Deck 31: The Urinary System
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Deck 31: The Urinary System
1
The kidneys are ____ in position when compared to the peritoneal cavity.
A) lateral
B) superior
C) retroperitoneal
D) inferior
E) distal
A) lateral
B) superior
C) retroperitoneal
D) inferior
E) distal
retroperitoneal
2
Cystitis in women is likely to result from ____.
A) dehydration
B) fecal contamination
C) drinking a lot of water
D) frequent urination
E) wiping front to back
A) dehydration
B) fecal contamination
C) drinking a lot of water
D) frequent urination
E) wiping front to back
fecal contamination
3
Pyelonephritis begins ____.
A) in the kidneys
B) as an autoimmune reaction
C) as a side effect of some medications
D) with a loss of kidney function
E) with a bladder infection
A) in the kidneys
B) as an autoimmune reaction
C) as a side effect of some medications
D) with a loss of kidney function
E) with a bladder infection
with a bladder infection
4
The expansion of the ureter inside the kidneys is the ____.
A) renal pelvis
B) renal cortex
C) renal medulla
D) renal column
E) renal pyramid
A) renal pelvis
B) renal cortex
C) renal medulla
D) renal column
E) renal pyramid
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5
____ is a hormone that regulates blood pressure.
A) Erythropoietin
B) Renin
C) Cortisol
D) Prolactin
E) Oxytocin
A) Erythropoietin
B) Renin
C) Cortisol
D) Prolactin
E) Oxytocin
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6
The ____ contains the renal artery, renal vein, and ureter.
A) renal sinus
B) hilum
C) renal pelvis
D) renal cortex
E) renal column
A) renal sinus
B) hilum
C) renal pelvis
D) renal cortex
E) renal column
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7
Urea and uric acid are products of the breakdown of ____.
A) proteins
B) sugars
C) fats
D) drug metabolites
E) cholesterol
A) proteins
B) sugars
C) fats
D) drug metabolites
E) cholesterol
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8
Which of these is a hormone that helps to regulate red blood cell production?
A) Erythropoietin
B) Renin
C) Aldosterone
D) ADH
E) Oxytocin
A) Erythropoietin
B) Renin
C) Aldosterone
D) ADH
E) Oxytocin
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9
The middle portion of the kidneys is the ____.
A) renal pelvis
B) renal cortex
C) renal medulla
D) renal column
E) hilum
A) renal pelvis
B) renal cortex
C) renal medulla
D) renal column
E) hilum
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10
An immune disorder is a possible cause for which disease?
A) Cystitis
B) Glomerulonephritis
C) Pyelonephritis
D) Polycystic kidneys
E) Chronic renal failure
A) Cystitis
B) Glomerulonephritis
C) Pyelonephritis
D) Polycystic kidneys
E) Chronic renal failure
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11
You would anticipate that a patient who has had ____ may develop cystitis.
A) multiple pregnancies
B) a history of international travel
C) pelvic inflammatory disease
D) an indwelling urinary catheter
E) multiple sexual partners
A) multiple pregnancies
B) a history of international travel
C) pelvic inflammatory disease
D) an indwelling urinary catheter
E) multiple sexual partners
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12
When taking a urine sample from a patient for testing, you notice it is cloudy. This could indicate ____.
A) cystitis
B) renal failure
C) renal calculi
D) incontinence
E) poor cleansing when collecting the urine
A) cystitis
B) renal failure
C) renal calculi
D) incontinence
E) poor cleansing when collecting the urine
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13
The ____ is the tube that carries urine to the bladder.
A) hilum
B) ureter
C) renal pelvis
D) renal cortex
E) renal tubule
A) hilum
B) ureter
C) renal pelvis
D) renal cortex
E) renal tubule
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14
Which of the following is the outermost layer of the kidneys?
A) Ureter
B) Renal pelvis
C) Renal cortex
D) Renal medulla
E) Renal papilla
A) Ureter
B) Renal pelvis
C) Renal cortex
D) Renal medulla
E) Renal papilla
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15
Which of these is the medial depression of a kidney?
A) Renal sinus
B) Hilum
C) Ureter
D) Renal pelvis
E) Renal medulla
A) Renal sinus
B) Hilum
C) Ureter
D) Renal pelvis
E) Renal medulla
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16
Which of these urinary diseases is likely to be treated with corticosteroids?
A) Cystitis
B) Acute renal failure
C) Glomerulonephritis
D) Polycystic kidneys
E) Incontinence
A) Cystitis
B) Acute renal failure
C) Glomerulonephritis
D) Polycystic kidneys
E) Incontinence
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17
A ____ is composed of a mass of capillaries called a glomerulus and is where blood filtration occurs.
A) renal corpuscle
B) renal tubule
C) glomerular capsule
D) proximal convoluted tubule
E) minor calyx
A) renal corpuscle
B) renal tubule
C) glomerular capsule
D) proximal convoluted tubule
E) minor calyx
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18
The portion of the renal cortex that extends between the pyramids is the ____.
A) renal pelvis
B) renal cortex
C) renal medulla
D) renal column
E) renal papilla
A) renal pelvis
B) renal cortex
C) renal medulla
D) renal column
E) renal papilla
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19
Yolanda has been in the office several times in the last year for cystitis. She tells you she is really tired of "being sick all the time" and asks if there is anything she can do to prevent future episodes of cystitis. Your best response would be:
A) "Using a condom during sexual intercourse can help prevent cystitis."
B) "Always clean the perineal area from front to back."
C) "You can call us every three months for a refill on your antibiotics."
D) "Avoid using public toilets whenever possible."
E) "Limit your fluid intake after 8 p.m."
A) "Using a condom during sexual intercourse can help prevent cystitis."
B) "Always clean the perineal area from front to back."
C) "You can call us every three months for a refill on your antibiotics."
D) "Avoid using public toilets whenever possible."
E) "Limit your fluid intake after 8 p.m."
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20
Renal calculi could result from ____.
A) obstruction in the tubules
B) dehydration
C) anaphylactic reactions
D) overhydration
E) bladder infections
A) obstruction in the tubules
B) dehydration
C) anaphylactic reactions
D) overhydration
E) bladder infections
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21
The ____ join with other, similar structures from other nephrons to form collecting ducts.
A) afferent arterioles
B) distal convoluted tubules
C) efferent arterioles
D) peritubular capillaries
E) proximal convoluted tubules
A) afferent arterioles
B) distal convoluted tubules
C) efferent arterioles
D) peritubular capillaries
E) proximal convoluted tubules
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22
Which process of urine formation decreases when the blood pressure decreases, and increases when the blood pressure increases?
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
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23
The ____ is located between the proximal and distal tubules.
A) renal corpuscle
B) minor calyx
C) peritubular capillaries
D) loop of Henle
E) collecting duct
A) renal corpuscle
B) minor calyx
C) peritubular capillaries
D) loop of Henle
E) collecting duct
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24
Which structure surrounds each glomerulus?
A) Renal corpuscle
B) Renal tubule
C) Bowman's capsule
D) Proximal convoluted tubule
E) Loop of Henle
A) Renal corpuscle
B) Renal tubule
C) Bowman's capsule
D) Proximal convoluted tubule
E) Loop of Henle
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25
The ____ use(s) a peristaltic action to take urine to the bladder.
A) ureters
B) renal tubule
C) urethra
D) kidney
E) glomerulus
A) ureters
B) renal tubule
C) urethra
D) kidney
E) glomerulus
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26
During ____, the hormone ADH controls the amount of water the body keeps.
A) glomerular filtration
B) tubular reabsorption
C) tubular secretion
D) elimination
E) micturition
A) glomerular filtration
B) tubular reabsorption
C) tubular secretion
D) elimination
E) micturition
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27
Which of the following describes acute renal failure?
A) Kidneys slowly lose function
B) Commonly caused by high blood pressure or diabetes
C) Can result from poisons and/or alcohol abuse
D) Surgical repair of obstructions may correct failure
E) Can be caused by nervous system disorders
A) Kidneys slowly lose function
B) Commonly caused by high blood pressure or diabetes
C) Can result from poisons and/or alcohol abuse
D) Surgical repair of obstructions may correct failure
E) Can be caused by nervous system disorders
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28
The detrusor muscle is part of the ____.
A) ureters
B) bladder
C) urethra
D) kidney
E) liver
A) ureters
B) bladder
C) urethra
D) kidney
E) liver
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29
The filtrate flows into the proximal convoluted tubule during which process of urine formation?
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
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30
Which of the following does not describe acute kidney failure?
A) Kidneys suddenly lose function
B) Commonly caused by high blood pressure or diabetes
C) May cause excessive urine production
D) Can result from hemorrhaging
E) May be a result of food poisoning
A) Kidneys suddenly lose function
B) Commonly caused by high blood pressure or diabetes
C) May cause excessive urine production
D) Can result from hemorrhaging
E) May be a result of food poisoning
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31
All substances moved during the ____ process of urine formation will be eliminated in urine.
A) glomerular filtration
B) tubular reabsorption
C) tubular secretion
D) elimination
E) micturition
A) glomerular filtration
B) tubular reabsorption
C) tubular secretion
D) elimination
E) micturition
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32
Which of the following occurs in the renal corpuscles?
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
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33
The ____ deliver blood to the peritubular capillaries.
A) afferent arterioles
B) distal convoluted tubules
C) efferent arterioles
D) peritubular capillaries
E) proximal convoluted tubules
A) afferent arterioles
B) distal convoluted tubules
C) efferent arterioles
D) peritubular capillaries
E) proximal convoluted tubules
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34
What are the tiny vessels that surround the tubules?
A) Proximal convoluted tubules
B) Renal tubules
C) Peritubular capillaries
D) Loop of Henle
E) Distal convoluted tubules
A) Proximal convoluted tubules
B) Renal tubules
C) Peritubular capillaries
D) Loop of Henle
E) Distal convoluted tubules
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35
Which urinary system structure takes urine away from the bladder?
A) Ureters
B) Renal tubule
C) Urethra
D) Kidney
E) Glomerulus
A) Ureters
B) Renal tubule
C) Urethra
D) Kidney
E) Glomerulus
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36
In which process of urine formation are nutrients, ions, and water returned to the body?
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
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37
During which process of urine formation do drugs and hydrogen ions enter the filtrate?
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Elimination
E) Micturition
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38
During the ____ process of urine formation, substances move from the blood into the renal tubules.
A) glomerular filtration
B) tubular reabsorption
C) tubular secretion
D) elimination
E) micturition
A) glomerular filtration
B) tubular reabsorption
C) tubular secretion
D) elimination
E) micturition
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39
The group of capillaries that forms the renal corpuscle is called the ____.
A) renal tubule
B) glomerulus
C) afferent arterioles
D) peritubular capillaries
E) renal cortex
A) renal tubule
B) glomerulus
C) afferent arterioles
D) peritubular capillaries
E) renal cortex
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40
Which section of the tubule is connected to the glomerulus?
A) Renal corpuscle
B) Collecting duct
C) Glomerular capsule
D) Proximal convoluted tubule
E) Distal convoluted tubule
A) Renal corpuscle
B) Collecting duct
C) Glomerular capsule
D) Proximal convoluted tubule
E) Distal convoluted tubule
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41
Number 9 on the figure shows the ________.
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42
Donna came to the office today complaining of back pain, fever, nausea, and blood in her urine. She has a recent history of bladder infection. The physician diagnoses pyelonephritis. Which of the following would you expect the physician to prescribe?
A) A systemic antiviral agent
B) Bladder surgery
C) Low-sodium, low-protein diet
D) Kegel exercises
E) Pain medication and antibiotics
A) A systemic antiviral agent
B) Bladder surgery
C) Low-sodium, low-protein diet
D) Kegel exercises
E) Pain medication and antibiotics
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43
Number 3 on the figure of the kidney is the ________.
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44
The ________, shown at number 1 on the figure, is where the renal artery, renal vein, and Ureters enter the kidney.
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45
The ________ is shown at number 8 on the figure.
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46
The structures shown at number 4 on the figure of the kidney are the ________.
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47
The ________ is shown at number 6 on the figure.
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48
Which of the following describes chronic renal failure?
A) Kidneys suddenly lose function
B) Commonly caused by high blood pressure or diabetes
C) May cause excessive urine production
D) Can result from hemorrhaging
E) May cause frequent seizure activity
A) Kidneys suddenly lose function
B) Commonly caused by high blood pressure or diabetes
C) May cause excessive urine production
D) Can result from hemorrhaging
E) May cause frequent seizure activity
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49
Number 2 on the figure of the kidney shows the ________.
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50
The ________ is shown at number 4 on the figure.
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51
Number 7 on the figure refers to the ________.
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52
Number 5 on the figure of the kidney refers to the ________.
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53
Carol recently had surgery to repair a urinary sphincter. Since then, she has had trouble with urinary incontinence. The physician has assured her that this will be a temporary condition, but she wants to know what she can do to help alleviate this problem. Which of the following is your best reply?
A) "Wear incontinence pads for a while; it takes a long time to heal after surgery."
B) "You can do Kegel exercises to increase your control of the urinary sphincters."
C) "We can perform another surgery to repair your urethral sphincter."
D) "Try using an over-the-counter diuretic to make the urge to urinate stronger."
E) "Stop taking your prescription diuretic until you recover from the surgery."
A) "Wear incontinence pads for a while; it takes a long time to heal after surgery."
B) "You can do Kegel exercises to increase your control of the urinary sphincters."
C) "We can perform another surgery to repair your urethral sphincter."
D) "Try using an over-the-counter diuretic to make the urge to urinate stronger."
E) "Stop taking your prescription diuretic until you recover from the surgery."
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54
Which of the following does not describe chronic renal failure?
A) Kidneys slowly lose function
B) Commonly caused by high blood pressure or diabetes
C) Can result from poisons and/or alcohol abuse
D) Surgical repair of obstructions may correct failure
E) May cause headache and mental confusion
A) Kidneys slowly lose function
B) Commonly caused by high blood pressure or diabetes
C) Can result from poisons and/or alcohol abuse
D) Surgical repair of obstructions may correct failure
E) May cause headache and mental confusion
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55
The structure shown at number 2 on the figure is the ________.
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56
The ________ is shown at number 6 on the figure of the kidney.
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57
You are working at an urgent care clinic when a patient is brought in by several of his friends. He is conscious but seems very confused. At first, the friends say they're worried because he had too much to drink, but then they admit that he was using drugs also. The patient's hands are shaking, and when he wipes his nose with a tissue, you can see blood on the tissue. Which of the following conditions would the physician likely be most concerned about?
A) Pyelonephritis
B) Glomerulonephritis
C) Polycystic kidney disease
D) Acute renal failure
E) Renal calculi
A) Pyelonephritis
B) Glomerulonephritis
C) Polycystic kidney disease
D) Acute renal failure
E) Renal calculi
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58
The organ of the urinary system shown at number 3 on the figure is the ________.
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59
The structure at number 1 on the figure of the kidney is the ________.
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60
Number 5 on the figure refers to the ________.
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61
Number 8 on the figure of the kidney represents the ________.
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62
The surface area of the concave depression of the kidney is called the renal ________.
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63
The middle portion of the kidney is the renal ________, which is divided into triangular-shaped areas called renal pyramids.
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64
The renal artery, renal vein, and ureter enter the kidney in the area known as the ________.
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65
Made up of the glomerulus surrounded by the Bowman's capsule, the ________ ________ is where blood filtration occurs.
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66
The ________ tubule is directly attached to the Bowman's capsule and eventually straightens out to become the loop of Henle.
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67
The renal pelvis divides into small tubes known as ________.
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68
The ________ is shown at number 7 on the figure of the kidney.
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69
The mass of capillaries in the Bowman's capsule that forms the renal corpuscle is called the ________.
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70
The wall of the bladder contains smooth muscle, called the _______ muscle, that contracts to push urine from the bladder into the urethra.
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71
The capsule that surrounds the glomerulus is called the ________ capsule.
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72
The ________ tubules extend from the Bowman's capsule of a nephron and have three parts: the proximal convoluted tubule, the loop of Henle, and the distal convoluted tubule.
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73
Chronic ________, or inflammation of the glomerulus of the kidney, is one of the causes of chronic renal disease.
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74
The ________ arterioles bring blood to the tightly packed, increasingly narrow capillaries of the glomeruli.
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75
The arterioles that deliver blood to the peritubular capillaries are the ________ arterioles.
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76
The outermost layer of the kidney is the renal ________.
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77
Commonly called kidney stones, renal ________ can become lodged in the ducts within the kidneys or ureters.
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78
The loop of Henle curves back toward the renal corpuscle and starts to twist again, becoming the ________ tubule that joins with tubules from several nephrons to form collecting ducts.
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79
The renal medulla is divided into triangular-shaped areas called renal ________.
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80
Inside the kidney, the area where the renal artery, renal vein, and ureter enter is called the renal ________, which is formed by the expansion of the ureter inside the kidney.
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