Urine Formation by the Kidneys: I. Glomerular Filtration, Renal Blood Flow, and Their Control
51 questions available
Questions
Which nerves provide the principal nerve supply to the bladder, connecting with the spinal cord through the sacral plexus at segments S2 and S3?
View answer and explanationWhat type of nerve fibers, transmitted in the pelvic nerves, are primarily responsible for innervating the detrusor muscle to cause bladder emptying?
View answer and explanationThe micturition reflex is described as being 'self-regenerative.' What does this mean?
View answer and explanationWhat 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?
View answer and explanationWhat is the correct mathematical representation of the urinary excretion rate based on the three fundamental renal processes?
View answer and explanationHow do the kidneys typically handle nutritional substances like amino acids and glucose?
View answer and explanationWhat is the approximate normal glomerular filtration rate (GFR) for an average adult human, expressed in liters per day?
View answer and explanationThe glomerular capillary membrane consists of three major layers. Which layer is the final part, composed of cells with long, footlike processes called pedicels?
View answer and explanationWhy are negatively charged large molecules, like albumin, filtered less easily than positively charged molecules of the same size?
View answer and explanationWhat is the approximate net filtration pressure that causes glomerular filtration in a healthy human, based on the estimated forces?
View answer and explanationThe glomerular filtration coefficient (Kf) is a measure of the product of which two factors?
View answer and explanationUnder what pathological condition can Bowman's capsule pressure increase markedly, causing a serious reduction in GFR?
View answer and explanationWhat are the two factors that influence the glomerular capillary colloid osmotic pressure?
View answer and explanationHow does increased resistance of the afferent arterioles affect glomerular hydrostatic pressure (PG) and the glomerular filtration rate (GFR)?
View answer and explanationWhat is the effect of moderate constriction of the efferent arterioles on the glomerular filtration rate (GFR)?
View answer and explanationWhat percentage of the cardiac output do the kidneys receive, despite constituting only about 0.4 percent of the total body weight?
View answer and explanationA large fraction of the oxygen consumed by the kidneys is related to which specific process?
View answer and explanationWhich hormone or autacoid, released by the vascular endothelium, decreases renal vascular resistance and increases the glomerular filtration rate (GFR)?
View answer and explanationIn most physiological conditions, such as a low-sodium diet, angiotensin II preferentially constricts which blood vessels in the kidneys?
View answer and explanationThe 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?
View answer and explanationWhat 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?
View answer and explanationThe juxtaglomerular complex, which is critical for tubuloglomerular feedback, consists of which two main cell types?
View answer and explanationAccording to the tubuloglomerular feedback mechanism, what signal is initiated by the macula densa in response to a decreased GFR?
View answer and explanationWhat is the primary purpose of the myogenic autoregulation mechanism in the renal blood vessels?
View answer and explanationA high-protein meal is known to increase both renal blood flow and GFR. What is the likely explanation for this effect?
View answer and explanationWhat is the term for the process of consciously preventing urination, even when involuntary controls are attempting to empty the bladder?
View answer and explanationIn the anatomy of the male urinary system, which gland is located inferior to the bladder, surrounding the urethra as it exits the bladder neck?
View answer and explanationWhat is the typical filterability of glucose (molecular weight 180) by the glomerular capillaries?
View answer and explanationWhat is the approximate hydrostatic pressure in Bowman's capsule under normal conditions?
View answer and explanationHow does the average capillary filtration coefficient (Kf) of the glomerular capillaries compare to that of most other capillary systems in the body?
View answer and explanationWhat is the primary role of sympathetic nerve fibers that innervate the ureters?
View answer and explanationHow does the normal tone of the detrusor muscle in the bladder wall help prevent the backflow of urine into the ureters?
View answer and explanationWhat 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?
View answer and explanationWhat is the primary determinant of GFR that is most subject to physiological control?
View answer and explanationWithin what range of arterial pressure can the kidneys effectively autoregulate to maintain a relatively constant GFR and renal blood flow?
View answer and explanationWhat is the approximate filtration fraction, meaning the percentage of renal plasma flow that is filtered through the glomerular capillaries?
View answer and explanationIn the context of abnormal micturition, what is an 'automatic bladder'?
View answer and explanationWhat is the primary function of the pudendal nerve in bladder control?
View answer and explanationWhat is the term for the condition in which some urine is propelled backward from the bladder into the ureter during micturition?
View answer and explanationStrong activation of the renal sympathetic nerves causes what effect on renal arterioles, renal blood flow (RBF), and GFR?
View answer and explanationOne 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?
View answer and explanationMinimal-change nephropathy, which increases glomerular permeability to plasma proteins, is associated with damage to which specific cells?
View answer and explanationWhat is the approximate percentage of total renal vascular resistance that resides in the efferent arterioles?
View answer and explanationAccording 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?
View answer and explanationAccording 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)?
View answer and explanationWhich factor from Table 27-2 would lead to a decrease in the glomerular filtration rate (GFR)?
View answer and explanationWhy is it important for the micturition reflex to be partially inhibited by higher brain centers under normal conditions?
View answer and explanationWhat is the typical amount of urine left in the bladder after voluntary urination is completed?
View answer and explanationIn 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?
View answer and explanationWhat is the primary role of the vasa recta in the renal medulla?
View answer and explanationHow does severe constriction (more than a threefold increase in resistance) of the efferent arterioles affect GFR?
View answer and explanation