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1. In the nephron, fluid flows in the following order: glomerular capsule, dista

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Question

1. In the nephron, fluid flows in the following order:

glomerular capsule, distal convoluted tubule, nephron loop, proximal convoluted tubule

proximal convoluted tubule, nephron loop, distal convoluted tubule, glomerular capsule

nephron loop, glomerular capsule, proximal convoluted tubule, distal convoluted tubule

glomerular capsule, proximal convoluted tubule, nephron loop, distal convoluted tubule

2. Renal pyramids are part of the:

renal cortex

renal medulla

renal capsule

renal pelvis

glomerulus

2. Under normal circumstances, which of the following pressures in highest in the renal corpuscle?

blood colloid osmotic pressure

capsular hydrostatic pressure

capsular colloid osmotic pressure

glomerular blood hydrostatic pressure

3. Which of the following is produced in the kidneys?

Aldosterone

Antidiuretic hormone

Renin

Atrial natriuretic factor

4. Which of the following is NOT normally found in the glomerular filtrate:

water and wastes

water and electrolytes

vitamins and amino acids

blood cells and large proteins

5. These cells make up the proximal and distal convoluted tubules:

stratified squamous epithelial

simple squamous epithelium

simple cuboidal epithelium

transitional epithelium

6. The following structures make up the renal corpuscle

the proximal and distal convoluted tubules

the glomerulus and the glomerular capsule

the ascending and descending portions of the nephron loop

the glomerulus and the vasa recta

7. The correct order for urine flow is:

minor calyces, major calyces, renal pelvis, urethra, urinary bladder, ureter

major calyces, minor calyces, renal pelvis, urethra, urinary bladder, ureter

renal pelvis, minor calyces, major calyces, ureter, urinary bladder, urethra

minor calyces, major calyces, renal pelvis, ureter, urinary bladder, urethra

8. The enzyme which converts angiotensinogen into angiotensin I is:

aldosterone

renin

ADH

Angiotensin II

9. The hormone which increases the water permeability of the collecting ducts is:

aldosterone

renin

ADH

Atrial natriuretic peptide

10. Which of the following does NOT occur when there is an increase in angiotensin II

increased thirst

release of aldosterone

decrease in blood pressure

vasoconstriction

11. During the fight-or-flight response, sympathetic stimulation of renal blood vessels cause

increased glomerular filtration due to vasodilation of renal arteries

decreased glomerular filtration due to vasoconstriction of the afferent arterioles

decreased glomerular filtration due to decreased renin

no change in glomerular filtration rate

12. (GBHP (CHP + BCOP), where GBHP = glomerular blood hydrostatic pressure, CHP = capsular hydrostatic pressure, and BCOP = blood colloid osmotic pressure is:

net filtration pressure

glomerular filtration pressure

countercurrent mechanism

renal autoregulation

13. The movement of materials from the tubular fluid into the blood of peritubular capillaries or the vasa recta is called:

tubular secretion

glomerular filtration

tubular reabsorption

transport maximum

14. Urine that is hypertonic (concentrated) to blood plasma is produced when:

levels of antidiuretic hormone are high

levels of antidiuretic hormone are low

plasma concentration levels of sodium is low

levels of aldosterone are low

15. The descending limb of the nephron loop is made of the following tissue

transitional

simple columnar

stratified squamous

simple squamous

16. This hormone increases the reabsorption of NA+ from the DCT

aldosterone

atrial natriuretic factor

antidiuretic hormone

renin

17. Atrial natriuretic factor is secreted due to __________ and _____________ Na+ and water reabsorption.

increased blood pressure, stimulates

decreased blood pressure, stimulates

decreased blood pressure, inhibits

increased blood pressure, inhibits

18. Which of the following is NOT normally found in the urine:

creatinine

glucose

urea

uric acid

19. The descending limb of the nephron loop allows

for the reabsorption of water

for the reabsorption of Na+, Cl-, K+

for the secretion of water

secretion of Na+, Cl-, K+

20. The movement of substances from the blood or tubular cells into the tubular fluid is called

transport maximum

tubular secretion

tubular reabsorption

glomerular filtration

21. If the levels of aldosterone increase, the blood levels of Na+

decrease

increase

has no effect

22. Alcohol acts as a diuretic because it:

is not reabsorbed by the tubule cells

stimulates the sympathetic nervous system

inhibits secretion of ADH

increases secretion of ADH

23. The countercurrent multiplier refers to the actions of the

Glomerulus

Proximal convoluted tubule

Vasa recta

Nephron loop

24. The countercurrent exchanger refers to the actions of the

Glomerulus

Proximal convoluted tubule

Vasa recta

Nephron loop

25. Which of the following is NOT part of the Nephron

Renal corpuscle

Nephron loop

Collecting duct

Distal convoluted tubule

Proximal convoluted tubule

26. Within the medulla of the kidney, the tissue:

has a greater osmolarity towards the cortex

has a lesser osmolarity the further away form the cortex

has a concentration gradient with is always equal to the cortex

has a greater osmolarity the further away from the cortex

27. Which of the following is not associated with the JG cells of the juxtaglomerular apparatus:

They are specialized smooth muscle cells

They are stimulated by high blood pressure

They produce renin

They are found on the afferent arteriole

28. Once the tubular fluid has passed the PCT, which of the following can no longer be reabsorbed:

water

Na+

amino acids

urea

29. What is the NFP if GHP is 60mmHg, COP is 35mmHg and CHP is 25mmHg?

120mmHg

70mmHg

40mmHg

0mmHg

30. When an individual is exercising, the sympathetic N.S. is stimulated, which will constrict the afferent arteriole entering the Renal Corpuscle, which will decrease urine production.

True

False

31. The kidneys are stimulated to produce renin _____.

when the peritubular capillaries are dilated

when the pH of the urine decreases

by a decrease in the blood pressure

when proteins are found in the urine

32. The glomerulus differs from other capillaries in the body in that it _______.

has a basement membrane

is drained by an efferent arteriole

is impermeable to most substances

has a blood pressure much lower than other organ systems

33. Which of the following does not describe the juxtaglomerular complex?

it regulates the rate of filtrate formation

it helps control systemic blood pressure

its granular cells produce renin

its macula densa cells produce aldosterone

34. Which of the choices below is not a method by which the cells of the renal tubules can raise blood pH?

by secreting hydrogen ions into the tubular fluid

by reabsorbing filtered bicarbonate ions

by producing new bicarbonate ions

by secreting sodium ions

35. Which of the choices below is not a glomerular filtration rate control method?

renal autoregulation

neural regulation

electrolyte levels

hormonal regulation

36. Excretion of dilute urine requires __________.

relative permeability of the distal tubule to water

impermeability of the collecting duct to water

transport of sodium and chloride ions out of the descending nephron loop

the presence of ADH

37. If the transport maximum for a particular amino acid is 120mg/100ml and the concentration of that amino acid in the blood is 230mg/100ml, the amino acid will ______.

be actively secreted into the filtrate

be completely reabsorbed by the tubule cells

appear in the urine

be completely reabsorbed by secondary active transport

Match the Following

. proximal convoluted tubule                        a. site of filtrate formation

glomerulus                                                     b. site that drains the distal convoluted tubule

peritubular capillaries                                  c. blood supply that directly receives                                                                                     substances from the tubular cells

                                                                                    d. site at which most of the tubular                                                                                                     reabsorption occurs

Match the following:

afferent arterioles                                         a. low pressure, porous vessels that reabsorb                                                                     solutes and water from the tubules

glomerular capillaries                                 

                                                                                    b. high pressure vessel that forces fluid and

peritubular capillaries                      the            solutes into the glomerular capsule

vasa recta                                                       c. fenestrated vessels that allow passage of all                                                                     plasma elements but not blood cells

                                                                                    d. pick up fluid and solutes from the renal                                                                                        medulla

Explanation / Answer

1. glomerular capsule, proximal convoluted tubule, nephron loop, distal convoluted tubule

2. renal medulla

2. glomerular blood hydrostatic pressure

3. rennin

4. blood cells and large proteins

6. the glomerulus and the glomerular capsule

7. minor calyces, major calyces, renal pelvis, ureter, urinary bladder, urethra

8. ADH

28. urea

31. by a decrease in the blood pressure

32. is drained by an efferent arteriole

33. its macula densa cells produce aldosterone

35. electrolyte level

36. impermeability of the collecting duct to water

37. appear in the urine