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What percentage of total cardiac output do the kidneys receive?
20-25%
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How much blood volume do kidneys filter daily?
180L/day
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What is the daily urine output of kidneys?
1.8L/day (1%)
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What do kidneys maintain in terms of fluid and electrolyte composition?
Water/ions
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What is the process by which metabolism affects acid/base balance?
Metabolism steals H+ for ATP production
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What is created when CO2 mixes with H2O in blood?
H2CO3 (carbonic acid)
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What happens to acids in the blood?
They split up into HCO3- and H+
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What is the extracellular buffer?
Bicarbonate
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What captures H+ ions in acidosis within cells?
Hemoglobin proteins (histidine AA)
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What is the kidney buffer system?
HCO3-/H+ secretion or reabsorption; phosphate and ammonia urinary buffers
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What do kidneys do during acidosis?
Reabsorb HCO3-, excrete H+, generate new HCO3-
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What cells use H+/K+/ATPase in the collecting duct?
Intercalated cells
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What is the function of alpha intercalated cells during acidosis?
Excrete H+ out of the cell
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What is the function of beta intercalated cells during alkalosis?
Excrete bicarbonate to urine
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What percentage of HCO3- is reabsorbed in the PCT?
80%
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What antiporter is involved in HCO3- reabsorption?
Na+/H+ antiporter
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What enzyme splits H2CO3 into H2O and CO2?
Carbonic anhydrase
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What amino acid is metabolized in the PCT to form NH3 and HCO3-?
Glutamine
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What is formed when NH3 captures H+ in the tubular fluid?
NH4+ (ammonium)
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What do kidneys eliminate?
Metabolic waste, toxic substances
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What hormone is produced by the kidneys for RBC production?
EPO (erythropoietin)
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What are the main functions of the nephron?
Glomerular filtration, tubular reabsorption, tubular secretion
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What is glomerular filtration?
Separation of cells and large proteins from plasma
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What remains in the blood during glomerular filtration?
Cells and proteins
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What are the components of the glomerular membrane?
Glomerular capillary wall, basement membrane, capsular filtration slits
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What type of epithelium makes up the glomerular capillary wall?
Simple squamous epithelium
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What is the basement membrane between the glomerulus and Bowman capsule made of?
Collagen and glycoprotein gelatinous layer
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What forms the capsular filtration slits in Bowman’s capsule?
Podocyte cells with processes link together
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What is the glomerular filtration pressure (GFP) primarily regulated by?
Capillary blood pressure
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What is the formula for GFP?
GFP = (outward pressure from Pglom - osmotic pressure) - (inward pressure from Pop - Pbc)
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What is the value of Pglom that favors filtration?
+55 mmHg
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What causes elevated glomerular capillary BP?
Diameter of afferent arteriole (large) vs efferent arteriole (smaller)
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What is Pop and its effect on filtration?
Plasma colloid osmotic pressure that opposes filtration = -30 mmHg
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What does Pbc represent in glomerular filtration?
Bowman capsule hydrostatic pressure that opposes filtration = -15 mmHg
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What is the net glomerular filtration pressure?
+10 mmHg
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What does the osmotic pressure from filtrate indicate?
Presence of proteins and blood in filtrate indicates pathology
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What does GFR stand for and its significance?
Glomerular Filtration Rate, assessing kidney health
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What factors affect GFR?
Net filtration pressure (NFP) and pore size of filtration slits
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What is the normal range for GFR?
115-125 ml/min
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What can alter GFR?
Changes in Pop, Pbc, Pglom
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How does plasma protein concentration affect filtration?
Increased concentration pulls fluid back into blood, opposing filtration
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What impact does hydration level have on filtration pressures?
Increased hydration raises BP, affecting Pglom and Pbc
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What is the effect of urinary obstruction on Pbc?
Increases Pbc, affecting filtration
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What does MAP stand for and its role?
Mean Arterial Pressure, affects Pglom significantly
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How does autoregulation maintain constant GFR?
Via myogenic mechanism and tubuloglomerular feedback
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What happens when GFR is too high?
Afferent arteriole vasoconstricts to decrease blood flow
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What happens when GFR is too low?
Afferent arteriole vasodilates to increase blood flow
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What is the myogenic mechanism in relation to GFR?
Afferent arteriole constricts when stretched due to increased MAP
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What happens to the afferent arteriole when it is stretched?
It automatically constricts.
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What causes the afferent arteriole to constrict?
An increase in mean arterial pressure (MAP).
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What is the effect of afferent arteriole vasoconstriction on glomerular pressure?
It decreases glomerular pressure (Pglom).
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The afferent arteriole constricts when it is stretched due to an increase in _______.
The afferent arteriole constricts when it is stretched due to an increase in mean arterial pressure (MAP).
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The increase in Pglom leads to the stretching of the afferent arteriole, causing it to _______.
The increase in Pglom leads to the stretching of the afferent arteriole, causing it to vasoconstrict.
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What is the role of the afferent arteriole during an increase in MAP?
It dilates to increase blood flow.
It remains unchanged.
It increases glomerular filtration rate.
It constricts to regulate pressure.
What is the role of the afferent arteriole during an increase in MAP?
It dilates to increase blood flow.
It remains unchanged.
It increases glomerular filtration rate.
It constricts to regulate pressure.
Navegue pelos seus cards aqui, ou sign up to study with spaced repetition.
What percentage of total cardiac output do the kidneys receive?
20-25%
How much blood volume do kidneys filter daily?
180L/day
What is the daily urine output of kidneys?
1.8L/day (1%)
What do kidneys maintain in terms of fluid and electrolyte composition?
Water/ions
What is the process by which metabolism affects acid/base balance?
Metabolism steals H+ for ATP production
What is created when CO2 mixes with H2O in blood?
H2CO3 (carbonic acid)
What happens to acids in the blood?
They split up into HCO3- and H+
What is the extracellular buffer?
Bicarbonate
What captures H+ ions in acidosis within cells?
Hemoglobin proteins (histidine AA)
What is the kidney buffer system?
HCO3-/H+ secretion or reabsorption; phosphate and ammonia urinary buffers
What do kidneys do during acidosis?
Reabsorb HCO3-, excrete H+, generate new HCO3-
What cells use H+/K+/ATPase in the collecting duct?
Intercalated cells
What is the function of alpha intercalated cells during acidosis?
Excrete H+ out of the cell
What is the function of beta intercalated cells during alkalosis?
Excrete bicarbonate to urine
What percentage of HCO3- is reabsorbed in the PCT?
80%
What antiporter is involved in HCO3- reabsorption?
Na+/H+ antiporter
What enzyme splits H2CO3 into H2O and CO2?
Carbonic anhydrase
What amino acid is metabolized in the PCT to form NH3 and HCO3-?
Glutamine
What is formed when NH3 captures H+ in the tubular fluid?
NH4+ (ammonium)
What do kidneys eliminate?
Metabolic waste, toxic substances
What hormone is produced by the kidneys for RBC production?
EPO (erythropoietin)
What are the main functions of the nephron?
Glomerular filtration, tubular reabsorption, tubular secretion
What is glomerular filtration?
Separation of cells and large proteins from plasma
What remains in the blood during glomerular filtration?
Cells and proteins
What are the components of the glomerular membrane?
Glomerular capillary wall, basement membrane, capsular filtration slits
What type of epithelium makes up the glomerular capillary wall?
Simple squamous epithelium
What is the basement membrane between the glomerulus and Bowman capsule made of?
Collagen and glycoprotein gelatinous layer
What forms the capsular filtration slits in Bowman’s capsule?
Podocyte cells with processes link together
What is the glomerular filtration pressure (GFP) primarily regulated by?
Capillary blood pressure
What is the formula for GFP?
GFP = (outward pressure from Pglom - osmotic pressure) - (inward pressure from Pop - Pbc)
What is the value of Pglom that favors filtration?
+55 mmHg
What causes elevated glomerular capillary BP?
Diameter of afferent arteriole (large) vs efferent arteriole (smaller)
What is Pop and its effect on filtration?
Plasma colloid osmotic pressure that opposes filtration = -30 mmHg
What does Pbc represent in glomerular filtration?
Bowman capsule hydrostatic pressure that opposes filtration = -15 mmHg
What is the net glomerular filtration pressure?
+10 mmHg
What does the osmotic pressure from filtrate indicate?
Presence of proteins and blood in filtrate indicates pathology
What does GFR stand for and its significance?
Glomerular Filtration Rate, assessing kidney health
What factors affect GFR?
Net filtration pressure (NFP) and pore size of filtration slits
What is the normal range for GFR?
115-125 ml/min
What can alter GFR?
Changes in Pop, Pbc, Pglom
How does plasma protein concentration affect filtration?
Increased concentration pulls fluid back into blood, opposing filtration
What impact does hydration level have on filtration pressures?
Increased hydration raises BP, affecting Pglom and Pbc
What is the effect of urinary obstruction on Pbc?
Increases Pbc, affecting filtration
What does MAP stand for and its role?
Mean Arterial Pressure, affects Pglom significantly
How does autoregulation maintain constant GFR?
Via myogenic mechanism and tubuloglomerular feedback
What happens when GFR is too high?
Afferent arteriole vasoconstricts to decrease blood flow
What happens when GFR is too low?
Afferent arteriole vasodilates to increase blood flow
What is the myogenic mechanism in relation to GFR?
Afferent arteriole constricts when stretched due to increased MAP
What happens to the afferent arteriole when it is stretched?
It automatically constricts.
What causes the afferent arteriole to constrict?
An increase in mean arterial pressure (MAP).
What is the effect of afferent arteriole vasoconstriction on glomerular pressure?
It decreases glomerular pressure (Pglom).
The afferent arteriole constricts when it is stretched due to an increase in mean arterial pressure (MAP).
The increase in Pglom leads to the stretching of the afferent arteriole, causing it to vasoconstrict.
What is the role of the afferent arteriole during an increase in MAP?
It dilates to increase blood flow.
It remains unchanged.
It increases glomerular filtration rate.
It constricts to regulate pressure.
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