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ADH increases reabsorption of water from urine into blood by increasing the permeability of the distal convoluted tubules and collecting ducts.

A) True
B) False

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True

Podocytes and pedicels are part of the


A) collecting duct.
B) distal convoluted tubule.
C) glomerular capsule.
D) peritubular capillaries.

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

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The triangular area on the internal floor of the urinary bladder is the ____.

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At rest, the kidneys receive about a quarter of the blood coming from the heart.

A) True
B) False

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True

Glomerular filtration produces about 18 liters of fluid formed in twenty-four hours.

A) True
B) False

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Hemodialysis involves


A) an artificial kidney.
B) an artificial liver.
C) a kidney transplant.
D) a bone marrow transplant.

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

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Kidney stones are least likely to be composed of


A) uric acid.
B) calcium oxalate.
C) cholesterol.
D) magnesium phosphate.

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

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Autoregulation refers to


A) maintaining constant GFR.
B) secretion of atrial natriuretic peptide at a constant rate.
C) secretion of renin at a constant rate.
D) actions of the parasympathetic nervous system.

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

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The relative concentration of potassium is


A) higher in urine than in plasma or glomerular filtrate.
B) higher in plasma and glomerular filtrate than in urine.
C) about equal in plasma, glomerular filtrate, and urine.
D) lower in urine than in plasma or glomerular filtrate.

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

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Which of the following does not occur with aging of the urinary system?


A) Decreased GFR
B) Renal tubules become encased in fat
C) Fibrous connective tissue accumulates around the kidney capsule
D) Nephrons invert

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

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Active transport mechanisms have limited transport capacities because the renal tubule is not very permeable to molecules.

A) True
B) False

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The ureter extends downward


A) behind the parietal peritoneum and joins the urinary bladder from above.
B) behind the parietal peritoneum and joins the urinary bladder from below.
C) in front of the parietal peritoneum and joins the urinary bladder from above.
D) in front of the parietal peritoneum and joins the urinary bladder from below.

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

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If a ureter is obstructed, a _____ reflex reduces urine production in the kidney on the affected side.

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Which of the following is correct concerning the location of the kidneys?


A) The right kidney is usually higher than the left one.
B) They are located behind the parietal peritoneum.
C) Their upper borders are about at the level of the third lumbar vertebra.
D) They are against the anterior wall of the abdominal cavity.

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

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B

If the osmotic pressure of the blood plasma is decreased, the glomerular filtration rate is increased.

A) True
B) False

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Which choice describes the countercurrent mechanism of the nephron loop?


A) Water moves out of the ascending limb; sodium moves in the ascending limb
B) Water moves in the ascending limb; sodium moves out of the ascending limb
C) Water moves out of the descending limb; sodium moves out of the ascending limb
D) Water moves in the descending limb; sodium moves out of the descending limb

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

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Michael is 26 years old. He becomes dehydrated after a long run if he has not drunk enough. His infant son Sean, however, becomes dehydrated fairly frequently. This difference in susceptibility to dehydration is because


A) adults drink more liquid.
B) infants grow rapidly.
C) infant kidneys are less able to conserve water.
D) the infant thirst mechanism is underdeveloped.

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

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If glucose is not reabsorbed in the tubular fluid, ___________ increases.


A) hydrostatic pressure
B) glomerular filtration rate
C) sodium reabsorption
D) the osmotic pressure

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

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A renal clearance test determines the rate at which the kidneys can


A) excrete water.
B) reabsorb ions.
C) remove a particular substance from the blood.
D) add a substance to the blood.

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

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Inulin and para-aminohippuric acid (PAH) can be used to determine glomerular filtration rate and the rate of blood flow through the kidneys, respectively.

A) True
B) False

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