urinary – Flashcards

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The kidney is referred to as an excretory organ because it excretes
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Nitrogenous wastes
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It is also a major homeostatic organ because it maintains the electrolyte.... and ... balance of the blood
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acid base and fluid
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Urine is continuously formed by the structural and functional units of the kidneys, the ....and is routed down the .... by the mechanism of .....to a storage organ called the...
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Nephrons, ureter, peristalsis and bladder
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Eventually, the urine is conducted to the body...by the urethra
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exterior
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describe male urethra
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20 centimeters long and transports both urine and semen.
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describe females urethra
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4 centimeters long and transports only urine.
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Voiding or emptying the bladder is called
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micturition
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Voiding has both voluntary and involuntary components. The voluntary sphincter is the
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external urethral sphincter.
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An inability to control this sphincter is referred to as
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incontinence
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Whatisthefunctionofthefatcushionthat surrounds the kidneys in life?
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Protection/cushioning and binding the kidneys to the body wall
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Define ptosis
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whenthefatcapsuleis reduced, the kidneys are less securely anchored and may drop to a more inferior position in the abdominal cavity
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smooth membrane, tightly adherent to the kidney surface
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Fibrous capsule
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portion of the kidney containing mostly collecting ducts
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Medulla
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portion of the kidney containing the bulk of the nephron structures
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Cortex
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superficial region of kidney tissue
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Cortex
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basinlike area of the kidney, continuous with the ureter
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Renal pelvis
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a cup-shaped extension of the pelvis that encircles the apex of a pyramid
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Minor calyx
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area of cortical tissue running between the medullary pyramids
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Renal column
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capillary specialized for filtration
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Glomerulus
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Capillary specialized for reabsorption
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Peritubular capillary
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cuplike part of the renal corpuscle
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Glomerular capsule
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location of macula densa
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Ascending limb of the nephron loop
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primary site of tubular reabsorption
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PCT
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receives urine from many nephrons
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Collecting duct
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Explain why the glomerulus is such a high-pressure capillary bed.
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Because the afferent arteriole entering the glomerulus has a much wider diameter than the exiting efferent arteriole
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How does its high-pressure condition aid its function of filtrate formation?
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The high hydrostatic pressure inside the capillary bed forces fluids and small molecules out into the glomerular capsule forming the filtrate that enters the PCT
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What structural modification of certain tubule cells enhances their ability to reabsorb substances from the filtrate?
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Most reabsorption takes place in the PCT and cells there have microvilli to increase their surface area and more mitochondria for increased active transport
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Explain the mechanism of tubular secretion, and explain its importance in the urine formation process.
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Waste products move from the blood of the peritubular capillaries back into the nephron tubule to be disposed of in the urine
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Compare and contrast the composition of blood plasma and glomerular filtrate.
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Blood plasma should contain more proteins
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Define juxtaglomerular complex:
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located where ascending limb of the nephron loop touches the afferent arteriole - made up of granular cells and macula densa - role is to regulate the rate of filtration and systemic blood pressure
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What is important functionally about the specialized transitional epithelium in the bladder?
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The cells can slide past one another giving the tissue the ability to stretch and recoil as the bladder fills and empties
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Flow of fluid from the point where the glomerular filtrate is formed to the point where urine leaves the body:
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glomerular capsule → proximal convoluted tubule → nephron loop → distal convoluted tubule → collecting duct → papillary duct → minor calyx → major calyx → renal pelvis → ureter → urinary bladder → urethra
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The normal volume of urine excreted in a 24-hour period is
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1.0-1.8 liters.
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Explain why urinalysis is routine part of any good physical examination
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Urinalysis is a routine part of any good physical examination because many pathological conditions or indicators of unhealthy behavior can be easily diagnosed by changes in urine composition, color, smell, pH, etc.
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What is the substance responsible for the normal yellow color of urine
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urochrome
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What has a greater specifc gravity 1 ml of urine or 1ml of distilled water ? why ?
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1 ml of urine has a greater specific gravity than 1 ml of distilled water because the urine contains dissolved solutes which makes it weight more than distilled water.
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Explain the relationship between color, specific gravity and volume of urine
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Color is caused by pigment molecules which contribute to weight/specific gravity of the urine. The higher the ratio of fluid volume to solutes, the lower the specific gravity and the lighter the color (and vice versa).
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Name three constituents that might be present if a urinary tract infection exists
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Three constituents of a urine sample that might indicate the presence of a urinary tract infection are nitrites, white blood cells, and red blood cells.
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how does a urinary tract infection influence urine ph
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A urinary tract infection makes the pH of urine more alkaline/basic. Starvation makes urine more acidic.
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all urine specimens become alkaline and cloudy on standing at room temp why
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All urine samples become alkaline and cloudy on standing at room temperature due to bacterial action within the sample.
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Presence of erthrocytes in urine
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hematuria
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Presence of hemoglobin in the urine
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hemoglobinuria
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Presence of glucose in the urine
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glycosuria
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presence of protein in the urine
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proteinuria
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presence of ketone bodies in the urine
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ketonuria
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presence of white blood cells in the urine
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pyuria
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What are renal calculi and what conditions favor their formation
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Renal calculi are "kidney stones". When urine becomes excessively concentrated, for example if a person is severely dehydrated and the body is trying to conserve water, the solutes begin to precipitate/crystallize.
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Glucose and protein are both normally absent in the urine, but the reason for their exclusion differs, explain the reason for absence of glucose
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Glucose should be absent from the urine because it should all be reabsorbed into the bloodstream by the PCT
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Absence of proteins
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Proteins should be absent from the urine because they are too large to be filtered out of the bloodstream by the glomerulus in the first place.
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Name three major nitrogenous wastes found in the urine
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urine are urea, uric acid, and creatinine.
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