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With aging,a loss of inhibitory action potentials to the sacral region of the spinal cord results in


A) increased bladder capacity.
B) voluntary micturition.
C) continuous dribbling of urine.
D) uncontrollable micturition.
E) lack of control of internal sphincter.

F) B) and E)
G) A) and B)

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Voluntary micturition


A) involves higher brain centers.
B) involves control of the internal sphincter.
C) is a reflex action.
D) is common in infants.
E) involves control of smooth muscle.

F) A) and B)
G) A) and C)

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How much urine would be in the urinary bladder to increase the pressure to an uncomfortable point?


A) 100 mL
B) 300 mL
C) 400 mL
D) 500 mL

E) All of the above
F) B) and C)

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The ability of the kidney to concentrate urine depends on


A) proximal convoluted tubule reabsorption.
B) a high medullary concentration gradient.
C) osmosis.
D) rapid removal of filtrate.
E) a low medullary concentration gradient.

F) A) and B)
G) All of the above

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Which of the following functions would not be performed by the kidney?


A) urine storage
B) excretion of waste
C) maintenance of fluid balance
D) regulate synthesis of vitamin D
E) regulate synthesis of RBCs

F) A) and E)
G) C) and D)

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Filtration slits is the name given to the


A) points where the afferent arterioles enter the renal corpuscle.
B) openings between the endothelial cells of the glomerular capillaries.
C) gaps between the podocyte processes in the visceral layer of Bowman's capsule.
D) basement membrane of the glomerular endothelium.
E) active transport channels.

F) C) and E)
G) C) and D)

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Urea is


A) secreted into the filtrate by cells of the distal convoluted tubule.
B) diffuse out of the collecting ducts into the interstitial fluid of the medulla and then diffuse into the descending loop of Henle.
C) completely reabsorbed by the nephron.
D) actively transported into the filtrate by cells of the collecting duct.
E) None of these choices is correct.

F) C) and D)
G) B) and E)

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Diuretics that inhibit sodium ion reabsorption are called


A) xanthines.
B) osmotic diuretics.
C) thiazide diuretics.
D) carbonic anhydrase inhibitors.
E) ADH inhibitors.

F) A) and E)
G) A) and C)

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Aldosterone targets cells in the


A) proximal convoluted tubule.
B) loop of Henle.
C) distal convoluted tubule.
D) glomerulus.
E) collecting duct.

F) B) and D)
G) A) and E)

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The kidney is protected from mechanical shock by the


A) hilum.
B) renal fascia.
C) renal fat pad.
D) renal capsule.
E) renal cortex.

F) A) and D)
G) All of the above

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Lasix is a diuretic that blocks the reabsorption of sodium in the ascending loop of Henle.The result of giving this drug would be


A) increased urine output.
B) decreased aldosterone production.
C) decreased osmolality of the filtrate.
D) increased osmolality of the urine.
E) decreased urine volume.

F) B) and D)
G) D) and E)

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Blood vessels,nerves,and the ureter enter and leave the kidney at the


A) hilum.
B) renal fascia.
C) renal pelvis.
D) renal capsule.
E) renal pyramid.

F) C) and D)
G) D) and E)

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Where do the ureters enter the urinary bladder?


A) the anterosuperior surface
B) the anteroinferior surface
C) the posteromedial surface
D) the posterolateral surface

E) B) and C)
F) A) and D)

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Atrial natriuretic hormone


A) promotes the secretion of ADH.
B) is secreted by the posterior pituitary.
C) causes the formation of concentrated urine.
D) is secreted when atrial blood pressure increases.
E) is secreted when atrial blood pressure decreases.

F) A) and C)
G) A) and E)

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The renal corpuscle connects to the


A) loop of Henle.
B) collecting duct.
C) distal convoluted tubule.
D) renal convoluted tubule.
E) proximal convoluted tubule.

F) C) and D)
G) B) and E)

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Substances that are cotransported into proximal convoluted tubule cells include


A) urea with water.
B) potassium with amino acids.
C) amino acids with bicarbonate ions.
D) glucose molecules with sodium ions.
E) chloride with potassium.

F) B) and E)
G) B) and C)

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Decreased blood colloid osmotic pressure affects renal function by


A) increasing net filtration pressure.
B) increasing capsular pressure.
C) increasing glomerular capillary pressure.
D) increasing blood pressure in the afferent arteriole.
E) None of these choices is correct.

F) C) and D)
G) B) and E)

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Passage of proteins into Bowman's capsule is prevented by


A) the size of the capillary pores.
B) the size of the filtration slits in the podocytes.
C) the size of the proteins.
D) filtration pressure.
E) the size of the capillary pores,the size of the filtration slits in the podocytes,and the size of the proteins.

F) B) and E)
G) A) and B)

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A countercurrent mechanism is in


A) the afferent and efferent arterioles.
B) the glomerulus and Bowman's capsule.
C) the proximal and distal convoluted tubules.
D) the loop of Henle only.
E) both the loop of Henle and the vasa recta.

F) C) and D)
G) A) and D)

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What is the effect of intense sympathetic stimulation on the GFR?


A) GFR increases
B) GFR decreases
C) GFR is not affected
D) GFR increases,then decreases

E) B) and C)
F) None of the above

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