Library/Health Professions and Related Programs/Guyton and Hall Textbook of Medical Physiology, 14th Edition/Urine Formation by the Kidneys: I. Glomerular Filtration, Renal Blood Flow, and Their Control

Urine Formation by the Kidneys: I. Glomerular Filtration, Renal Blood Flow, and Their Control

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Questions

Question 1

Which nerves provide the principal nerve supply to the bladder, connecting with the spinal cord through the sacral plexus at segments S2 and S3?

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Question 2

What type of nerve fibers, transmitted in the pelvic nerves, are primarily responsible for innervating the detrusor muscle to cause bladder emptying?

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Question 3

The micturition reflex is described as being 'self-regenerative.' What does this mean?

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Question 4

What condition, resulting from the destruction of sensory nerve fibers from the bladder to the spinal cord, leads to a loss of bladder control where the bladder fills to capacity and overflows?

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Question 5

What is the correct mathematical representation of the urinary excretion rate based on the three fundamental renal processes?

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Question 6

How do the kidneys typically handle nutritional substances like amino acids and glucose?

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Question 7

What is the approximate normal glomerular filtration rate (GFR) for an average adult human, expressed in liters per day?

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Question 8

The glomerular capillary membrane consists of three major layers. Which layer is the final part, composed of cells with long, footlike processes called pedicels?

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Question 9

Why are negatively charged large molecules, like albumin, filtered less easily than positively charged molecules of the same size?

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Question 10

What is the approximate net filtration pressure that causes glomerular filtration in a healthy human, based on the estimated forces?

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Question 11

The glomerular filtration coefficient (Kf) is a measure of the product of which two factors?

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Question 12

Under what pathological condition can Bowman's capsule pressure increase markedly, causing a serious reduction in GFR?

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Question 13

What are the two factors that influence the glomerular capillary colloid osmotic pressure?

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Question 14

How does increased resistance of the afferent arterioles affect glomerular hydrostatic pressure (PG) and the glomerular filtration rate (GFR)?

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Question 15

What is the effect of moderate constriction of the efferent arterioles on the glomerular filtration rate (GFR)?

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Question 16

What percentage of the cardiac output do the kidneys receive, despite constituting only about 0.4 percent of the total body weight?

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Question 17

A large fraction of the oxygen consumed by the kidneys is related to which specific process?

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Question 18

Which hormone or autacoid, released by the vascular endothelium, decreases renal vascular resistance and increases the glomerular filtration rate (GFR)?

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Question 19

In most physiological conditions, such as a low-sodium diet, angiotensin II preferentially constricts which blood vessels in the kidneys?

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Question 20

The administration of nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin can cause significant reductions in GFR under stressful conditions such as volume depletion. This is because NSAIDs inhibit the synthesis of which vasodilating substances?

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Question 21

What is the term for the intrinsic feedback mechanism that links changes in the sodium chloride concentration at the macula densa with the control of renal arteriolar resistance and GFR?

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Question 22

The juxtaglomerular complex, which is critical for tubuloglomerular feedback, consists of which two main cell types?

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Question 23

According to the tubuloglomerular feedback mechanism, what signal is initiated by the macula densa in response to a decreased GFR?

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Question 24

What is the primary purpose of the myogenic autoregulation mechanism in the renal blood vessels?

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Question 25

A high-protein meal is known to increase both renal blood flow and GFR. What is the likely explanation for this effect?

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Question 26

What is the term for the process of consciously preventing urination, even when involuntary controls are attempting to empty the bladder?

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Question 27

In the anatomy of the male urinary system, which gland is located inferior to the bladder, surrounding the urethra as it exits the bladder neck?

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Question 28

What is the typical filterability of glucose (molecular weight 180) by the glomerular capillaries?

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Question 29

What is the approximate hydrostatic pressure in Bowman's capsule under normal conditions?

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Question 30

How does the average capillary filtration coefficient (Kf) of the glomerular capillaries compare to that of most other capillary systems in the body?

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Question 31

What is the primary role of sympathetic nerve fibers that innervate the ureters?

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Question 32

How does the normal tone of the detrusor muscle in the bladder wall help prevent the backflow of urine into the ureters?

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Question 33

What is the term for the periodic acute increases in pressure that are superimposed on the tonic pressure changes during bladder filling, as seen on a cystometrogram?

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Question 34

What is the primary determinant of GFR that is most subject to physiological control?

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Question 35

Within what range of arterial pressure can the kidneys effectively autoregulate to maintain a relatively constant GFR and renal blood flow?

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Question 36

What is the approximate filtration fraction, meaning the percentage of renal plasma flow that is filtered through the glomerular capillaries?

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Question 37

In the context of abnormal micturition, what is an 'automatic bladder'?

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Question 38

What is the primary function of the pudendal nerve in bladder control?

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Question 39

What is the term for the condition in which some urine is propelled backward from the bladder into the ureter during micturition?

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Question 40

Strong activation of the renal sympathetic nerves causes what effect on renal arterioles, renal blood flow (RBF), and GFR?

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Question 41

One advantage of a high GFR is that it allows the kidneys to rapidly remove waste products that depend mainly on what process for their excretion?

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Question 42

Minimal-change nephropathy, which increases glomerular permeability to plasma proteins, is associated with damage to which specific cells?

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Question 43

What is the approximate percentage of total renal vascular resistance that resides in the efferent arterioles?

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Question 44

According to Figure 27-7, what is the effect on GFR and renal blood flow of increasing afferent arteriolar resistance from normal to three times normal?

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Question 45

According to Table 27-2, which of the following is listed as a cause for a decrease in GFR due to an increase in Bowman's capsule hydrostatic pressure (PB)?

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Question 45

Which factor from Table 27-2 would lead to a decrease in the glomerular filtration rate (GFR)?

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Question 46

Why is it important for the micturition reflex to be partially inhibited by higher brain centers under normal conditions?

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Question 47

What is the typical amount of urine left in the bladder after voluntary urination is completed?

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Question 48

In the absence of autoregulation, a 25 percent increase in blood pressure would cause what approximate change in urine flow if tubular reabsorption remained constant at 178.5 L/day?

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Question 49

What is the primary role of the vasa recta in the renal medulla?

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Question 50

How does severe constriction (more than a threefold increase in resistance) of the efferent arterioles affect GFR?

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