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WorksheetsUrinary System (Nephrology)[COMA Review]
Total questions: 63
Worksheet time: 1hrs 5mins
The outer area of the kidney is known as the
(a)
The kidney is covered/encased by the
re
medulla oblongata
Dr. Stouder
Adrenal gland
The renal medulla contains which structures
Renal Columns
Renal Pyramids
Renal Papilla
lymphatic vessels
pushed in center spot where blood vessels, lymphatic vessels, nerves and ureter penetrate the kidney
Hilus
Renal Capsule
Renal Cortex
Label 1
(a)
Label 2
(a)
Label 3
(a)
Label 4
(a)
Label 5
(a)
Label 6
(a)
Label 7
(a)
Label 8
(a)
Label 9
(a)
Label 10
(a)
Urinary system consists of (a) kidneys (kids),
the ureter connects to the bladder, the release hose from the bladder is called the (a) Franklin (reference to Arethra Franklin)
The kidneys are kidney (a) shaped
The kidneys are kidney bean shaped and about the size of your (a)
Where are the kidneys located?
Retroperitoneum
Ventral Perioneum
In the thoracic cavity
Why is the right kidney located lower than the left kidney?
The liver pushes it down
The spleen pushes it down
The aorta pushes it down
What ribs partially cover the kidneys?
Eleventh and Twelfth
Sixth and Seventh
Third and Fourth
•The primary kidney function is to form urine but they do other things as well such as
•Drunk Guys pEE Behind Fences
Detoxify free radicals and drugs
Gluconeogenesis to regulate blood sugar
pH Regulation via H+ and Bicarbonate (HCO3) ions
Electrolyte Regulation (Na+, K+, Ca++)
-Erythropoietin
-Blood Pressure Reg
-Fluid Balance
Dietary proteins break
down to amino
acids. Metabolized amino
acids form toxic (a)
(NH3)
the liver converts
ammonia to (a) (NH2)
which is removed from the
blood by the
kidneys
What is the functional unit of the kidney?
(a)
•3 processes of the nephron:
–1.) Filtering blood
–2.) Returning useful substances
–3.) Removing non-needed substances
•NEPHRONS MAINTAIN THE _____ OF BLOOD AND PRODUCES _____
Homeostasis ; Urine
Immunity ; Urine
Hormones ; Urine
Renal Corpuscle is composed of: (a) and Glomerular capsule (Bowman’s Capsule)
Renal Corpuscle is composed of: Glomerulus and _______ _______ (Bowman’s Capsule)
(a)
Glomerular filtrate collects in (a) , flows into renal tubule
Glomerular filtrate collects in capsular space, flows into _____ _____
(a)
•2.) The glomerulus is part of the ______ AND urinary systems
Cardiovascular
Endocrine
Nervous
Lymphatic
•Glomerulus capillaries are unique- positioned between two _____, not (like usual) between an artery and a vein
arteries
veins
arterioles
capillaries
•Filtrate formed per (a) in Bowman’s capsule
Fluid that enters the capsule space of the glomerulus is called ______ ______
(a)
–Essentially glomerular filtrate is filtered (a) (minus the plasma proteins).
•More then 99% of glumerular filtrate is returned to the blood by t______ _____
(a)
(a) GFR = urine output rises → dehydration, electrolyte depletion
-increased or decreased?
(a) GFR = urine output decreases → waste reabsorbed.
Increased or decreased?
•GFR controlled by adjusting glomerular ____ _____
–autoregulation
–sympathetic control
–hormonal mechanism: renin and angiotensin
(a)
–autoregulation
–sympathetic control
–hormonal mechanism: renin and angiotensin
These are all ways to adjust ______ and thus control GFR
•glomerular blood pressure
•glomerular plasma pressure
•glomerular capillary pressure
•glomerular lymphatic pressure
•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
•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
•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
(a) -urination, voiding, number one, peeing
•When the bladder gets full, (a) receptors initiate the spinal nerves to open the sphincters
•Because the external sphincter is (a) muscle we can over ride this reflex and “Hold it!”
This maneuver aids in:
–aids in expulsion of urine by pressure on bladder
–can also activate micturition reflex voluntarily
(a)
•A lack of the ability to hold it is called (a) , failure to void completely is called retention
•A lack of the ability to hold it is called incontinence, failure to void completely is called (a)
Urine passes through which part of the urethra first?
Prostatic
Membranous
Spongy
This part of the urethra passes through the pelvic cavity
Prostatic
Membranous
Spongy
This part of the urethra is in the penis
Prostatic
Membranous
Spongy
Why do women have more UTI's or Cystitis compared to men?
Men have a shorter urethra
Women Have a longer urethra
Men have a longer urethra
•pH- normal avg. (a) ?
put a number
•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)
(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
______ •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)
•_____ - if found in urine it may be due to menstrual ____, trauma to the genitals or kidney stones
(a)
• (a) - possible infection or not a “clean catch”, if infection is suspected must be correlated with other tests
The inner area of the kidney is known as?
(a)
