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Ch. 26 Urinary & Ch.27 Fluid, Acid Base Test Bank Questions

front 1

Which is NOT a major function of the kidney?

back 1

Regulation of blood cell size

front 2

This is the formation of a new glucose molecule?

back 2

Gluconeogenesis

front 3

Which of the following is a waste product normally excreted by the kidneys?

back 3

Urea

front 4

This is smooth dense irregular connective tissue that is continuous with the outer coat of the ureter?

back 4

Renal capsule

front 5

The portion of the kidney that extends between the renal pyramid is called the?

back 5

Renal columns

front 6

Which is the correct order of blood flow?

back 6

1) Interlobular arteries, 2) Arcuate arteries, 3) Glomerular capillaries, and 4) Arcuate veins

front 7

Which is the correct order of filtrate flow?

back 7

1) Glomerular capsule, 2) Proximal Convoluted tubule (PCT), 3) Loop of Henle, 4) Distal convoluted tubule (DCT), 5) Collecting duct

front 8

Which structure of the nephron reabsorbs the most substances?

back 8

Proximal convoluted tubule

front 9

This is the structure of the nephron that filters blood?

back 9

Glomerular capsule

front 10

This term means entry of substances into the body from the filtrate?

back 10

Reabsorption

front 11

This is a nephron process that results in a substance in blood entering the already formed filtrate?

back 11

Secretion

front 12

This layer of filtration membrane is composed of collagen fibers and proteoglycans in a glycoprotein matrix?

back 12

Basal lamina

front 13

This occurs when stretching triggers contraction of smooth muscle walls in afferent arterioles?

back 13

Myogenic mechanism

front 14

This is when a substance passes from the fluid in the tubular lumen through the apical membrane then across the cytosol into the interstitial fluid?

back 14

Transcellular reabsorption

front 15

Once fluid enters the proximal convoluted tubule it?

back 15

Is called tubular fluid

front 16

The proximal convoluted tubules reabsorb what percentage of filtered water?

back 16

65%

front 17

Which of the following is a way angiotensin II affects the kidneys?

back 17

It increases GFR

front 18

Urea recycling can cause a build up of urea in the?

back 18

Renal medulla

front 19

Increased secretion of Hydrogen ions would result in a _______of blood ________?

back 19

Decreases; pH

front 20

Increased secretion of Aldosterone would result in a ________ of blood ________?

back 20

Increases; Sodium

front 21

The ascending loop of Henle is impermeable to?

back 21

Water

front 22

An analysis of the physical, chemical and microscopic properties of urine is called?

back 22

Urinalysis

front 23

Water accounts for what percentage of the total volume of urine?

back 23

95%

front 24

This is a test to measure kidney function?

back 24

Plasma creatinine

front 25

This transports urine from the kidney to the bladder?

back 25

Ureter

front 26

This layer of the ureter is composed of connective tissue, elastic and collagen fibers?

back 26

Lamina propria

front 27

This lies in the anterior cornea of the trigone of the bladder?

back 27

Internal urethral orifice

front 28

Ho much of the total volume of body fluid is intracellular fluid?

back 28

2/3

front 29

80% of the extracellular fluid is?

back 29

Interstitial fluid

front 30

This is the largest single component of the human body?

back 30

Water

front 31

This is produced when electrons are accepted by oxygen during cellular respiration?

back 31

Metabolic water

front 32

This occurs when water loss is greater than water gain?

back 32

Dehydration

front 33

The response of the body to decreasing blood pressure will NOT cause which of the following?

back 33

Increased vasoconstriction

front 34

This is the main factor that determines body fluid volume?

back 34

Urinary salt loss

front 35

Which of the following is used to promote Na reabsorption by the kidneys?

back 35

Aldosterone

front 36

Which of the following is used to promote water reabsorption by the kidneys?

back 36

Antidiuretic hormone

front 37

A decline in angiotensin II levels does NOT result in?

back 37

Increased Calcium reabsorption

front 38

The major hormone that regulates water loss is?

back 38

ADH

front 39

Water intoxication results from?

back 39

Dilute body fluids and a decrease in the osmolarity of interstitial fluids

front 40

Which of the following is a function of an electrolyte in the body?

back 40

Controlling osmosis between compartments, Maintaining acid-base balance, Carry electrical currents, and serve as cofactors

front 41

In extracellular fluid the most abundant cation is?

back 41

Na+

front 42

In extracellular fluid the most abundant anion is?

back 42

Cl-

front 43

In intracellular fluid the most abundant cation is?

back 43

K+

front 44

In intracellular fluid the most abundant anion is?

back 44

(HPO4)-2

front 45

The Na+ level in blood is controlled by?

back 45

Aldosterone

front 46

This occurs between RBC and blood plasma as the blood level of carbon dioxide increases or decreases?

back 46

Chloride shift

front 47

This is the most abundant mineral in the body?

back 47

Calcium

front 48

PTH, calcitriol and calcitonin are?

back 48

The main regulators of calcium in the blood

front 49

Most of the phosphate in a body is present as?

back 49

Calcium phosphate salt

front 50

Buffer systems, exhaling carbon dioxide and excretion by the kidneys are all?

back 50

Ways to eliminate H+ from the body?

front 51

Metabolic reactions can produce?

back 51

Nonvolatice acids

front 52

This is a condition where blood pH is below 7.35?

back 52

Acidosis

front 53

In partial compensation?

back 53

Systemic arterial blood is still lower than 7.35

front 54

Inadequate exhalation of carbon dioxide can cause?

back 54

Blood pH to drop

front 55

This imbalance results when systemic arterial blood HCO3 levels drop significantly (below 22 mEq/liter)?

back 55

Metabolic acidosis

front 56

This imbalance results when systemic arterial blood CO2 levels raise to abnormal values?

back 56

Respiratory acidosis

front 57

This is the most common cause of metabolic alkalosis?

back 57

Vomiting

front 58

The rate of fluid intake and outtake is how much higher in an infant than in an adult?

back 58

7 times higher

front 59

The breathing rate of an infant causes?

back 59

Greater water loss from the lungs

front 60

Which of the following is NOT a function of the urinary system?

back 60

Excretes excess albumin molecules

front 61

Urine is eliminated through the?

back 61

Urethra

front 62

Urine is carried to the urinary bladder by?

back 62

The ureters

front 63

Each of the following organs is part of the urinary system, except the?

back 63

Rectum

front 64

All of the following are true of the kidneys, except that they are?

back 64

Located partly within the pelvic cavity

front 65

The prominent indentation on the medial surface of the kidney is the?

back 65

Hilum

front 66

Which of the following is NOT an important function of the kidney?

back 66

Excretion of excess albumen

front 67

Functions of the urinary system include?

back 67

Regulation of blood volume and blood pressure, Regulation of plasma concentration of certain ions, Helping to stabilize blood pH, and Conservation of valuable nutrients

front 68

The left kidney lies ______ to the right kidney?

back 68

Slightly superior

front 69

The position of the kidneys in the abdominal cavity is stabilized by?

back 69

The overlying peritoneum, Contact with adjacent visceral organs, and Supporting connective tissues

front 70

Typical renal blood flow is about ______ percent of cardiac output under resting conditions?

back 70

25

front 71

The renal sinus is?

back 71

An internal cavity lined by fibrous capsule

front 72

The outermost layer of the kidney is the?

back 72

Fibrous capsule

front 73

The cavity of the kidney that receives urine from the calyces is called the?

back 73

Renal pelvis

front 74

Triangular or conical structures located in the renal medulla are called?

back 74

Pyramids

front 75

Renal columns are?

back 75

Bundles of tissue that extend between pyramids from the cortex

front 76

The expanded beginning of the ureter connects to the?

back 76

Renal pelvis

front 77

Major calyces are?

back 77

Large tributaries of the renal pelvis

front 78

Which of the following descriptions best matches the term renal papilla?

back 78

Tip of the medullary pyramid

front 79

Which of the following descriptions best matches the term calyx?

back 79

Final urine enters here

front 80

The majority of glomeruli are located in the ______ of the kidney?

back 80

Cortex

front 81

Which of these components of the nephron is largely confined to the renal medulla?

back 81

Collecting ducts

front 82

Glomerular (Bowman's) capsule and the glomerulus make up the?

back 82

Renal corpuscle

front 83

A glomerulus is?

back 83

A knot of capillaries within the renal corpuscle

front 84

The filtrate first passes from the glomerular capsule to the?

back 84

Proximal convoluted tubule

front 85

The portion of the nephron that empties into the collecting duct is the?

back 85

Distal convoluted tubule

front 86

The U-shaped segment of the nephron is the?

back 86

Nephron loop ( Loop of Henle)

front 87

The primary function of the proximal convoluted tubule is?

back 87

Reabsorbing nutrients

front 88

The glomeruli are best described as being tufts of?

back 88

Capillaries

front 89

The ______ delivers urine to minor calyx?

back 89

Papillary duct

front 90

The efferent arteriole of a nephron divides to form a network of capillaries within the cortex called the _____ capillaries?

back 90

Peritubular

front 91

Blood leaves the glomerulus through a blood vessel called the?

back 91

Efferent arteriole

front 92

The following is a list of the blood vessels that carry blood to the kidney.
1. afferent arteriole
2. arcuate artery
3. interlobar artery
4. renal artery
5. glomerulus
6. cortical radiate artery
7. efferent arteriole
8. peritubular capillary

The proper order in which blood passes through these vessels is?

back 92

4, 3, 2, 6, 1, 5, 7, 8.

front 93

Each of the following is a normal constituent of urine, except?

back 93

Proteins

front 94

Substances secreted by the distal convoluted tubule include?

back 94

Hydrogen, Penicillin, Creatinine, and Potassium ions

front 95

The process of filtration occurs at?

back 95

The glomerular (Bowman's) capsule

front 96

Approximately ________liters of glomerular filtrate enters glomerular capsules each day?

back 96

180

front 97

The filtration barrier in the renal corpuscle consists of three layers?

back 97

Endothelium of glomerulus, dense layer of glomerulus, and podocyte filtration slits.

front 98

The structure known as the juxtaglomerular apparatus is located near the?

back 98

Glomerulus

front 99

Substances larger than ______ do NOT pass through the filtration membrane?

back 99

Albumin

front 100

The process of filtration is driven by?

back 100

Blood hydrostatic pressure

front 101

Under normal conditions, glomerular filtration depends on three main pressures. Which of those pressures is a pressure that favors the filtration pressure?

back 101

Glomerular hydrostatic pressure

front 102

Autoregulation of the rate of glomerular filtration has which of the following properties?

back 102

Depends on changes in the afferent arteriole, Depends on changes in the mesangial cells, and Depends on changes in the efferent arteriole

front 103

One mechanism the kidney uses to raise systemic blood pressure is to?

back 103

Increase secretion of renin by the juxtaglomerular complex

front 104

Increased sympathetic tone can do all of the following, except?

back 104

Increase the glomerular filtration rate

front 105

As the filtrate passes through the renal tubules, approximately what percentage is reabsorbed and returned to the circulation?

back 105

99%

front 106

Tubular reabsorption involves all of the following, except?

back 106

Stem cell movements

front 107

What percentage of nutrients (glucose, amino acids, ect.) are reabsorbed in the PCT?

back 107

25%

front 108

Secretion of hydrogen ion by the DCT is by process of?

back 108

Countertransport

front 109

In response to increased levels of aldosterone, the kidneys produce?

back 109

Urine with a lower concentration of sodium ions

front 110

Chloride ion is reabsorbed in the thick ascending limb by?

back 110

Cotransport with Na ions

front 111

Which of the following descriptions best matches the term nephron loop (loop of Henle)?

back 111

Relies on countercurrent multiplication, Creates high interstitial; NaCl concentration in the renal medulla, and Enables production of hypertonic urine

front 112

When the level of ADH (Antidiuretic Hormone) decreases?

back 112

More urine is produced and the osmolarity of the urine decrease

front 113

The ability to form concentrated urine depends on the function of?

back 113

Both the collecting duct and the nephron loop (Loop of Henle)

front 114

Antidiuretic hormone?

back 114

Increases the permeability of the collecting ducts to water

front 115

The mechanism for producing concentrated urine involves?

back 115

The secretion of ADH, Aquaporins being inserted into the membranes of the collecting duct cells, A high concentration of NaCl in the interstitial fluid that surrounds the collecting ducts, and A properly functioning nephron loop

front 116

A patient excretes a large volume of very dilute urine on a continuing basis. This is maybe due to?

back 116

Absence of ADH

front 117

_______ is an immediately life-threatening condition, however, if an individual services the incident, full recovery is often possible?

back 117

Acute renal failure

front 118

An inability of the kidneys to excrete adequately to maintain homeostasis is?

back 118

Renal failure

front 119

Which of the following is characterized as a slowly progressing disease that is irreversible?

back 119

Chronic renal failure

front 120

Urine passes, in the order given, through which of the following structures?

back 120

Collecting duct, Renal pelvis, Ureter, Bladder, and Urethra

front 121

The ureter and urinary bladder are lined by _____ epithelium?

back 121

Transitional

front 122

The detrusor muscle?

back 122

Compresses the urinary bladder and expels urine through the urethra

front 123

During the micturition reflex?

back 123

Stimulation of stretch receptions in the bladder wall sends impulses to the sacral cord

front 124

The condition called _______, is characterized by painful or difficult urination. This condition can be due to pathologic or benign causes?

back 124

Dysuria

front 125

Intracellular fluid (ICE) is found only within?

back 125

The cells of the body

front 126

The extracellular fluid (ECE) consists of the?

back 126

Plasma and lymph, Interstitial fluid, and Cerebrospinal fluid

front 127

In an adult male, the body consists of about ______ percent water?

back 127

60%

front 128

About two-thirds of the body fluids is within cells and is termed _____ fluid?

back 128

Intracellular

front 129

When pure water is consumed?

back 129

Osmolarities of the two fluids compartment fall

front 130

In an adult female, the body consists of about _____ percent water?

back 130

50%

front 131

When water is lost, but electrolytes are retained?

back 131

Osmosis moves water from the ICF to the ECF

front 132

A patient who has been both vomiting and having diarrhea is losing ______ from his body?

back 132

Water, Sodium ions, Hydrogen ions, and Bicarbonate ions

front 133

Consuming a meal high is salt will?

back 133

Result in a temporary increase in blood volume

front 134

To reduce brain swelling by pulling water out of brain cells, a substance can be injected intravenously to increase the osmotic pressure of interstitial fluid. Which of the following properties should this substance NOT have in order to be effective?

back 134

Permeable to brain plasma membranes

front 135

The principal cations in cytoplasm is?

back 135

Potassium

front 136

Which of the following is required as a cofactor for hemoglobin synthesis?

back 136

Copper

front 137

The ions in highest concentration in the extracellular fluid are?

back 137

Sodium and Chloride

front 138

Antidiuretic hormone?

back 138

Is secreted by the pituitary, Stimulates water intake, Stimulates water conservation by the kidneys

front 139

Aldosterone?

back 139

Is secreted in response to decreased blood volume, Promotes sodium retention in the kidneys, and Helps increase blood volume and raise blood pressure

front 140

Which of the following will stimulate thirst?

back 140

Drying the mucosa of the mouth and pharynx, Angiotensin II acting on the hypothalamus, an increase in the osmotic pressure of interstitial fluid within the hypothalamus

front 141

Which hormone stimulates the thirst mechanism?

back 141

ADH

front 142

Which hormone plays a central role in determining the rate of sodium reabsorption?

back 142

Aldosterone

front 143

Which hormone is released by heart muscle in response to excessive chamber volume?

back 143

Natriuretic peptides

front 144

Which hormone most affects the osmolarity of blood?

back 144

ADH

front 145

The most common problems with electrolyte balance are caused by an imbalance between gains and losses of?

back 145

Sodium ions

front 146

Angiotensin II produces a coordinated elevation in the ECF volume by?

back 146

Stimulating thirst, Causing deceased urinary water loss, and Causing increase Na+ retention

front 147

The release of natriuretic peptides from the heart will cause the body to?

back 147

Both decrease ECF and excrete sodium ions

front 148

The amount of potassium excreted by the kidneys is regulated mainly by?

back 148

Aldosterone

front 149

Secretion of potassium into the urine is?

back 149

Increased by aldosterone, Associated with the reabsorption of sodium from the distal tubules and collecting ducts, and Reduced when the exchange pump binds H+

front 150

A chemical that minimizes changes in the pH of a body fluid by releasing or binding hydrogen ion is called?

back 150

Buffer

front 151

The primary role of the carbonic-acid-bicarbonate buffer system is to?

back 151

Limit pH changes caused by organic and fixed acids

front 152

Excess hydrogen ion is eliminated from the body largely by?

back 152

The kidneys

front 153

When the pH of the extracellular fluid drops, the?

back 153

Kidneys excrete more hydrogen ions and kidneys excrete fewer bicarbonate ions

front 154

Prolonged vomiting can result in?

back 154

Metabolic alkalosis

front 155

A person with poorly controlled diabetes mellitus will develop?

back 155

Metabolic acidosis

front 156

A person who consumes large amount of sodium bicarbonate (Baking Soda) to settle an upset stomach risks?

back 156

Metabolic alkalosis

front 157

Severe kidney damage (such as, glomerulonephritis) often leads to?

back 157

Metabolic acidosis

front 158

Which of the following description best fits the acid-base disorder metabolic alkalosis?

back 158

Consequence of prolonged vomiting

front 159

Hypoventilation leads to?

back 159

Respiratory acidosis

front 160

In response to respiratory alkalosis, the?

back 160

Kidneys retain more hydrogen ions

front 161

A person with emphysema will exhibit signs of?

back 161

Chronic respiratory acidosis

front 162

A patient on a ventilator subjected to excessive minute volume is at risk for?

back 162

Respiratory alkalosis

front 163

Which of the following descriptions best fits the acid-base disorder respiratory acidosis?

back 163

Consequence of reduced alveolar ventilation, for example due to emphysema

front 164

Which of the following descriptions best fits the acid-base disorder respiratory alkalosis?

back 164

Consequence of hyperventilation, for example in fever or mental illness