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Systems Exam III
Mechanisms of Renal Concentration and Dilution
6
Medical
Graduate
04/09/2009

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Cards

Term
Which parts of the kidney are important for the concentration of urine?
Definition
The loops of Henle, the collecting ducts, and the vasa recta
Term
What are the four requirements of countercurrent multiplication?
Definition
1 - Solute (NaCl) is actively reabsorbed from the thick ascending limb of the loop of Henle
2 - The permeability of the ascending limb to solvent (water) is extremely low which permits the formation of a diluted fluid as NaCl is removed and the water is trapped behind
3 - The solute which is transported out of the ascending limb enters the medullary interstitium and increases the osmolarity within the interstitium; since the descending limb is permeable to both solute and solvent, the tubular fluid becomes more concentrated as it flows down the descending limb and equilibrates with the interstitium
4 - The physical length of the loop plays a role in the degree to which the osmotic gradient within the medullary interstitium can rise
Term
Where in the body can a concentrated interstitium be found?
Definition
The renal medulla
Term
What determines the ultimate degree of solute concentration at the tip of the loop of Henle?
Definition
The actual length of the loop of Henle
Term
In a juxtamedullary nephron, is the fluid entering the distal convoluted tubule isoosmotic, hypoosmotic, or hyperosmotic?
Definition
Hypoosmotic
Term
What two areas of the nephron are significantly involved with the action of ADH?
Definition
The cortical collecting tubules and the collecting duct itself
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