Urine Formation by the Kidneys: II. Tubular Reabsorption and Secretion
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Questions
What is the fundamental equation that describes the sum of the three basic renal processes leading to the final composition of urine?
View answer and explanationIf the plasma glucose concentration is 1 gram per liter and the glomerular filtration rate is 180 liters per day, what is the total amount of glucose filtered by the kidneys each day?
View answer and explanationWhat is the average transport maximum for glucose in an adult human?
View answer and explanationAt what approximate plasma glucose concentration does glucose first begin to appear in the urine, a point known as the threshold?
View answer and explanationWhat percentage of the filtered load of sodium and water is normally reabsorbed by the proximal tubule?
View answer and explanationWhat is the primary mechanism for the reabsorption of glucose by the renal tubule?
View answer and explanationWhich sodium-glucose co-transporter is responsible for reabsorbing approximately 90 percent of the filtered glucose in the early part of the proximal tubule?
View answer and explanationWhat is the primary function of pinocytosis in the proximal tubule?
View answer and explanationWhat is the approximate normal net reabsorptive force that moves fluid and solutes from the renal interstitium into the peritubular capillaries?
View answer and explanationWhat is the term for the intrinsic ability of the renal tubules to increase their reabsorption rate in response to an increased tubular load?
View answer and explanationWhich hormone is described as perhaps the body’s most powerful sodium-retaining hormone?
View answer and explanationWhat is the most important renal action of antidiuretic hormone (ADH)?
View answer and explanationLoop diuretics such as furosemide, ethacrynic acid, and bumetanide exert their powerful diuretic effect by inhibiting which transporter?
View answer and explanationThiazide diuretics, widely used to treat hypertension, primarily inhibit which transport mechanism in the early distal tubule?
View answer and explanationWhat is the primary function of Type A intercalated cells in the late distal tubules and collecting tubules?
View answer and explanationWhat is the primary function of the principal cells located in the late distal tubules and cortical collecting tubules?
View answer and explanationPotassium-sparing diuretics like spironolactone and eplerenone exert their effect by which mechanism?
View answer and explanationApproximately what percentage of the filtered loads of sodium, chloride, and potassium are reabsorbed in the loop of Henle, mostly in the thick ascending limb?
View answer and explanationWhich polysaccharide, not produced in the body, is used to measure the GFR because it is freely filtered but not reabsorbed or secreted by the renal tubules?
View answer and explanationWhy does creatinine clearance provide a reasonable, though not perfect, estimate of GFR in clinical settings?
View answer and explanationHow is the filtration fraction calculated?
View answer and explanationIf the clearance rate of a substance is found to be greater than the clearance of inulin, what does this indicate about the renal handling of that substance?
View answer and explanationWhat is the approximate average extraction ratio for para-aminohippuric acid (PAH) in normal kidneys?
View answer and explanationBy what process is water always reabsorbed passively across the tubular epithelial membrane?
View answer and explanationWhich part of the loop of Henle is described as being virtually impermeable to water, a characteristic important for concentrating the urine?
View answer and explanationWhat is the approximate transport maximum for actively secreted para-aminohippuric acid (PAH)?
View answer and explanationAccording to the table of transport maximums for actively secreted substances, what is the value for creatinine?
View answer and explanationWhat percentage of the urea filtered by the glomerular capillaries is typically reabsorbed from the tubules?
View answer and explanationWhat happens to the concentration of creatinine in the tubular fluid relative to its concentration in the plasma as it moves along the proximal tubule?
View answer and explanationWhat is the major renal tubular site of action for the hormone aldosterone?
View answer and explanationWhich water channel protein is responsible for the high water permeability of the proximal tubule?
View answer and explanationIn the first half of the proximal tubule, sodium is primarily reabsorbed by which mechanism?
View answer and explanationHow does the concentration of sodium in the tubular fluid change as the fluid passes along the proximal tubule?
View answer and explanationWhat is the function of the sodium-hydrogen exchanger in the luminal membrane of the proximal tubule?
View answer and explanationWhat is the approximate transport maximum for lactate reabsorption?
View answer and explanationIn the basic mechanism for active sodium transport, which pump on the basolateral membrane is responsible for creating a low intracellular sodium concentration?
View answer and explanationWhat is the term for transport that is coupled indirectly to an energy source, such as being driven by an ion gradient?
View answer and explanationWhat approximate percentage of the filtered glucose is reabsorbed by the SGLT1 transporter in the latter segments of the proximal tubule?
View answer and explanationWhat is the approximate transport maximum for urate reabsorption by the tubules?
View answer and explanationThe transport maximum for amino acids that are actively reabsorbed by the tubules is approximately what value?
View answer and explanationThe transport of some substances, like sodium in the proximal tubule, depends on the electrochemical gradient and the time the substance remains in the tubule. What is this type of transport referred to as?
View answer and explanationIn the more distal parts of the nephron where sodium reabsorption exhibits a transport maximum, which hormone can increase this transport maximum?
View answer and explanationHow does activation of the sympathetic nervous system affect sodium reabsorption?
View answer and explanationWhat is the primary effect of Atrial Natriuretic Peptide (ANP) on renal tubular reabsorption?
View answer and explanationWhat are the primary effects of Parathyroid Hormone (PTH) on the renal tubules?
View answer and explanationWhat is the approximate normal colloid osmotic pressure of the peritubular capillary plasma (πc)?
View answer and explanationWhat is the approximate normal hydrostatic pressure inside the peritubular capillaries (Pc), which opposes reabsorption?
View answer and explanationAccording to Table 27-5, which summarizes conditions influencing renal function, what is the early effect of a high dietary protein intake on Renal Blood Flow (RBF) and Glomerular Filtration Rate (GFR)?
View answer and explanationThe late distal tubule and subsequent cortical collecting tubule are composed of which two distinct cell types?
View answer and explanationWhat is the approximate clearance rate for glucose in a healthy individual under normal conditions?
View answer and explanation