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Renal and Urology Exam Questions and Answers Latest Update Graded A+

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Renal and Urology Exam Questions and Answers Latest Update Graded A+ What is the area of the kidneys that contains the glomeruli and portions of the tubules called? - Answers Cortex The cortex contains all the glomeruli and portions of the tubules of the kidneys. The medulla forms the inner part of the kidney and consists of regions called pyramids. The apices of the pyramids project into minor calyces (cup-shaped cavities) that unite to form major calyces. Renal columns are an extension of the cortex and lie between the pyramids and extend to the renal pelvis. What is the functional unit of the kidney called? - Answers Nephron The nephron is the functional unit of the kidney. The glomerulus is a tuft of capillaries that loop into the circular Bowman glomerular capsule (Bowman space), like fingers pushed into bread dough and is the site of filtration. Final adjustments in urine composition are made by the distal tubule and collecting duct according to body needs. The apices of the pyramids project into minor calyces (cup-shaped cavities) that unite to form major calyces. What is the only surface inside the nephron where cells are covered with microvilli to increase the reabsorptive surface area called? - Answers Proximal convoluted tubules The only surface inside the nephron where the cells are covered with microvilli (a brush border) is called the proximal convoluted tubules. This proximal convoluted tubular lumen consists of one layer of cuboidal cells with a surface layer of microvilli that increases the reabsorptive surface area. What part of the kidney controls renal blood flow, glomerular filtration, and renin secretion? - Answers Juxtaglomerular apparatus (JGA) Control of renal blood flow, glomerular filtration, and renin secretion occurs at the JGA. Together, the juxtaglomerular cells and macula densa cells form the JGA. The macula densa prevent large fluctuations in body water and salt. The visceral epithelium becomes the parietal epithelium. The filtration slits are intercellular clefts that modulate filtration. Innervation of the bladder and internal urethral sphincter is supplied by which nerves? - Answers Parasympathetic fibers The innervation of the bladder and internal urethral sphincter is supplied by parasympathetic fibers of the autonomic nervous system. The process is not dependent on peripheral nerves, the sympathetic nervous system, or the tenth thoracic nerve roots. How much urine accumulates in the bladder before the mechanoreceptors sense bladder fullness? - Answers 250 to 300 mL When the bladder accumulates 250 to 300 mL of urine, it contracts and the internal urethral sphincter relaxes through activation of the spinal reflex arc (known as the micturition reflex). . What is the trigone? - Answers A smooth triangular area between the openings of the two ureters and the urethra The trigone is a smooth triangular area lying between the openings of the two ureters and the urethra. The glomerular filtration rate is directly related to which factor? - Answers Perfusion pressure in the glomerular capillaries The filtration of the plasma per unit of time is known as the glomerular filtration rate (GFR), which is directly related to the perfusion pressure in the glomerular capillaries. It is not related to diffusion rates in the renal cortex or medulla or on glomerular active transport. On average, what percent of cardiac output do the kidneys receive? - Answers 20% to 25% The kidneys are highly vascular organs and usually receive 1000 to 1200 mL of blood per minute, or approximately 20% to 25% of the cardiac output. What are blood vessels of the kidneys innervated by? - Answers Sympathetic nervous system The blood vessels of the kidney are innervated by the sympathetic noradrenergic fibers that cause arteriolar vasoconstriction and reduce renal blood flow. These vessels are not innervated by the vagus nerve, somatic nervous system, or parasympathetic nervous system. When renin is released, it is capable of which action? - Answers Formation of angiotensin I When renin is released, it cleaves an -globulin (angiotensinogen produced by liver hepatocytes) in the plasma to form angiotensin I. A student asks the professor to explain what effect natriuretic peptides have during heart failure when the heart dilates. Which response by the professor is best? - Answers Inhibits renin and aldosterone Natriuretic peptides inhibit renin and aldosterone during heart failure when the heart dilates. These make up a group of peptide hormones, including atrial natriuretic peptide (ANP), secreted from myocardial cells in the atria and brain natriuretic peptide (BNP) secreted from myocardial cells in the cardiac ventricles. When the heart dilates during volume expansion or heart failure, ANP and BNP inhibit sodium and water absorption by kidney tubules, inhibit the secretion of renin and aldosterone, vasodilate the afferent arterioles, and constrict the efferent arterioles. The result is increased urine formation, leading to decreased blood volume and blood pressure. What is the direct action of atrial natriuretic hormone? - Answers Sodium excretion Atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) inhibit the secretion of renin, inhibit angiotensin-induced secretion of aldosterone, vasodilate the afferent and constrict the efferent glomerular arterioles, and inhibit sodium and water absorption by kidney tubules. The excretion of sodium (natriuresis) causes water excretion. What term is used to identify the movement of fluids and solutes from the tubular lumen to the peritubular capillary plasma? - Answers Tubular reabsorption Tubular reabsorption is the movement of fluids and solutes from the tubular lumen to the peritubular capillary plasma. Tubular secretion is the transfer of substances from the plasma of the peritubular capillary to the tubular lumen. Ultrafiltration causes small molecules to move from the blood across the Bowman capsule into the renal tubule. Excretion is the elimination of a substance in the final urine. A patient's urinalysis came back positive for glucose. What does the healthcare professional expect the patient's blood glucose to be at a minimum? - Answers 180 mg/dL

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Renal and Urology Exam Questions and Answers Latest Update Graded A+

What is the area of the kidneys that contains the glomeruli and portions of the tubules called? - Answers
Cortex




The cortex contains all the glomeruli and portions of the tubules of the kidneys. The medulla forms the
inner part of the kidney and consists of regions called pyramids. The apices of the pyramids project into
minor calyces (cup-shaped cavities) that unite to form major calyces. Renal columns are an extension of
the cortex and lie between the pyramids and extend to the renal pelvis.

What is the functional unit of the kidney called? - Answers Nephron



The nephron is the functional unit of the kidney. The glomerulus is a tuft of capillaries that loop into the
circular Bowman glomerular capsule (Bowman space), like fingers pushed into bread dough and is the
site of filtration. Final adjustments in urine composition are made by the distal tubule and collecting
duct according to body needs. The apices of the pyramids project into minor calyces (cup-shaped
cavities) that unite to form major calyces.

What is the only surface inside the nephron where cells are covered with microvilli to increase the
reabsorptive surface area called? - Answers Proximal convoluted tubules



The only surface inside the nephron where the cells are covered with microvilli (a brush border) is called
the proximal convoluted tubules. This proximal convoluted tubular lumen consists of one layer of
cuboidal cells with a surface layer of microvilli that increases the reabsorptive surface area.

What part of the kidney controls renal blood flow, glomerular filtration, and renin secretion? - Answers
Juxtaglomerular apparatus (JGA)



Control of renal blood flow, glomerular filtration, and renin secretion occurs at the JGA. Together, the
juxtaglomerular cells and macula densa cells form the JGA. The macula densa prevent large fluctuations
in body water and salt. The visceral epithelium becomes the parietal epithelium. The filtration slits are
intercellular clefts that modulate filtration.

Innervation of the bladder and internal urethral sphincter is supplied by which nerves? - Answers
Parasympathetic fibers

, The innervation of the bladder and internal urethral sphincter is supplied by parasympathetic fibers of
the autonomic nervous system. The process is not dependent on peripheral nerves, the sympathetic
nervous system, or the tenth thoracic nerve roots.

How much urine accumulates in the bladder before the mechanoreceptors sense bladder fullness? -
Answers 250 to 300 mL



When the bladder accumulates 250 to 300 mL of urine, it contracts and the internal urethral sphincter
relaxes through activation of the spinal reflex arc (known as the micturition reflex).

. What is the trigone? - Answers A smooth triangular area between the openings of the two ureters and
the urethra



The trigone is a smooth triangular area lying between the openings of the two ureters and the urethra.

The glomerular filtration rate is directly related to which factor? - Answers Perfusion pressure in the
glomerular capillaries



The filtration of the plasma per unit of time is known as the glomerular filtration rate (GFR), which is
directly related to the perfusion pressure in the glomerular capillaries. It is not related to diffusion rates
in the renal cortex or medulla or on glomerular active transport.

On average, what percent of cardiac output do the kidneys receive? - Answers 20% to 25%




The kidneys are highly vascular organs and usually receive 1000 to 1200 mL of blood per minute, or
approximately 20% to 25% of the cardiac output.

What are blood vessels of the kidneys innervated by? - Answers Sympathetic nervous system



The blood vessels of the kidney are innervated by the sympathetic noradrenergic fibers that cause
arteriolar vasoconstriction and reduce renal blood flow. These vessels are not innervated by the vagus
nerve, somatic nervous system, or parasympathetic nervous system.

When renin is released, it is capable of which action? - Answers Formation of angiotensin I

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