)The glomerulus must be infected and hyperpermeable.
B)The kidney must be damaged.
C)It was secreted later in the distal tubule.
D)It isn't possible. There was a flaw in the urinalysis.
A)The glomerulus must be infected and hyperpermeable.
B)The kidney must be damaged.
C)It was secreted later in the distal tubule.
D)It isn't possible. There was a flaw in the urinalysis.
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27
Which structure plays a critical role in countercurrent exchanger?
A)Glomerulus
B)Nephron loop
C)Vasa recta
D)Renal corpuscle
A)Glomerulus
B)Nephron loop
C)Vasa recta
D)Renal corpuscle
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28
What can a urinalysis test tell a health practitioner about a patient?
A)Whether the patient is having problems with their pancreas
B)Whether the blood is too acidic
C)Whether the patient has chronic high blood pressure
D)Whether the kidney is functioning properly
E)Any of these can be indicated by a urinalysis test
A)Whether the patient is having problems with their pancreas
B)Whether the blood is too acidic
C)Whether the patient has chronic high blood pressure
D)Whether the kidney is functioning properly
E)Any of these can be indicated by a urinalysis test
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29
If glucose is present in urine, it suggests ________.
A)bacterial infection
B)high blood pressure
C)insufficient insulin production by the pancreas
D)diet high in protein
A)bacterial infection
B)high blood pressure
C)insufficient insulin production by the pancreas
D)diet high in protein
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30
Reabsorption and active transport occur in the convoluted tubules of the nephron, whereas filtration occurs in the glomerular capsule of the renal corpuscle. Predict what cellular structure will be more abundant in tubule cells as compared to capsule cells.
A)Mitochondria
B)RER
C)Golgi apparatus
D)Lysosomes
A)Mitochondria
B)RER
C)Golgi apparatus
D)Lysosomes
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31
If urine specific gravity is high, it suggests ________.
A)bacterial infection
B)insufficient insulin production by the pancreas
C)dehydration
D)high blood pressure
A)bacterial infection
B)insufficient insulin production by the pancreas
C)dehydration
D)high blood pressure
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32
Predict the effect of fluid loss through vomiting or diarrhea on juxtaglomerular cell activity.
A)Renin would be released.
B)Aldosterone levels would fall.
C)ADH would be released.
D)Renin levels would fall.
A)Renin would be released.
B)Aldosterone levels would fall.
C)ADH would be released.
D)Renin levels would fall.
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33
Explain why excess proteins in the urine of a pregnant woman are an indication of preeclampsia.
A)Larger molecules such as proteins more easily pass through the filtration membrane when blood pressure is elevated and is a sign of kidney problems.
B)Excess proteins in the urine are a sign of a urinary tract infection, which is a common condition in pregnant women.
C)Excess proteins in the urine are a sign of gestational diabetes (diabetes mellitus), which can affect pregnant women.
D)Excess proteins in the urine are a sign of physiological stress on the liver, which can occur during pregnancy.
A)Larger molecules such as proteins more easily pass through the filtration membrane when blood pressure is elevated and is a sign of kidney problems.
B)Excess proteins in the urine are a sign of a urinary tract infection, which is a common condition in pregnant women.
C)Excess proteins in the urine are a sign of gestational diabetes (diabetes mellitus), which can affect pregnant women.
D)Excess proteins in the urine are a sign of physiological stress on the liver, which can occur during pregnancy.
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34
In which part of the renal tubule does aldosterone primarily target?
A)Nephron loop
B)Collecting duct
C)Proximal tubule
D)Distal tubule
A)Nephron loop
B)Collecting duct
C)Proximal tubule
D)Distal tubule
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35
Explain the structural and functional significance of the location of the juxtaglomerular apparatus.
A)This location allows the macula densa cells to receive information about the results of the three processes of urine formation and give instructions to the afferent arteriole thus changing activity levels for future urine production.
B)This location allows the macula densa cells to receive information about the results of the three processes of urine formation and give instructions to the efferent arteriole thus changing activity levels for future urine production.
C)This location provides the best opportunity to affect rates of reabsorption.
D)This location has a higher interstitial osmolarity allowing regulation of salt concentrations in urine.
A)This location allows the macula densa cells to receive information about the results of the three processes of urine formation and give instructions to the afferent arteriole thus changing activity levels for future urine production.
B)This location allows the macula densa cells to receive information about the results of the three processes of urine formation and give instructions to the efferent arteriole thus changing activity levels for future urine production.
C)This location provides the best opportunity to affect rates of reabsorption.
D)This location has a higher interstitial osmolarity allowing regulation of salt concentrations in urine.
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36
Substance Y is not present in the urine; however, it was originally filtered through the glomerulus. How is this possible?
A)It was phagocytized during the countercurrent exchange.
B)It was secreted in the distal tubule.
C)It was resorbed in the proximal tubule.
D)It was not filtered by the glomerulus.
A)It was phagocytized during the countercurrent exchange.
B)It was secreted in the distal tubule.
C)It was resorbed in the proximal tubule.
D)It was not filtered by the glomerulus.
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