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L07 Urinary system 2

Total questions: 56

Worksheet time: 28mins

Name
Class
Date
1.

The kidneys are located between which vertebral levels?

a)

T10 → L1

b)

T12 → L3

c)

L1 → L5

d)

T9 → L2

2.

The position of the kidneys is described as:

a)

Intraperitoneal

b)

Anterior peritoneal

c)

Retroperitoneal

d)

Subcutaneous

3.

Which kidney is typically positioned slightly lower?

a)

The Left kidney

b)

They are always at the same level

c)

The Right kidney

d)

The position varies randomly

4.

The kidney's outer, tough layer that encloses and protects it is the:

a)

Renal medulla

b)

Renal cortex

c)

Fibrous capsule

d)

Renal fascia

5.

The reddish-brown outer layer of the kidney is the:

a)

Medulla

b)

Cortex

c)

Renal pyramid

d)

Renal papilla

6.

The innermost region of the kidney is formed by:

a)

Renal pelvis

b)

Renal cortex

c)

Cone-shaped renal pyramids

d)

Minor calyces

7.

The apex of a renal pyramid is called the:

a)

Renal hilum

b)

Renal medulla

c)

Renal papilla

d)

Major calyx

8.

The concave medial border of the kidney where structures enter/leave is the:

a)

Renal cortex

b)

Renal medulla

c)

Hilum

d)

Renal pelvis

9.

Which structure does the renal pelvis narrow to become?

a)

Renal artery

b)

Major calyx

c)

Ureter

d)

Renal papilla

10.

Urine flows directly from the renal papilla into the:

a)

Major calyx

b)

Renal pelvis

c)

Minor calyx

d)

Collecting duct

11.

Which structure supplies blood to the kidney?

a)

Inferior vena cava

b)

Abdominal aorta

c)

Renal vein

d)

Renal artery

12.

The renal vein drains blood into the:

a)

Hepatic portal vein

b)

Superior vena cava

c)

Aorta

d)

Inferior vena cava

13.

The lining of the calyces and renal pelvis is:

a)

Simple squamous epithelium

b)

Stratified squamous epithelium

c)

Transitional epithelium

d)

Simple cuboidal epithelium

14.

The functional units of the kidney that form urine are the:

a)

Renal pyramids

b)

Collecting ducts

c)

Calyces

d)

Nephrons

15.

A nephron is a tubule that opens at one end into a:

a)

Renal pelvis

b)

Proximal convoluted tubule

c)

Glomerular capsule

d)

Collecting duct

16.

The cup-shaped end of the nephron that encloses the glomerulus is the:

a)

Proximal convoluted tubule

b)

Glomerular capsule (Bowman's capsule)

c)

Distal convoluted tubule

d)

Loop of Henle

17.

The tuft of capillaries enclosed by the glomerular capsule is the:

a)

Efferent arteriole

b)

Peritubular capillary

c)

Glomerulus

d)

Afferent arteriole

18.

The part of the nephron tubule that begins after Bowman's capsule is the:

a)

Distal convoluted tubule

b)

Loop of Henle

c)

Proximal convoluted tubule (PCT)

d)

Collecting duct

19.

Which structure transports urine from nephrons to the renal pyramids and calyces?

a)

Loop of Henle

b)

Afferent arterioles

c)

Collecting ducts

d)

Ureter

20.

The fluid that enters the glomerular capsule after filtration is called:

a)

Urine

b)

Plasma

c)

Filtrate

d)

Blood

21.

After the efferent arteriole, blood flows into the surrounding renal tubules through the:

a)

Renal vein

b)

Glomerulus

c)

Peritubular capillary network

d)

Afferent arteriole

22.

Filtration is the first key process in urine formation, followed by selective reabsorption and:

a)

Excretion

b)

Secretion

c)

Homeostasis

d)

Dialysis

23.

During filtration, which components generally remain in the blood because they are too large?

a)

Water and urea

b)

Mineral salts and glucose

c)

Blood cells and plasma proteins

d)

Amino acids and small drugs

24.

The volume of filtrate formed by both kidneys per minute is the:

a)

Renal blood flow (RBF)

b)

Blood pressure (BP)

c)

Glomerular Filtration Rate (GFR)

d)

Urine output

25.

The normal GFR for a healthy adult is approximately:

a)

180 mL/day

b)

125 mL/hour

c)

125 mL/min

d)

1.5 L/day

26.

Approximately what percentage of the glomerular filtrate is reabsorbed by the kidney tubules?

a)

Less than 1%

b)

≈ 50%

c)

≈ 99%

d)

≈ 10%

27.

The major site of reabsorption, where about 60-70% of filtrate is reabsorbed, is the:

a)

Loop of Henle

b)

Distal convoluted tubule (DCT)

c)

Glomerular capsule

d)

Proximal convoluted tubule (PCT)

28.

Which essential nutrient is completely reabsorbed in a healthy kidney, meaning it is normally absent in urine?

a)

Urea

b)

Creatinine

c)

Glucose

d)

Uric acid

29.

The substance that appears in the urine (glycosuria) when blood levels are excessive and carrier sites are saturated is:

a)

Amino acid

b)

Glucose

c)

Urea

d)

Creatinine

30.

Nitrogenous wastes like urea, uric acid, and creatinine are:

a)

Completely reabsorbed

b)

Maximally secreted

c)

Minimally reabsorbed

31.

Nitrogenous wastes like urea, uric acid, and creatinine are:

a)

Completely reabsorbed

b)

Maximally secreted

c)

Minimally reabsorbed

d)

Stored in the collecting duct

32.

The process of transferring unwanted substances from the blood into the filtrate in the tubules is called:

a)

Filtration

b)

Reabsorption

c)

Secretion

d)

Excretion

33.

Secretion mainly occurs in the proximal and:

a)

Loop of Henle

b)

Collecting duct

c)

Distal convoluted tubules

d)

Glomerular capsule

34.

The main purpose of the kidneys is to excrete waste from protein metabolism, such as:

a)

Glucose

b)

Urea

c)

Bilirubin

d)

Mineral salts

35.

The normal daily urine output for a healthy adult is approximately:

a)

$500 \text{ mL}$

b)

$10 \text{ L}$

c)

$1-1.5 \text{ L}$

d)

$180 \text{ L}$

36.

The pigment that gives urine its clear, amber color is:

a)

Haemoglobin

b)

Bilirubin

c)

Melanin

d)

Urobilin

37.

Which hormone, secreted by the posterior pituitary, increases water reabsorption in the distal tubules and collecting ducts?

a)

Aldosterone

b)

Atrial Natriuretic Peptide (ANP)

c)

Antidiuretic Hormone (ADH)

d)

Parathyroid Hormone (PTH)

38.

Increased secretion of ADH is triggered by a rise in:

a)

Blood volume

b)

Blood pressure

c)

Blood osmotic pressure

d)

Blood potassium levels

39.

Which hormone increases sodium ($\text{Na}^+$) and water reabsorption and potassium ($\text{K}^+$) excretion, helping to maintain blood volume and pressure?

a)

Antidiuretic Hormone (ADH)

b)

Parathyroid Hormone (PTH)

c)

Aldosterone

d)

Calcitonin

40.

Aldosterone is secreted by the:

a)

Adrenal medulla

b)

Thyroid gland

c)

Posterior pituitary

d)

Adrenal cortex

41.

Atrial Natriuretic Peptide (ANP) is released when blood volume:

a)

Decreases

b)

Increases

c)

Remains stable

d)

Becomes acidic

42.

The action of ANP is to decrease sodium and water reabsorption, leading to:

a)

Decreased urine output

b)

Increased blood volume

c)

Increased urine output

d)

Increased ADH secretion

43.

Which hormone increases calcium reabsorption and decreases phosphate reabsorption in the tubules?

a)

Calcitonin

b)

Aldosterone

c)

Parathyroid Hormone (PTH)

d)

ANP

44.

The Renin-Angiotensin-Aldosterone System (RAAS) is triggered by low renal blood flow, which can be caused by low blood volume, low blood pressure, or low:

a)

Blood calcium

b)

Blood potassium

c)

Blood sodium

d)

Blood glucose

45.

The kidneys help maintain acid-base balance by excreting which ion in proximal convoluted tubules?

a)

Sodium ($\text{Na}^+$)

b)

Potassium ($\text{K}^+$)

c)

Hydrogen ions ($\text{H}^+$)

d)

Chloride ($\text{Cl}^-$)

46.

In a person with a high protein diet, the urine tends to be:

a)

Less acidic (higher $\text{pH}$)

b)

More alkaline (higher $\text{pH}$)

c)

More acidic (lower $\text{pH}$)

d)

Neutral

47.

The ureters are hollow muscular tubes that carry urine from the kidneys to the:

a)

Urethra

b)

Renal papilla

c)

Urinary bladder

d)

Collecting ducts

48.

The oblique entry of the ureters into the bladder acts as a valve to prevent:

a)

Urine formation

b)

Peristalsis

c)

Urine reflux into the kidneys

d)

Bladder contraction

49.

The middle layer of the ureter wall is composed of:

a)

Fibrous connective tissue

b)

Transitional epithelium

c)

Smooth muscle

d)

Stratified squamous epithelium

50.

The smooth muscle in the ureter walls is responsible for:

a)

Filtration

b)

Peristaltic movement

c)

Voluntary control

d)

Ion reabsorption

51.

The urinary bladder is located in the:

a)

Abdominal cavity

b)

Thoracic cavity

c)

Pelvic cavity

d)

Retroperitoneal space

52.

The maximum capacity of the bladder is approximately:

a)

100 mL

b)

300 mL

c)

600 mL

d)

1500 mL

53.

The inner layer of the bladder wall is lined with:

a)

Simple squamous epithelium

b)

Simple columnar epithelium

c)

Transitional epithelium

d)

Stratified cuboidal epithelium

54.

The smooth muscle layer of the bladder wall is called the:

a)

Detrusor muscle

b)

Internal sphincter

c)

External sphincter

d)

Trigone

55.

The triangular area on the bladder's posterior wall, formed by the three openings (ureters and urethra), is the:

a)

Rugae

b)

Detrusor

c)

Trigone

d)

Pubic symphysis

56.

The thickened smooth muscle at the upper urethra that controls urine outflow involuntarily is the:

a)

External urethral sphincter

b)

Anal canal

c)

Detrusor muscle

d)

Internal urethral sphincter