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Urinary System (Nephrology)[COMA Review]

Total questions: 63

Worksheet time: 1hrs 5mins

Name
Class
Date
1.

The outer area of the kidney is known as the

(a)  

2.

The kidney is covered/encased by the

a)

re

b)

medulla oblongata

c)

Dr. Stouder

d)

Adrenal gland

3.

The renal medulla contains which structures

a)

Renal Columns

b)

Renal Pyramids

c)

Renal Papilla

d)

lymphatic vessels

4.

pushed in center spot where blood vessels, lymphatic vessels, nerves and ureter penetrate the kidney

a)

Hilus

b)

Renal Capsule

c)

Renal Cortex

5.

Label 1

(a)  

6.

Label 2

(a)  

7.

Label 3

(a)  

8.

Label 4

(a)  

9.

Label 5

(a)  

10.

Label 6

(a)  

11.

Label 7

(a)  

12.

Label 8

(a)  

13.

Label 9

(a)  

14.

Label 10

(a)  

15.

Urinary system consists of (a)   kidneys (kids),

16.

the ureter connects to the bladder, the release hose from the bladder is called the (a)   Franklin (reference to Arethra Franklin)

17.

The kidneys are kidney (a)   shaped

18.

The kidneys are kidney bean shaped and about the size of your (a)  

19.

Where are the kidneys located?

a)

Retroperitoneum

b)

Ventral Perioneum

c)

In the thoracic cavity

20.

Why is the right kidney located lower than the left kidney?

a)

The liver pushes it down

b)

The spleen pushes it down

c)

The aorta pushes it down

21.

What ribs partially cover the kidneys?

a)

Eleventh and Twelfth

b)

Sixth and Seventh

c)

Third and Fourth

22.

•The primary kidney function is to form urine but they do other things as well such as

Drunk Guys pEE  Behind Fences

a)

Detoxify free radicals and drugs

b)

Gluconeogenesis to regulate blood sugar

c)

pH Regulation via H+ and Bicarbonate (HCO3) ions

d)

Electrolyte Regulation (Na+, K+, Ca++)

e)

-Erythropoietin

-Blood Pressure Reg

-Fluid Balance

23.

Dietary proteins break

down to amino 

acids. Metabolized amino

acids form toxic (a)  

(NH3)

24.

the liver converts

ammonia to (a)   (NH2)

which is removed from the

blood by the

kidneys

25.

What is the functional unit of the kidney?

(a)  

26.

3 processes of the nephron:

a)

1.) Filtering blood

b)

2.) Returning useful substances

c)

3.) Removing non-needed substances

27.

•NEPHRONS  MAINTAIN THE _____ OF BLOOD AND PRODUCES _____

a)

Homeostasis ; Urine

b)

Immunity ; Urine

c)

Hormones ; Urine

28.

Renal Corpuscle is composed of: (a)   and Glomerular capsule (Bowman’s Capsule)

29.

Renal Corpuscle is composed of: Glomerulus and _______ _______ (Bowman’s Capsule)

(a)  

30.

Glomerular filtrate collects in (a)   , flows into renal tubule

31.

Glomerular filtrate collects in capsular space, flows into _____ _____

(a)  

32.

•2.) The glomerulus is part of the ______ AND urinary systems

a)

Cardiovascular

b)

Endocrine

c)

Nervous

d)

Lymphatic

33.

•Glomerulus capillaries are unique- positioned between two _____, not (like usual) between an artery and a vein

a)

arteries

b)

veins

c)

arterioles

d)

capillaries

34.

•Filtrate formed per (a)   in Bowman’s capsule

35.

Fluid that enters the capsule space of the glomerulus is called ______ ______

(a)  

36.

Essentially glomerular filtrate is filtered (a)   (minus the plasma proteins).

37.

•More then 99% of glumerular filtrate is returned to the blood by t______ _____

(a)  

38.

(a)    ­GFR = urine output rises \rightarrow  dehydration, electrolyte depletion

-increased or decreased?

39.

(a)    ­GFR = urine output decreases \rightarrow  waste reabsorbed.

Increased or decreased?

40.

•GFR controlled by adjusting glomerular ____ _____

–autoregulation

–sympathetic control

–hormonal mechanism: renin and angiotensin

(a)  

41.

autoregulation

sympathetic control

hormonal mechanism: renin and angiotensin

These are all ways to adjust ______ and thus control GFR

a)

glomerular blood pressure

b)

glomerular plasma pressure

c)

glomerular capillary pressure

d)

glomerular lymphatic pressure

42.

•It's time to clean-out the garage.  It's full of "stuff".  You decide to clean the floor and move everything out to the driveway.  When the floor is dry, you move things back to the garage--but only the things you want to keep. * The "junk" is bagged-up ***and put out with the trash.**** Because you have gotten rid of so much stuff you have more room, you go out and buy new stuff .*****

•* Glomerular filtrate

•** Tubular Reabsorption

•*** Urea

•****Micturition

•*****Secretion

4 lines
43.

•Glomerulus

•Bowman’s capsule

•Proximal convoluted tubule

•Descending limb of the loop of Henle- this part of the loop dips into the medulla

•Loop of Henle- connects the proximal to the distal convoluted tubules

•Ascending limb of the loop of Henle- this part takes the LOOP (hairpin curve) and returns to the renal cortex

•Distal convoluted tubule

•Collecting ducts- the place where the distal convoluted tubules dump

•Papillary ducts- converging of many collecting ducts

•Get Back! Please Don’t Look At Dairy Cows Peeing

4 lines
44.

•Ureters- (a)   contraction in the walls of the ureters push urine to the bladder

–A foot long

–At the end of the ureters is a hole that acts like a valve that shuts when the bladder gets full, preventing back flush

•mucosa - transitional epithelium

lumen very narrow, easily obstructed

45.
4 lines
46.

(a)   -urination, voiding, number one, peeing

47.

•When the bladder gets full, (a)   receptors initiate the spinal nerves to open the sphincters

48.

Because the external sphincter is (a)   muscle we can over ride this reflex and “Hold it!”

49.

This maneuver aids in:

–aids in expulsion of urine by ­ pressure on bladder

–can also activate micturition reflex voluntarily

(a)  

50.

A lack of the ability to hold it is called (a)   , failure to void completely is called retention

51.

A lack of the ability to hold it is called incontinence, failure to void completely is called (a)  

52.

Urine passes through which part of the urethra first?

a)

Prostatic

b)

Membranous

c)

Spongy

53.

This part of the urethra passes through the pelvic cavity

a)

Prostatic

b)

Membranous

c)

Spongy

54.

This part of the urethra is in the penis

a)

Prostatic

b)

Membranous

c)

Spongy

55.

Why do women have more UTI's or Cystitis compared to men?

a)

Men have a shorter urethra

b)

Women Have a longer urethra

c)

Men have a longer urethra

56.

pH- normal avg. (a)   ?

put a number

57.

•urine weight compared to water, should be 1.001-1.035, just slightly heavier then water, but not much more or the urine will have substances in it

Referring to?

(a)  

58.

(a)  a protein in the blood, big molecule, if found in large amounts then the membranes of the kidney are damaged enough to let it through

59.

______ •If too much _____ is in the blood (usually above 300 ppm) it will spill into the urine, no _____ should be found in the urine, suspect diabetes

(a)  

60.

•_____ - if found in urine it may be due to menstrual ____, trauma to the genitals or kidney stones

(a)  

61.

• (a)   - possible infection or not a “clean catch”, if infection is suspected must be correlated with other tests

62.
4 lines
63.

The inner area of the kidney is known as?

(a)