Deck 26: The Urinary System
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Deck 26: The Urinary System
1
The portion of the kidney that extends between the renal pyramids is called the
A)renal columns
B)renal medulla
C)renal pelvis
D)calyces
E)renal papilla
A)renal columns
B)renal medulla
C)renal pelvis
D)calyces
E)renal papilla
A
2
Which is the correct order of blood flow through the kidneys?
A)renal artery > segmental artery > interlobular artery > peritubular capillaries > afferent arterioles
B)interlobar arteries > arcuate arteries > glomerular capillaries > arcuate veins
C)arcuate veins > arcuate arteries > glomerular capillaries > renal vein
D)renal vein > segmental arteries > interlobar arteries > efferent arterioles
E)interlobar veins > afferent arterioles > efferent arterioles > glomerular capillaries
A)renal artery > segmental artery > interlobular artery > peritubular capillaries > afferent arterioles
B)interlobar arteries > arcuate arteries > glomerular capillaries > arcuate veins
C)arcuate veins > arcuate arteries > glomerular capillaries > renal vein
D)renal vein > segmental arteries > interlobar arteries > efferent arterioles
E)interlobar veins > afferent arterioles > efferent arterioles > glomerular capillaries
B
3
The proximal convoluted tubules reabsorb which percentage of filtered water?
A)25%
B)50%
C)65%
D)80%
E)99%
A)25%
B)50%
C)65%
D)80%
E)99%
C
4
Which is the correct order of filtrate flow?
A)glomerular capsule,proximal convoluted tubule (PCT),nephron loop,distal convoluted tubule (DCT),collecting duct
B)nephron loop,glomerular capsule,PCT,DCT,collecting duct
C)ascending limb of loop,PCT,DCT,collecting duct
D)collecting duct,DCT,PCT,collecting duct,glomerular capsule
E)PCT,glomerular capsule,DCT,collecting duct,nephron loop
A)glomerular capsule,proximal convoluted tubule (PCT),nephron loop,distal convoluted tubule (DCT),collecting duct
B)nephron loop,glomerular capsule,PCT,DCT,collecting duct
C)ascending limb of loop,PCT,DCT,collecting duct
D)collecting duct,DCT,PCT,collecting duct,glomerular capsule
E)PCT,glomerular capsule,DCT,collecting duct,nephron loop
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5
This is smooth dense irregular connective tissue that is continuous with the outer coat of the ureter.
A)adipose capsule
B)renal capsule
C)renal hilus
D)renal cortex
E)renal medulla
A)adipose capsule
B)renal capsule
C)renal hilus
D)renal cortex
E)renal medulla
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6
Increased secretion of hydrogen ions would result in a(n)______________ of blood ____________?
A)increase,pressure
B)decrease,volume
C)increase,sodium levels
D)decrease,pH
E)increase,urea
A)increase,pressure
B)decrease,volume
C)increase,sodium levels
D)decrease,pH
E)increase,urea
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7
This is a nephron process that results in a substance in blood entering the already formed filtrate.
A)reabsorption
B)filtration
C)secretion
D)excretion
E)none of these choices
A)reabsorption
B)filtration
C)secretion
D)excretion
E)none of these choices
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8
This term means the return of substances into the blood stream from the filtrate.
A)reabsorption
B)filtration
C)secretion
D)excretion
E)none of these choices
A)reabsorption
B)filtration
C)secretion
D)excretion
E)none of these choices
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9
Which of the following is a waste product normally excreted by the kidneys?
A)urea
B)glucose
C)insulin
D)cholesterol
E)carbon dioxide
A)urea
B)glucose
C)insulin
D)cholesterol
E)carbon dioxide
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10
Which is not a major function of the kidney?
A)regulation of blood ionic composition
B)regulation of blood cell size
C)regulation of blood volume
D)regulation of blood pressure
E)regulation of blood pH
A)regulation of blood ionic composition
B)regulation of blood cell size
C)regulation of blood volume
D)regulation of blood pressure
E)regulation of blood pH
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11
Increased secretion of aldosterone would result in a(n)______________ of blood ____________?
A)increase,potassium
B)decrease,volume
C)increase,calcium levels
D)decrease,pH
E)increase,sodium
A)increase,potassium
B)decrease,volume
C)increase,calcium levels
D)decrease,pH
E)increase,sodium
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12
Which of the following is NOT a way angiotensin II affects the kidneys?
A)It increases GFR
B)It can decrease GFR
C)It enhances reabsorption of certain ions
D)It stimulates the release of aldosterone
E)None of these choices
A)It increases GFR
B)It can decrease GFR
C)It enhances reabsorption of certain ions
D)It stimulates the release of aldosterone
E)None of these choices
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13
Urea recycling can cause a buildup of urea in the
A)renal capsule
B)nephron loop
C)ascending tubule
D)renal medulla
E)renal pelvis
A)renal capsule
B)nephron loop
C)ascending tubule
D)renal medulla
E)renal pelvis
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14
This is the formation of a new glucose molecule.
A)glycolysis
B)gluconeogenesis
C)glucosamine
D)glucose
E)calcitriol
A)glycolysis
B)gluconeogenesis
C)glucosamine
D)glucose
E)calcitriol
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15
This is the structure of the nephron that filters blood.
A)glomerular capsule
B)nephron loop
C)ascending limb
D)collecting duct
E)renal tubule
A)glomerular capsule
B)nephron loop
C)ascending limb
D)collecting duct
E)renal tubule
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16
This layer of filtration membrane is composed of collagen fibers and proteoglycans in a glycoprotein matrix.
A)glomerular endothelial cells
B)basal lamina
C)pedicels
D)filtration slits
E)slit membrane
A)glomerular endothelial cells
B)basal lamina
C)pedicels
D)filtration slits
E)slit membrane
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17
Which structure of the nephron reabsorbs the most substances?
A)glomerular capsule
B)nephron loop
C)ascending limb
D)collecting duct
E)proximal convoluted tubule
A)glomerular capsule
B)nephron loop
C)ascending limb
D)collecting duct
E)proximal convoluted tubule
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18
This occurs when a substance passes from the fluid in the tubular lumen through the apical membrane,across the cytosol,and then into the interstitial fluid.
A)paracellular reabsoprtion
B)transcellular reabsoprtion
C)apical reasborption
D)basolateral reabsorption
E)active transport
A)paracellular reabsoprtion
B)transcellular reabsoprtion
C)apical reasborption
D)basolateral reabsorption
E)active transport
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19
An analysis of the physical,chemical,and microscopic properties of urine is called
A)urinalysis
B)filtration study
C)concentration study
D)diuretic
E)osmolarity
A)urinalysis
B)filtration study
C)concentration study
D)diuretic
E)osmolarity
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20
This occurs when stretching triggers contraction of smooth muscle walls in afferent arterioles.
A)glomerular filtration rate
B)tubulomerular feedback
C)myogenic mechanism
D)renal autoregulation
E)capsular hydrostatic pressure
A)glomerular filtration rate
B)tubulomerular feedback
C)myogenic mechanism
D)renal autoregulation
E)capsular hydrostatic pressure
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21
Where is the papillary duct?

A)C
B)F
C)H
D)N
E)O

A)C
B)F
C)H
D)N
E)O
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22
What is line "C" pointing to?

A)Distal convoluted tubule
B)Interlobular artery
C)Efferent arteriole
D)Arcuate artery
E)Corticomedullary junction

A)Distal convoluted tubule
B)Interlobular artery
C)Efferent arteriole
D)Arcuate artery
E)Corticomedullary junction
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23
This transports urine from the kidney to the bladder.
A)Urethra
B)Ureter
C)Descending nephron loop
D)Renal hilus
E)None of these choices
A)Urethra
B)Ureter
C)Descending nephron loop
D)Renal hilus
E)None of these choices
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24
What two structures comprise the renal corpuscle?

A)A and B
B)C and D
C)E and F
D)K and L
E)N and O

A)A and B
B)C and D
C)E and F
D)K and L
E)N and O
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25
Each kidney can have anywhere from 8 to 18 of these.

A)I
B)J
C)K
D)L
E)H

A)I
B)J
C)K
D)L
E)H
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26
This is composed of dense irregular tissue that runs continuous with the ureter.

A)A
B)B
C)C

A)A
B)B
C)C
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27
Where is the corticomedullary junction?

A)G
B)J
C)M
D)N
E)O

A)G
B)J
C)M
D)N
E)O
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28
This is a test to measure kidney function.
A)Plasma creatinine
B)Renal study
C)Kidney assay
D)Dialysis
E)Hilus study
A)Plasma creatinine
B)Renal study
C)Kidney assay
D)Dialysis
E)Hilus study
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29
This structure is the apex of a renal pyramid.

A)E
B)D
C)G
D)K
E)L

A)E
B)D
C)G
D)K
E)L
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30
This lies in the anterior corner of the trigone of the bladder.
A)Urethral sphincter
B)Adventitia bundle
C)Ureter
D)Internal urethral orifice
E)Muscularis bundle
A)Urethral sphincter
B)Adventitia bundle
C)Ureter
D)Internal urethral orifice
E)Muscularis bundle
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31
This layer's main function is to protect the kidney from trauma and hold it in place within the abdominal cavity.

A)A
B)B
C)C

A)A
B)B
C)C
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32
What does line "M" point to?

A)Arcuate artery
B)Arcuate vein
C)Collecting duct
D)Descending loop
E)Efferent arteriole

A)Arcuate artery
B)Arcuate vein
C)Collecting duct
D)Descending loop
E)Efferent arteriole
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33
Urine formed by the nephrons first drains into these.

A)H
B)I
C)J
D)K
E)L

A)H
B)I
C)J
D)K
E)L
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34
Where is the ascending limb of the nephron loop?

A)C
B)D
C)J
D)K
E)L

A)C
B)D
C)J
D)K
E)L
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35
Where is the arcuate vein?

A)E
B)F
C)G
D)H
E)I

A)E
B)F
C)G
D)H
E)I
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36
This layer runs deep to the peritoneum on the anterior surface of the kidneys.

A)A
B)B
C)C

A)A
B)B
C)C
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37
This layer of the ureter is composed of connective tissue,collagen and elastic fibers.
A)Mucosa
B)Transitional epithelium
C)Lamina propria
D)Adventitia
E)Lamina elastica
A)Mucosa
B)Transitional epithelium
C)Lamina propria
D)Adventitia
E)Lamina elastica
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38
Water accounts for which percentage of the total volume of urine?
A)25%
B)50%
C)75%
D)80%
E)95%
A)25%
B)50%
C)75%
D)80%
E)95%
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39
This can be divided into the cortical zone and the juxtamedullary zone.

A)A
B)D
C)E
D)F
E)G

A)A
B)D
C)E
D)F
E)G
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40
Where is the distal convoluted tubule?

A)D
B)E
C)J
D)K
E)L

A)D
B)E
C)J
D)K
E)L
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41
Fluid flowing from point N in the figure will go to which structure next?

A)G
B)H
C)C
D)B
E)K

A)G
B)H
C)C
D)B
E)K
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42
What is line "B" pointing to?

A)Fenestration
B)Pedicel
C)Filtration slit
D)Basal lamina
E)Lumen of the glomerulus

A)Fenestration
B)Pedicel
C)Filtration slit
D)Basal lamina
E)Lumen of the glomerulus
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43
Which vessel(s)in the diagram are the vasa recta?

A)C
B)D
C)E
D)M
E)L

A)C
B)D
C)E
D)M
E)L
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44
Fluid flowing from point B in the figure will go to which of the following structures?

A)J
B)M
C)I
D)G
E)H

A)J
B)M
C)I
D)G
E)H
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45
What is line "D" pointing to?

A)Fenestration
B)Pedicel
C)Filtration slit
D)Basal lamina
E)Lumen of the glomerulus

A)Fenestration
B)Pedicel
C)Filtration slit
D)Basal lamina
E)Lumen of the glomerulus
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46
Describe the flow of blood through the kidneys.
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47
What is line "A" pointing to?

A)Fenestration
B)Pedicel
C)Filtration slit
D)Basal lamina
E)Lumen of the glomerulus

A)Fenestration
B)Pedicel
C)Filtration slit
D)Basal lamina
E)Lumen of the glomerulus
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48
Fluid flowing from point H in the figure will go to which structure next?

A)L
B)B
C)I
D)G
E)N

A)L
B)B
C)I
D)G
E)N
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49
Trace the flow of a water molecule through the nephrons from the afferent arteriole to the minor calyx.
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50
Fluid flowing from point G in the figure will go to which structure next?

A)N
B)H
C)I
D)M
E)K

A)N
B)H
C)I
D)M
E)K
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51
Which vessel in the diagram is the arcuate artery?

A)C
B)D
C)E
D)F
E)L

A)C
B)D
C)E
D)F
E)L
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52
Describe the structural features of the renal corpuscle that enhance its blood filtering capacity.
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53
What is line "C" pointing to?

A)Fenestration
B)Pedicel
C)Filtration slit
D)Basal lamina
E)Lumen of the glomerulus

A)Fenestration
B)Pedicel
C)Filtration slit
D)Basal lamina
E)Lumen of the glomerulus
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54
Which vessel(s)in the diagram are the peritubular capillaries?

A)C
B)D
C)E
D)M
E)L

A)C
B)D
C)E
D)M
E)L
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55
An increase in permeability of the filtration membrane due to disease,injury,or irritation of kidney cells by substances such as bacterial toxins,ether,or heavy metals indicates which condition?
A)albuminuria
B)lucosuria
C)robilinogenuria
D)ketonuria
E)bilirubinuria
A)albuminuria
B)lucosuria
C)robilinogenuria
D)ketonuria
E)bilirubinuria
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56
Which vessel in the diagram is the afferent arteriole?

A)C
B)D
C)E
D)F
E)L

A)C
B)D
C)E
D)F
E)L
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57
Which vessel in the diagram is the interlobular vein?

A)C
B)D
C)E
D)F
E)L

A)C
B)D
C)E
D)F
E)L
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58
Describe in detail how the renin angiotensin negative feedback loop helps regulate blood pressure and glomerular filtration rate in response to dehydration.
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59
Discuss the importance of countercurrent flow to the functioning of the nephron.
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60
Which vessel in the diagram is the interlobular artery?

A)D
B)E
C)F
D)L

A)D
B)E
C)F
D)L
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61
Excessive urine concentration of a normal breakdown product of hemoglobin,caused by pernicious anemia,infectious hepatitis,jaundice or cirrhosis,indicates which condition?
A)albuminuria
B)glucosuria
C)urobilinogenuria
D)hematuria
E)bilirubinuria
A)albuminuria
B)glucosuria
C)urobilinogenuria
D)hematuria
E)bilirubinuria
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62
This substance gives bile its major pigmentation:
A)ketone bodies
B)erythrocytes
C)casts
D)bilirubin
E)glucose
A)ketone bodies
B)erythrocytes
C)casts
D)bilirubin
E)glucose
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63
Anorexia,starvation,or a diet too low in carbohydrates indicates which condition?
A)albuminuria
B)glucosuria
C)urobilinogenuria
D)ketonuria
E)bilirubinuria
A)albuminuria
B)glucosuria
C)urobilinogenuria
D)ketonuria
E)bilirubinuria
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64
These are tiny masses of material,hardened in the lumen of the urinary tubule and are flushed out when filtrate builds up behind them:
A)ketone bodies
B)erythrocytes
C)casts
D)microbes
E)urobilinogen
A)ketone bodies
B)erythrocytes
C)casts
D)microbes
E)urobilinogen
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65
Which is the normal pH range of urine in humans?
A)8)1 - 10.6
B)4)6 - 8.0
C)1)0 - 3.0
D)3)1 - 4.0
E)10.0 - 12.0
A)8)1 - 10.6
B)4)6 - 8.0
C)1)0 - 3.0
D)3)1 - 4.0
E)10.0 - 12.0
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66
Parasympathetic division of ANS regulates kidney functions.
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67
This hormone is released when the blood volume increases.
A)Parathyroid Hormone
B)Renin
C)ADH
D)Atrial Natriuretic Peptide
E)Aldosterone
A)Parathyroid Hormone
B)Renin
C)ADH
D)Atrial Natriuretic Peptide
E)Aldosterone
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68
Consumption of salty food will cause an increase in this hormone.
A)Aldosterone
B)Renin
C)ANH
D)Angiotensin-II
E)ADH
A)Aldosterone
B)Renin
C)ANH
D)Angiotensin-II
E)ADH
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69
What is the normal specific gravity range of urine in humans?
A)2)350 - 3.700
B)0)002 - 1.000
C)4)6 - 8.0
D)1)001 - 1.035
E)1)04 - 2.60
A)2)350 - 3.700
B)0)002 - 1.000
C)4)6 - 8.0
D)1)001 - 1.035
E)1)04 - 2.60
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70
Candida albicans and E.coli are which type of abnormal constituent of urine:
A)ketone bodies
B)erythrocytes
C)casts
D)microbes
E)urobilinogen
A)ketone bodies
B)erythrocytes
C)casts
D)microbes
E)urobilinogen
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71
Stress,causing excessive amounts of epinephrine secretion which stimulates glycogen breakdown,indicates which condition? This condition can also indicate diabetes mellitus.
A)albuminuria
B)glucosuria
C)urobilinogenuria
D)hematuria
E)bilirubinuria
A)albuminuria
B)glucosuria
C)urobilinogenuria
D)hematuria
E)bilirubinuria
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72
Absence of angiotensin converting enzyme will lead to
A)decreased blood pressure
B)increased blood pressure
C)will not have any effect on blood pressure
D)All of these choices are correct.
E)None of these choices is correct.
A)decreased blood pressure
B)increased blood pressure
C)will not have any effect on blood pressure
D)All of these choices are correct.
E)None of these choices is correct.
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73
What is the normal volume of urine produced in humans?
A)1L / hr
B)2L / day
C)2L / hr
D)3L / week
E)10L / 24 hours
A)1L / hr
B)2L / day
C)2L / hr
D)3L / week
E)10L / 24 hours
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