A&P 2 renal physiology and GFR exam review

Review key concepts in renal physiology and glomerular filtration rate (GFR) for A&P 2. This study set includes essential questions and answers to help students prepare for their exams.

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What is the primary function of the kidneys?

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The primary function of the kidneys is to filter blood, remove waste, regulate fluid balance, and maintain electrolyte levels.

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Quiz(36 questions)

Question 1 of 36

1. What does GFR measure in the kidneys?

Terms in this Study Set(36)

Renal Anatomy and Function(16)

What is the primary function of the kidneys?

The primary function of the kidneys is to filter blood, remove waste, regulate fluid balance, and maintain electrolyte levels.

True or False: The kidneys are responsible for producing hormones.

True. The kidneys produce hormones like erythropoietin and renin to regulate blood pressure and red blood cell production.

Name the major functional unit of the kidney.

The nephron is the major functional unit of the kidney responsible for filtering blood and forming urine.

Difference between the renal cortex and renal medulla?

- Renal cortex: outer layer, contains glomeruli and convoluted tubules. - Renal medulla: inner region, contains loops of Henle and collecting ducts.

Fill in the blank: The renal pelvis collects urine from the __________.

collecting ducts.

How many nephrons are typically found in each kidney?

Each kidney contains approximately 1 million nephrons.

What role do podocytes play in the kidneys?

Podocytes are specialized cells in the glomerulus that help form the filtration barrier, allowing selective filtration of blood.

True or False: The kidneys can regulate blood pH.

True. The kidneys help regulate blood pH by excreting hydrogen ions and reabsorbing bicarbonate.

What is the function of the renal artery?

The renal artery supplies oxygenated blood to the kidneys for filtration and processing.

Cause → Effect: What happens if renal blood flow decreases?

Decreased renal blood flow can lead to reduced glomerular filtration rate (GFR) and impaired kidney function.

What does the term 'glomerulus' refer to?

The glomerulus is a network of capillaries within the nephron where blood filtration begins.

Comparison: Afferent arterioles vs. Efferent arterioles?

- Afferent arterioles: Bring blood to the glomerulus. - Efferent arterioles: Carry blood away from the glomerulus.

What is the role of the loop of Henle?

The loop of Henle concentrates urine and helps maintain the osmotic gradient in the kidney.

Fill in the blank: The process of urine formation involves __________, reabsorption, and secretion.

filtration.

True or False: The kidneys regulate electrolyte balance exclusively through filtration.

False. Electrolyte balance is regulated through filtration, reabsorption, and secretion processes.

What is the function of renal veins?

Renal veins drain deoxygenated blood from the kidneys and return it to the systemic circulation.

Glomerular Filtration Rate (GFR)(20)

What does GFR stand for?

GFR stands for Glomerular Filtration Rate, measuring kidney function.

How is GFR calculated?

Using the formula: GFR = (U × V) / P, where U = urine concentration, V = urine flow rate, P = plasma concentration.

True or False: A low GFR indicates healthy kidney function.

False. A low GFR suggests impaired kidney function, potentially indicating kidney disease.

What is a normal GFR range?

Normal GFR is typically around 90 to 120 mL/min in healthy adults.

Fill in the blank: GFR is primarily regulated by _____.

blood flow to the glomeruli.

What factors influence GFR?

- Blood pressure - Blood volume - Afferent and efferent arteriolar resistance

Cause → Effect: Increased blood pressure leads to _____.

Increased GFR due to enhanced glomerular filtration.

What is the significance of GFR in clinical settings?

GFR helps assess kidney function, diagnose kidney disease, and monitor treatment efficacy.

Compare creatinine clearance vs. GFR.

Creatinine clearance estimates GFR using creatinine levels in urine and blood; GFR is a direct measure.

What role do hormones play in regulating GFR?

Hormones like renin, angiotensin II, and aldosterone affect blood pressure and volume, thereby influencing GFR.

What happens to GFR with age?

GFR typically declines with age, which can affect kidney function.

True or False: GFR can be measured directly.

True. It can be measured using inulin clearance or other substances.

What is the relationship between GFR and urine output?

Higher GFR generally leads to increased urine output, assuming other factors remain constant.

Fill in the blank: An increase in efferent arteriolar resistance will _____ GFR.

increase GFR.

What is the effect of dehydration on GFR?

Dehydration can decrease GFR due to reduced blood volume and pressure.

Describe how NSAIDs impact GFR.

NSAIDs can decrease GFR by inhibiting prostaglandins, leading to vasoconstriction of afferent arterioles.

What does a GFR of less than 60 mL/min indicate?

It may indicate chronic kidney disease (CKD) or kidney dysfunction.

Cause → Effect: Decreased renal perfusion pressure results in _____.

Decreased GFR due to reduced blood flow.

What is the clinical use of estimating GFR?

To stage kidney disease and guide treatment decisions.

What condition can increase GFR temporarily?

Pregnancy increases GFR due to increased blood volume and metabolic demands.

Questions in this Study Set(36)

1. What does GFR measure in the kidneys?

A.The rate of blood filtration
B.The volume of urine produced
C.The concentration of electrolytes
D.The overall kidney size

2. What is the primary role of the nephron in the kidney?

A.Filtration and urine formation
B.Hormone production
C.Blood pressure regulation
D.Electrolyte storage

3. Which formula is used to calculate GFR?

A.GFR = (U × V) / P
B.GFR = U + V - P
C.GFR = (P - U) / V
D.GFR = V / (U × P)

4. Which structure is responsible for regulating blood flow into the glomerulus?

A.Afferent arteriole
B.Efferent arteriole
C.Renal vein
D.Nephron loop

5. True or False: A GFR of 80 mL/min is considered normal.

A.True
B.False
C.Depends on age
D.Depends on hydration status

6. Which of the following statements is True regarding the renal medulla?

A.It contains the glomeruli.
B.It is the outer layer of the kidney.
C.It contains the loops of Henle.
D.It is responsible for hormone production.

7. What is a common range for normal GFR in adults?

A.30 to 60 mL/min
B.90 to 120 mL/min
C.150 to 180 mL/min
D.60 to 90 mL/min

8. What effect does dehydration have on glomerular filtration rate (GFR)?

A.Increases GFR
B.Decreases GFR
C.Has no effect
D.Causes GFR to fluctuate

9. Fill in the blank: GFR is primarily regulated by _____.

A.renal nerve activity
B.blood flow to the glomeruli
C.hormonal signals
D.urine concentration

10. Which part of the nephron is primarily involved in reabsorption?

A.Proximal convoluted tubule
B.Glomerulus
C.Loop of Henle
D.Collecting duct

11. Which factor does NOT influence GFR?

A.Blood volume
B.Blood pressure
C.Age
D.Skin temperature

12. Fill in the blank: The renal pelvis collects urine from the __________.

A.calyces
B.glomerulus
C.nephrons
D.renal cortex

13. Cause → Effect: Increased blood volume leads to _____.

A.Decreased GFR
B.Increased GFR
C.Increased blood pressure
D.Decreased urine output

14. What is the primary function of renal tubules?

A.Filtration of blood
B.Reabsorption and secretion
C.Hormone synthesis
D.Blood supply management

15. What is one significant clinical use of measuring GFR?

A.To diagnose liver disease
B.To assess kidney function
C.To measure blood glucose levels
D.To evaluate heart rate

16. True or False: The kidneys play a vital role in regulating blood pressure.

A.True
B.False
C.Depends on hydration
D.Only during exercise

17. How does creatinine clearance relate to GFR?

A.They are the same
B.Creatinine clearance is an estimate of GFR
C.Creatinine clearance measures urine output only
D.GFR measures liver function

18. What is the role of the collecting duct in the nephron?

A.Regulate urine concentration
B.Filtrate formation
C.Glomerular filtration
D.Sodium reabsorption

19. What role does angiotensin II play in GFR regulation?

A.It decreases blood pressure
B.It constricts efferent arterioles
C.It increases urine output
D.It promotes diuresis

20. Which of the following is NOT a function of the kidneys?

A.Regulating blood volume
B.Removing metabolic waste
C.Producing digestive enzymes
D.Maintaining electrolyte balance

21. True or False: GFR typically increases with age.

A.True
B.False
C.Only in young adults
D.Only in elderly

22. Which hormone is produced by the kidneys to stimulate red blood cell production?

A.Erythropoietin
B.Renin
C.Aldosterone
D.Antidiuretic hormone

23. What happens to GFR during dehydration?

A.Increases significantly
B.Decreases due to low blood volume
C.Remains unchanged
D.Increases due to vasodilation

24. Fill in the blank: The process of urine formation includes filtration, __________, and secretion.

A.absorption
B.concentration
C.reabsorption
D.excretion

25. Fill in the blank: An increase in afferent arteriolar resistance will _____ GFR.

A.increase
B.decrease
C.have no effect
D.first increase then decrease

26. What do we call the capillary network where blood filtration begins?

A.Nephron
B.Glomerulus
C.Loop of Henle
D.Proximal tubule

27. What is the impact of nonsteroidal anti-inflammatory drugs (NSAIDs) on GFR?

A.They increase GFR
B.They decrease GFR
C.No impact on GFR
D.They only affect urine pH

28. True or False: The kidneys can excrete excess hydrogen ions to help regulate blood pH.

A.True
B.False
C.Only during acidosis
D.Only in the presence of bicarbonate

29. What does a GFR of less than 60 mL/min usually indicate?

A.Normal kidney function
B.Acute kidney injury
C.Chronic kidney disease
D.Dehydration

30. Which part of the nephron is primarily responsible for the concentration of urine?

A.Loop of Henle
B.Proximal convoluted tubule
C.Glomerulus
D.Collecting duct

31. Cause → Effect: Decreased renal perfusion pressure results in _____.

A.Increased GFR
B.Decreased urine output
C.Decreased GFR
D.No effect on GFR

32. Which of the following structures directly drains urine from the kidney to the bladder?

A.Renal pelvis
B.Ureter
C.Urethra
D.Renal artery

33. What condition can temporarily increase GFR?

A.Dehydration
B.Heart failure
C.Pregnancy
D.Chronic kidney disease

34. What is the primary function of the glomerular filtration rate (GFR)?

A.To measure the filtration efficiency of the kidneys
B.To assess blood pressure in the kidneys
C.To indicate the presence of urine in the bladder
D.To determine the size of the kidneys

35. In the case of a patient experiencing severe dehydration, what effect would you expect on their GFR?

A.Increase in GFR due to higher blood volume
B.Decrease in GFR due to lower blood volume
C.No change in GFR
D.Increase in GFR due to hormonal effects

36. Which of the following statements is NOT true regarding GFR?

A.GFR can indicate kidney disease
B.A low GFR is always a sign of acute kidney injury
C.GFR can be estimated using serum creatinine levels
D.Normal GFR values are around 90 to 120 mL/min

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