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RENAL

Total questions: 55

Worksheet time: 2hrs 50mins

Name
Class
Date
1.

Kidneys regulate blood pH via conserving which ion?

a)

Hydrogen

b)

Potassium

c)

Bicarbonate

d)

Calcium

2.

Which process does the kidney use to regulate blood glucose level?

a)

Glycolysis

b)

Gluconeogenesis

c)

Krebs Cycle

d)

Glycogenolysis

3.

Muscles breakdown from working out, sometimes causing DOMS. This releases what into the blood to be filtered out in urine?

a)

Bilirubin

b)

Creatinine

c)

Uric acid

d)

Urea

4.

The kidneys are located in the retroperitoneal space, which means they are ________ to the peritoneal cavity?

a)

Superior

b)

Anterior

c)

Posterior

d)

Inferior

5.

Which layer is continuous with the ureters?

a)

Renal fascia

b)

Perineal fat

c)

Renal Capsule

d)

Pararenal fat

6.

This portion of the kidney contains all the LOHs and contains 8-18 papilla.

a)

Hilum

b)

Capsule

c)

Cortex

d)

Medulla

7.

Each kidney contains 2-3 of these large collecting chambers. What are they?

a)

Lobe

b)

Pyramid

c)

Minor calyx

d)

Major calyx

8.

Each kidney contains 2-3 of these large collecting chambers. What are they?

a)

Lobe

b)

Pyramid

c)

Minor calyx

d)

Major calyx

9.

The kidneys need a strong blood supply and fat for protection, this is housed where?

a)

Renal pelvis

b)

Renal sinuses

c)

Renal hilum

d)

Renal lobe

10.

How much blood flows through the kidneys per minute?

a)

1200mL

b)

600mL

c)

1200L

d)

4500mL

11.

The radial artery flows into the _________.

a)

Afferent arteriole

b)

Interlobular vein

c)

Vasa reca

d)

Arcuate artery

12.

15% of nephrons reach deep into the medulla. These nephrons contain a specialized capillary system known as

a)

Loop of Henle

b)

Vasa Recta

c)

Podocytes

d)

Peritubular Capillaries

13.

Specialized cells containing pedicels are found where in the nephron?

a)

Afferent arteriole

b)

Glomerulus

c)

Efferent arteriole

d)

PCT

14.

Which arteriole is more capable of vasoconstriction?

a)

Afferent

b)

Efferent

15.

Which tubule has a specialized structure to help increase absorption and secretion?

a)

PCT

b)

DCT

c)

Descending LOH

d)

Ascending LOH

16.

Which tubule layer is made of simple squamous cells?

a)

PCT

b)

LOH(thin)

c)

DCT

d)

Collecting Duct

17.

The thick part of the LOH is part of the ascending or descending portion?

a)

Ascending

b)

Descending

18.

If solutes are pushed into the blood in the ascending LOH, this would describes which concept?

a)

Glomerular filtration

b)

Tubular reabsorption

c)

Tubular secretion

d)

Excretion

19.

A person creates 150-180 L of filtrate a day. How much urine is produced from that filtrate?

a)

0-1 L

b)

1-2 L

c)

2-3 L

d)

3-4 L

20.

The glomerulus capillaries have a filtration membrane that prevents blood cells from passing into the bowman’s capsule. The endothelial cells would be known as ________.

a)

Continuous

b)

Sinusoid

c)

Fenstrated

d)

Unfenstrated

21.

Net filtration involves different types of pressure. Which type has pressure in the capillaries pushing outward into the capillary space?

a)

GBHP

b)

CHP

c)

BCOP

22.

What is you net filtration if you are given, BCOP= 30mmHg, CHP= 15mmHg, and GHBP= 30mmHg? Does filtration occur?

a)

75mmHg: Yes

b)

-15mmHg: No

c)

15mmHg: No

d)

-15 mmHg: Yes

23.

What is the average GFR in the average adult?

a)

125mL/min

b)

100mL/min

c)

150mL/min

d)

30mL/min

24.

Exercise can increase blood pressure thus reducing GFR. Which neural regulation would cause a reduction in GFR?

a)

Increased sympathetic

b)

Increased parasympathetic

c)

Decreased sympathetic

d)

Decreased parasympathetic

25.

Which specialized cell in the JGA detects changes in NaCl concentration in the filtrate?

a)

Macula densa cells

b)

Lacis cells

c)

Mesangial cells

d)

Juxtaglomerular cells

26.

When GFR increases and Na, Cl, and H2O reabsorption decreases, it causes the renal system to inhibit NO. This would be what type of renal regulation?

a)

Autoregulation

b)

Neural regulation

c)

Hormonal regulation

27.

Which hormone comes from the atria and relaxes mesangial cells to increase GFR?

a)

ADH

b)

Angiotensin II

c)

ANP

d)

NO

28.

Paracellular reabsorption accounts for 50% of reabsorption. What type of transport does it use?

a)

Passive

b)

Active

c)

Passive and Active

29.

Aquaporin-1 helps osmosis to obligatory water regulation to occur in what part of the tubule system?

a)

PCT

b)

Ascending limb of LOH

c)

DCT

d)

CD

30.

Facultative water reabsorption is regulated by ADH to reabsorb what percentage of H2O?

a)

10%

b)

20%

c)

5%

d)

90%

31.

CO2 moves into the cell and combines with what to create H2CO3?

a)

CO2

b)

HCO3

c)

H

d)

H2O

32.

In the reabsorption of Bicarb, we also secrete a _____ and reabsorb a ________.

a)

Na; H

b)

H; Na

c)

K: Cl

d)

CO2; H2O

33.

In the PCT, the movement of Na into the blood, causes Cl to follow suit. This causes an osmotic imbalance which can cause a solvent drag. Which ion is apart of the solvent drag?

a)

K

b)

Cl

c)

Na

d)

P

34.

The Parathyroid Hormone stimulates calcitriol in which tubular cells?

a)

DCT

b)

PCT

c)

LOH

d)

CD

35.

What reabsorption of solutes in the ascending LOH causes what to happen to the descending LOH?

a)

Reabsorption of H2O

b)

Secretion of H2O

c)

Reabsorption of Urea

d)

ADH to turn on

36.

ADH affects which type of cells in the DCT and CD?

a)

Principal cells

b)

Intercalated cells

c)

Mesangial cells

d)

NJA cells

37.

ADH causes an osmotic imbalance in the distal CD. This forces urea to reabsorb and recycled back to which tubular area?

a)

PCT

b)

DCT

c)

Ascending LOH

d)

Descending LOH

38.

In the presence of ADH the urine is concentrated due to?

a)

Aquaporin-2 in the DCT reabsorbing H2O

b)

Aquaporin-1 in the PCT reabsorbing H2O

c)

Solutes are secreted in the DCT

d)

Urea is recycled to the PCT

39.

If you are in a hyperkalemia state, the principal cells can be influenced by which hormone to reabsorb which ion?

a)

Aldosterone; K

b)

Aldosterone; Na

c)

ADH; Na

d)

ADH; K

40.

When angiotensin I reaches the lungs it is converted to Angiotensin II via which enzyme?

a)

ACE

b)

RAAS

c)

Renin

d)

Angiotensinogen

41.

RAAS can stimulate the release of which hormone from the adrenal cortex to increase blood volume?

a)

ADH

b)

ANP

c)

Aldosterone

d)

Renin

42.

If you had a protein shake your pH level would be closer to 4.6. What is the average pH of urine?

a)

5.0

b)

6.0

c)

7.0

d)

4.0

43.

Urea comes from the breakdown of what?

a)

Proteins

b)

Nucleic acids

c)

Hemoglobin

d)

Creatine phosphate

44.

Serum can be tested in 2 ways for kidney function. Which one is normal from 7-20mg/dL?

a)

Blood Urea Nitrogen

b)

Plasma Creatinine

c)

Urinalysis

d)

Plasma Clearance

45.

The renal plasma clearance for a drug like penicillin after one dose is?

a)

100%

b)

58-85%

c)

20-45%

d)

10-30%

46.

Which layer of the ureter causes peristalsis?

a)

Adventitia

b)

Muscularis

c)

Mucosa

47.

Which is an extension of the detrusor muscle?

a)

External urethral sphincter

b)

Internal urethral sphincter

c)

Mucosa

48.

What holds the bladder in place?

a)

Peritoneal folds

b)

Adipose tissue

c)

Serous

d)

Adventitia

49.

What reflex causes the sensation of needing to urinate?

a)

Sympathetic

b)

Parasympathetic

50.

The involuntary contractions of the detrusor muscle causes what to open?

a)

External urethral sphincter

b)

Internal urethral sphincter

c)

Pelvic floor muscles

51.

Aging sucks, it causes 33% decrease in kidney mass and 50% decrease in renal blood flow. This is due to what issue?

a)

Calculi

b)

UTI

c)

Nephron deterioration

d)

Renal inflammation

52.

When looking at the LOH ascending limb, which portion uses ATP to reabsorb solutes?

a)

Thick

b)

Thin

53.

What is labeled B?

a)

Vasa Reca

b)

Peritubular capillaries

c)

LOH

d)

Glomerulus

54.

What is labeled E?

a)

Podocyte

b)

PCT

c)

Bowman’s capsule

d)

Afferent arteriole

55.

What is labeled E?

a)

Minor Calyx

b)

Major Calyx

c)

Renal Pelvis

d)

Cortex