Help with Kidney Physiology

Help Questions

Anatomy › Help with Kidney Physiology

Questions 1 - 6
1

Which of the following is not considered to be a function of the kidney?

Thermoregulation

Stimulation of red blood cell production

Conversion of angiotensinogen to angiotensin I

Maintaining fluid levels in the body

Regulation of blood osmolarity

Explanation

The human kidney has many functions, all of which are important for sustaining life. The kidney controls blood osmolarity by filtering, reabsorbing, and secreting various ions found throughout the body. The kidney controls fluid volume in the body by this same mechanism. Additionally, the kidney produces erythropoietin and renin which stimulate the production of red blood cells and convert angiotensinogen to angiotensin I, respectively.

2

A patient presents with severe diarrhea and his test results show a significant loss of . It is likely that the physician will diagnose the patient with:

Metabolic acidosis

Metabolic alkalosis

Respiratory alkalosis

Respiratory acidosis

Cystic fibrosis

Explanation

A very large loss of from the patient will lead to a drastic decrease in pH. Therefore, all alkalosis disorders can be ruled out. Additionally, because the pH decrease is unrelated to an increase in carbon dioxide, it is not a respiratory issue - leaving only metabolic acidosis as a diagnosis. Cystic fibrosis involves the overproduction of thick mucous, which causes severe respiratory pathology; other systems are affected too, but excess bicarbonate secretion is not associated with this genetic disease.

3

Obstruction in the ureters will have what effect on the glomerular filtration rate (GFR)?

Decreased GFR

Unchanged GFR

Increased GFR

GFR increases to

None of the other answers

Explanation

Obstruction bilaterally in the ureters leads to decreased GFR due to increased pressure retrograde from the ureters. Bowman space pressure increases to override the GFR pressure. Bowman space pressure does not favor filtration versus GFR pressure (favors filtration).

4

Which of the following is the best estimate for serum osmolality?

Explanation

Serum osmolality is best estimated at around

5

Which of the following kidney structures is the connection point between the bladder and the kidney itself?

Ureter

Collecting duct

Renal pelvis

Urethra

Renal medulla

Explanation

The urine made within the kidney drains out from the renal pelvis and down the ureter to ultimately be stored in the bladder.

6

Which of the following is the outermost layer of the kidney?

Renal capsule

Renal cortex

Renal pyramid

Renal sinus

Renal medulla

Explanation

The renal capsule is the outermost structure of the kidney. It is the fibrous connective tissue kidney structure that directly surrounds the renal cortex, and is surrounded by a layer of adipose tissue that protects the kidney from trauma. The renal pyramids, renal sinus, and renal medulla are located deep within the kidney.

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