Anatomy › Help with Kidney Physiology
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
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.
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
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.
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
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).
Which of the following is the best estimate for serum osmolality?
Serum osmolality is best estimated at around
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
The urine made within the kidney drains out from the renal pelvis and down the ureter to ultimately be stored in the bladder.
Which of the following is the outermost layer of the kidney?
Renal capsule
Renal cortex
Renal pyramid
Renal sinus
Renal medulla
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.