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Physiology Test 3
Renal Introduction
19
Medical
Graduate
03/31/2009

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Term
What are the two sections of the nephron?
Definition
1. the glomerulus - filtering unit

2. the tubular unit - PCT, loop of Henle, DCT, and cortical collecting tubule
Term
How much fluid is filtered by the glomeruli everyday?
Definition
2.5 million glomeruli filter about 187 liters per day
Term
How can one visualize the difference between the PCT and DCT?
Definition
The PCT has brush borders for added surface area!
Term
How much of the total filtrate is absorbed in the PCT?
Definition
2/3. Only 1/3 is left afterwards
Term
Does the PCT change the concentrations of the filtrate?
Definition
No, it absorbs iso-osmotically so that solute concentrations remain the same
Term
What is reabsorbed in the PCT?
Definition
Na, K, and urea. HCO3 reabsorption and H Secretion also occurs here
Term
Is the fluid iso-osmotic when it enters the loop of henle?
Definition
Yes, b/c the PCT does not change the concentrations beforehand
Term
What part of the loop of henle is permeable to water, and which part is not?
Definition
The descending portion is permeable, and the ascending portion is not permeable.

Note: the first part lets water through
Term
What does the loop of henle do?
Definition
It reabsorbs Na. About 25% of the Na that is filtered at the glomerulus is reabsorbed bythe loop of Henle, whereas only about 5% of the water is reabsorbed. K is also reabsorbed here
Term
What is the first functional part of the DCT and what does it do?
Definition
1. Early DCT - the epithelial cells have many mitochondria. The cells are not under hormonal control, but do have transport mechanisms for various solutes. Responsible for fine tuning parts of the urine.

Reabsorption - Na and Cl
Secretion - H and K and ammonia
Permeable to water? - normally not
Term
What is the second functional part of the DCT and what does it do?
Definition
It is the cortical collecting tubule. It differs from the early DCT in that it is under hormonal control.

Under normal circumstances, it is impermeable to water and urea.

When under hormonal regulation, the CCT becomes permeable to water, but not urea
Term
How exactly does the early DCT differ from the late DCT?
Definition
The early part is NOT under hormonal regulation, but the later part is. This means that ADH will directly affect the water reabsorption of the late DCT, but not the early DCT.

Also, the early DCT reabsorbs Na and Cl, while secreting H and K and ammonia. The late DCT is only involved with water reabsorption, when activated hormonally.
Term
Are the collecting ducts under hormonal control?
Definition
yes, they are under intense hormonal control
Term
What anatomic characteristic of the kidney allows urine to become concentrated?
Definition
The fact that nephrons are located in part within the cortex and in part within the medulla. In combination with the collecting ducts, urine can flow through the renal medullary area to concentrate.
Term
What are the two types of cells lining the cortical collecting tubules?
Definition
Principle Cell - involved in Na, Cl, K, and water reabsorption

Intercalated Cells - alpha and beta types
Term
What do the intercalated cells do?
Definition
Intercalated alpha - secrete H, but do not reabsorb Na

Intercalated Beta - secrete bicarb

Both are significant in acid/base regulation
Term
What part of the kidney is not iso-osmotic with the plasma?
Definition
The renal medulla. The renal cortex is iso-osmotic
Term
Why is it important that the renal medulla remain hypertonic compared to the rest of the plasma?
Definition
It is important for concentrating urine. All of the collecting ducts must pass through the hypertonic section of the renal medulla before entering the renal pelvis. This is responsible for concentrating the final urine.
Term
What are the two subpopulations of nephrons and how do they differ?
Definition
Cortical nephrons - found in the renal cortex; comprise 85% of nephron pop.; PCT, DCT, and loop of Henle are located in the cortex in these nephrons (the tip of their loops enter the outer zone of the medulla)

juxtamedullary nephrons - glomeruli are located in the cortex along with the PCT and DCT; the loop of henle dips into the inner zone of the renal medulla; efferent arterioles form the vasa recta
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