Deck 15: The Urinary System
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Deck 15: The Urinary System
1

A) A
B) B
C) C
D) D
E) B and C
Answer: E
Topic: Sec. 15.3
Bloom's: Remembering/Understanding
LO: 15.3a
GLO: G1
As urine moves through a nephron, it is modified by ions, water, and other materials either being secreted into the fluid or by efflux of substances out of the urine. However, such modifications do not occur in which one of the following regions of the nephron?
A) loop of Henle
B) collecting duct
C) Bowman's capsule
D) proximal tubule
E) distal tubule
C
2

A) A
B) B
C) C
D) D
E) B and C
Answer: E
Topic: Sec. 15.3
Bloom's: Remembering/Understanding
LO: 15.3a
GLO: G1
The efferent arteriole carries blood from the glomerulus to the
A) renal artery.
B) peritubular capillaries.
C) renal vein.
D) collecting duct.
E) afferent arteriole.
B
3
The hairpin design of the loop of Henle allows events on one side of the loop to influence the events on the other side, by a process referred to as
A) paratubular movement.
B) countercurrent exchange.
C) bulk flow.
D) glomerular filtration.
E) tubular reabsorption.
A) paratubular movement.
B) countercurrent exchange.
C) bulk flow.
D) glomerular filtration.
E) tubular reabsorption.
B
4
Over 99% of the water filtered through the glomerulus is reabsorbed. At which one of the following locations does most of this water reabsorption occur?
A) loop of Henle
B) distal tubule
C) collecting duct
D) proximal tubule
E) renal pelvis
A) loop of Henle
B) distal tubule
C) collecting duct
D) proximal tubule
E) renal pelvis
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5
Renin is secreted by which one of the following structures?
A) distal tubule
B) juxtaglomerular apparatus
C) renal medulla
D) glomerulus
E) Bowman's capsule
A) distal tubule
B) juxtaglomerular apparatus
C) renal medulla
D) glomerulus
E) Bowman's capsule
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6
Movement of sodium across the cells of the collecting duct relies on which one of the following?
A) tubular secretion
B) glomerular filtration
C) tubular reabsorption
D) active transport
E) bulk flow
A) tubular secretion
B) glomerular filtration
C) tubular reabsorption
D) active transport
E) bulk flow
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7

A) digestive tract
B) circulatory system
C) respiratory system
D) integumentary system
E) urinary system
Answer: B
Topic: Sec. 15.1
Bloom's: Remembering/Understanding
LO: 15.1a
GLO: G1
The kidneys function to maintain homeostasis in all of the following ways EXCEPT which one?
A) regulating blood volume
B) controlling salt balance in body fluids
C) exchanging blood gases
D) regulating blood pressure
E) regulating vitamin D
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8

A) digestive tract
B) circulatory system
C) respiratory system
D) integumentary system
E) urinary system
Answer: B
Topic: Sec. 15.1
Bloom's: Remembering/Understanding
LO: 15.1a
GLO: G1
The primary sources of the nitrogenous wastes that are eliminated by the kidneys are
A) proteins.
B) carbohydrates.
C) vitamins.
D) triglycerides.
E) nucleic acids.
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9
Which one of the following is typically removed from the blood by the tubular secretion process?
A) drugs such as marijuana and cocaine
B) urea
C) protein
D) red blood cells
E) water
A) drugs such as marijuana and cocaine
B) urea
C) protein
D) red blood cells
E) water
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10
The hormone ADH
A) causes the kidneys to produce dilute urine.
B) is secreted by the kidneys.
C) causes the cells of the collecting duct to be more permeable to water.
D) causes the kidneys to produce a high volume of urine.
E) is usually secreted when the body is completely hydrated.
A) causes the kidneys to produce dilute urine.
B) is secreted by the kidneys.
C) causes the cells of the collecting duct to be more permeable to water.
D) causes the kidneys to produce a high volume of urine.
E) is usually secreted when the body is completely hydrated.
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11
An individual has been diagnosed with persistent proteinuria. This condition is due to damage in which one of the following regions of the nephron?
A) loop of Henle
B) proximal tubule
C) glomerular capsule
D) distal tubule
E) collecting duct
A) loop of Henle
B) proximal tubule
C) glomerular capsule
D) distal tubule
E) collecting duct
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12
Which of the following groupings of organs is responsible for the maintenance of water balance in the body?
A) liver, kidneys, hypothalamus
B) heart, liver, posterior pituitary
C) posterior pituitary, hypothalamus, kidneys
D) kidneys, hypothalamus, liver
E) posterior pituitary, bone marrow, kidneys
A) liver, kidneys, hypothalamus
B) heart, liver, posterior pituitary
C) posterior pituitary, hypothalamus, kidneys
D) kidneys, hypothalamus, liver
E) posterior pituitary, bone marrow, kidneys
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13

A) A
B) B
C) C
D) D
E) B and C
Answer: E
Topic: Sec. 15.3
Bloom's: Remembering/Understanding
LO: 15.3a
GLO: G1
Consider a red blood cell traveling in the renal artery. It passes through several different functional vessels before entering the renal vein. Consider the vessels listed below. Which one of the following answers lists the CORRECT order in which the red blood cell passes through these vessels? 1. peritubular capillaries
2) efferent arteriole
3) afferent arteriole
4) glomerulus
5) renal vein
A) 1, 2, 3, 4, 5
B) 3, 4, 2, 1, 5
C) 3, 2, 4, 1, 5
D) 2, 1, 3, 4, 5
E) 4, 3, 2, 1, 5
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14

A) digestive tract
B) circulatory system
C) respiratory system
D) integumentary system
E) urinary system
Answer: B
Topic: Sec. 15.1
Bloom's: Remembering/Understanding
LO: 15.1a
GLO: G1
The nitrogenous waste ammonia is usually converted to a less toxic substance known as
A) amino acids.
B) urea.
C) fatty acids.
D) sodium chloride crystals.
E) uric acid.
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15
Water and nutrients that have been filtered from the glomerular filtrate are returned to circulation as they enter the
A) renal artery.
B) vasa recta.
C) efferent arteriole.
D) peritubular capillaries.
E) vasa recta and peritubular capillaries.
A) renal artery.
B) vasa recta.
C) efferent arteriole.
D) peritubular capillaries.
E) vasa recta and peritubular capillaries.
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16
Urine formation initiates with glomerular filtration, a process that relies on filtering large quantities of protein-free plasma into the Bowman's capsule by
A) passive diffusion through porous capillaries.
B) active transport from interstitial fluid.
C) active transport from paratubular capillaries.
D) osmotic transport from lymph fluid.
E) micelle transport.
A) passive diffusion through porous capillaries.
B) active transport from interstitial fluid.
C) active transport from paratubular capillaries.
D) osmotic transport from lymph fluid.
E) micelle transport.
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17
Alcohol has diuretic effects, increasing urine output. By which one of the following is this mediated?
A) Alcohol increases the amount of sodium reabsorbed.
B) Alcohol decreases the amount of sodium reabsorbed.
C) Alcohol makes the renal tubules more permeable to water.
D) Alcohol inhibits the release of ADH.
E) Drinks with alcohol also contain a lot of water, and the kidneys excrete this.
A) Alcohol increases the amount of sodium reabsorbed.
B) Alcohol decreases the amount of sodium reabsorbed.
C) Alcohol makes the renal tubules more permeable to water.
D) Alcohol inhibits the release of ADH.
E) Drinks with alcohol also contain a lot of water, and the kidneys excrete this.
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18

A) digestive tract
B) circulatory system
C) respiratory system
D) integumentary system
E) urinary system
Answer: B
Topic: Sec. 15.1
Bloom's: Remembering/Understanding
LO: 15.1a
GLO: G1
When urine leaves the kidneys, it enters the
A) urethra.
B) liver.
C) ureter.
D) urinary bladder.
E) nephron.
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19

A) A
B) B
C) C
D) D
E) B and C
Answer: E
Topic: Sec. 15.3
Bloom's: Remembering/Understanding
LO: 15.3a
GLO: G1
The capillaries that serve as the major blood supply to the kidneys are called the
A) Bowman's capsule.
B) cortex.
C) proximal tubules.
D) hepatic portal system.
E) glomerulus.
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20
Urination depends on
A) blood proteins.
B) water movement into the proximal tubule.
C) the neural micturition reflex.
D) the concentration of urea in the distal tubule.
E) countercurrent exchange in the vasa recta.
A) blood proteins.
B) water movement into the proximal tubule.
C) the neural micturition reflex.
D) the concentration of urea in the distal tubule.
E) countercurrent exchange in the vasa recta.
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21
Renin stimulates the secretion of aldosterone.
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22
The ureters connect the kidneys to the urinary bladder.
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23
Which of the following regulates salt balance?
A) ADH
B) aldosterone
C) atrial natriuretic hormone (ANH)
D) renin
E) both aldosterone and ANH
A) ADH
B) aldosterone
C) atrial natriuretic hormone (ANH)
D) renin
E) both aldosterone and ANH
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24
Given the following events involved in the regulation of blood volume, which one of the following answers best represents the order in which these events occurs? 1. sodium reabsorbed from distal tubules and collecting ducts
3) secretion of renin from juxtaglomerular apparatus
2) secretion of aldosterone
4) decrease in blood volume
5) production of angiotensin II
A) 4, 2, 5, 3, 1
B) 4, 5, 2, 1, 3
C) 2, 3, 4, 1, 5
D) 4, 2, 5, 1, 3
E) 1, 4, 5, 2, 3
3) secretion of renin from juxtaglomerular apparatus
2) secretion of aldosterone
4) decrease in blood volume
5) production of angiotensin II
A) 4, 2, 5, 3, 1
B) 4, 5, 2, 1, 3
C) 2, 3, 4, 1, 5
D) 4, 2, 5, 1, 3
E) 1, 4, 5, 2, 3
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25
Osmotic concentration in the descending limb of the loop of Henle increases as water moves out.
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26
Aldosterone is secreted in response to changes in
A) blood pressure.
B) blood calcium levels.
C) body temperature.
D) blood potassium levels.
E) blood glucose levels.
A) blood pressure.
B) blood calcium levels.
C) body temperature.
D) blood potassium levels.
E) blood glucose levels.
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27
The major nitrogenous waste product in urine is the ammonium ion.
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28
During times of stress, the autonomic nervous system causes the afferent and efferent arterioles to constrict, resulting in an increase in the amount of urine produced.
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29
Chloride ions passively follow sodium that has been actively transported out of tubular cells, due to the attraction of negatively charged ions to positively charged ions.
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30
Impairments of the kidney that are considered short term and possibly can be overcome by medication or other treatments are called chronic renal failure.
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31
The internal urethral sphincter is composed of smooth muscle, and the external urethral sphincter is composed of skeletal muscle; together, they control the process of urination.
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32
Blood containing metabolic waste is transported to the kidneys by the renal vein; the renal artery removes blood from the kidneys once the waste has been removed.
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33
Many different ions are taken into the body with each meal or produced during cellular metabolism. The kidneys are important in regulating homeostasis of these ions in the body. Match each ion to its function.
A) maintains electrical charges across cell membranes
B) important in muscle and nerve activity
C) maintains acid-base balance
D) determines the volume of extracellular fluid, including blood which can affect blood pressure
sodium and chloride
A) maintains electrical charges across cell membranes
B) important in muscle and nerve activity
C) maintains acid-base balance
D) determines the volume of extracellular fluid, including blood which can affect blood pressure
sodium and chloride
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34
The descending limb of the loop of Henle is impermeable to water so no passive diffusion occurs.
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35
Which one of the following is TRUE regarding erythropoietin?
A) It is secreted by the liver in response to rising blood pH.
B) It causes the bladder to store increased amounts of urine.
C) It is part of a positive feedback loop used to control the amount of hydrogen ion secreted by the kidneys.
D) It stimulates the production of red blood cells in the bone marrow.
E) It is secreted in response to rising blood oxygen levels.
A) It is secreted by the liver in response to rising blood pH.
B) It causes the bladder to store increased amounts of urine.
C) It is part of a positive feedback loop used to control the amount of hydrogen ion secreted by the kidneys.
D) It stimulates the production of red blood cells in the bone marrow.
E) It is secreted in response to rising blood oxygen levels.
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36
The function of the kidneys to concentrate urine is under the control of a negative feedback loop.
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37
Choose the correct order of steps for the synthesis of Vitamin D. a. Inactive vitamin D is transported to the liver where it is modified.
B) Inactive, chemically altered vitamin D is transported to the kidneys.
C) UV light strikes the skin and converts a steroid molecule into an inactive form of vitamin D.
D) Vitamin D is activated under the influence of PTH.
A) a, b, c, d
B) c, b, a, d
C) c, a, b, d
D) a, c, b, d
E) d, a, c, b
B) Inactive, chemically altered vitamin D is transported to the kidneys.
C) UV light strikes the skin and converts a steroid molecule into an inactive form of vitamin D.
D) Vitamin D is activated under the influence of PTH.
A) a, b, c, d
B) c, b, a, d
C) c, a, b, d
D) a, c, b, d
E) d, a, c, b
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38
Not only are the kidneys considered organs of excretion, but they have an endocrine function as well as an important role in the maintenance of homeostasis through the regulation of blood pH.
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39
Minerals that crystallize in the renal pelvis are referred to as
A) kidney stones.
B) pelvic crystals.
C) otoliths.
D) osteocytes.
E) renal deposits.
A) kidney stones.
B) pelvic crystals.
C) otoliths.
D) osteocytes.
E) renal deposits.
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40
Continuous ambulatory peritoneal dialysis involves the circulation of a patient's blood through an artificial kidney machine in order to remove metabolic waste and excess ions; this procedure can now be done in the home.
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41
Match each region of the nephron to its description.
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
region where fluids are transported to the collecting duct; active reabsorption of salt occurs
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
region where fluids are transported to the collecting duct; active reabsorption of salt occurs
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42
The process of reabsorbing water is regulated by ________ hormone.
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43
Match each of the following disorders associated with the urinary system to its description.
A) chronic renal failure
B) acute renal failure
C) kidney stones
D) proteinuria
condition that results from crystallization of minerals in urine; can block the flow of urine out of the body
A) chronic renal failure
B) acute renal failure
C) kidney stones
D) proteinuria
condition that results from crystallization of minerals in urine; can block the flow of urine out of the body
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44
Match each region of the nephron to its description.
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
region where 65-70% of the water in the glomerular filtrate is reabsorbed into the blood
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
region where 65-70% of the water in the glomerular filtrate is reabsorbed into the blood
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45
Match each of the following disorders associated with the urinary system to its description.
A) chronic renal failure
B) acute renal failure
C) kidney stones
D) proteinuria
condition that results from short-term damage to the kidneys and is usually correctable; can be caused by low blood pressure, infections, or severe injuries
A) chronic renal failure
B) acute renal failure
C) kidney stones
D) proteinuria
condition that results from short-term damage to the kidneys and is usually correctable; can be caused by low blood pressure, infections, or severe injuries
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46
Many different ions are taken into the body with each meal or produced during cellular metabolism. The kidneys are important in regulating homeostasis of these ions in the body. Match each ion to its function.
A) maintains electrical charges across cell membranes
B) important in muscle and nerve activity
C) maintains acid-base balance
D) determines the volume of extracellular fluid, including blood which can affect blood pressure
hydrogen
A) maintains electrical charges across cell membranes
B) important in muscle and nerve activity
C) maintains acid-base balance
D) determines the volume of extracellular fluid, including blood which can affect blood pressure
hydrogen
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47

location of nephrons, which filter blood to remove wastes and retain essential solutes
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48

muscular tube that passes urine out of the body
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49

stores urine until it is excreted out of the body
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50
Match each region of the nephron to its description.
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
region composed of a descending limb that is permeable to water and an ascending limb that is impermeable to water
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
region composed of a descending limb that is permeable to water and an ascending limb that is impermeable to water
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51
Match each of the following disorders associated with the urinary system to its description.
A) chronic renal failure
B) acute renal failure
C) kidney stones
D) proteinuria
condition also known as end-stage renal disease; kidneys no longer function properly due to long-term, irreversible damage
A) chronic renal failure
B) acute renal failure
C) kidney stones
D) proteinuria
condition also known as end-stage renal disease; kidneys no longer function properly due to long-term, irreversible damage
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52
Countercurrent exchange is used primarily in the hairpin arrangement of the ________ portion of the nephron.
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53
Many different ions are taken into the body with each meal or produced during cellular metabolism. The kidneys are important in regulating homeostasis of these ions in the body. Match each ion to its function.
A) maintains electrical charges across cell membranes
B) important in muscle and nerve activity
C) maintains acid-base balance
D) determines the volume of extracellular fluid, including blood which can affect blood pressure
calcium
A) maintains electrical charges across cell membranes
B) important in muscle and nerve activity
C) maintains acid-base balance
D) determines the volume of extracellular fluid, including blood which can affect blood pressure
calcium
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54

delivers urine to the bladder
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55
Many different ions are taken into the body with each meal or produced during cellular metabolism. The kidneys are important in regulating homeostasis of these ions in the body. Match each ion to its function.
A) maintains electrical charges across cell membranes
B) important in muscle and nerve activity
C) maintains acid-base balance
D) determines the volume of extracellular fluid, including blood which can affect blood pressure
potassium
A) maintains electrical charges across cell membranes
B) important in muscle and nerve activity
C) maintains acid-base balance
D) determines the volume of extracellular fluid, including blood which can affect blood pressure
potassium
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56
Nitrogenous wastes are produced during normal metabolism of ________.
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57
Match each of the following disorders associated with the urinary system to its description.
A) chronic renal failure
B) acute renal failure
C) kidney stones
D) proteinuria
condition caused by damage to the glomerulus; results in the presence of protein in the urine
A) chronic renal failure
B) acute renal failure
C) kidney stones
D) proteinuria
condition caused by damage to the glomerulus; results in the presence of protein in the urine
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58
Match each region of the nephron to its description.
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
ADH increases the permeability of the cells of this region to water
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
ADH increases the permeability of the cells of this region to water
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59
The outer portion of the kidneys is the ________, whereas the inner portion is the ________.
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60
Match each region of the nephron to its description.
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
region where blood plasma fluid is filtered from the blood into the nephron
A) glomerular capsule
B) proximal tubule
C) collecting duct
D) loop of Henle
E) distal tubule
region where blood plasma fluid is filtered from the blood into the nephron
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61
Sodium is moved out of the proximal tubule by ________.
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62
Nutrients, water, and ions reabsorbed by the proximal and distal tubules enter the ________ capillaries.
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63
If the Bowman's capsule could be surgically removed so that the end (closed) of the proximal tubule was in contact with the glomerulus, what would be the impact on glomerular filtration?
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64
________ not only stimulates the release of aldosterone from the adrenal glands but also causes constriction of small blood vessels (vasoconstriction).
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65
Tubular reabsorption occurs when most of the fluid and solutes move back into the ________.
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66
Energy drinks contain several components, including caffeine, that are advertised to boost your energy levels. If you drink several of these caffeine-containing energy drinks in a short period of time, you feel the sensation to urinate. Why?
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67
ADH ________ the permeability of the cells of the collecting duct to water.
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68
Three organs in the human body are involved in the production of vitamin D; they are the ________, ________, and ________.
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69
The glomerulus of each nephron is enclosed by a portion of the nephron known as a glomerular ________.
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70
Chloride ions move by ________, following the transport of sodium out of the proximal tubule.
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71
The steroid hormone ________ regulates the reabsorption of sodium across the collecting duct and distal tubule.
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72
The loop of Henle relies on a countercurrent exchange mechanism to promote movement of water and solutes. Explain the significance of this mechanism to the composition of urine.
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73
Each kidney is made up of a million ________, the functional units of a kidney.
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