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The buildup of the products of nucleic acid metabolism can lead to


A) gout.
B) creatinine.
C) erythropoietin.
D) renal failure.
E) urethritis.

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

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The structure which monitors blood pressure in the kidney is called the


A) juxtaglomerular apparatus.
B) glomerular (Bowman's) capsule.
C) juxtanephritic apparatus.
D) ascending tubule.
E) renal pelvis.

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

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Currently,the one-year survival rate following a kidney transplant is 95-98%.

A) True
B) False

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Where would the blood be most viscous (least fluid) as it passes through the kidney?


A) before the glomerulus
B) after passing through the glomerulus but before reaching the loop of nephron
C) after the loop of nephron
D) equally viscous at all points in the human body,including the kidney nephrons
E) in the renal vein

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

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Albumin is the large protein molecule found in egg white and blood plasma.Table salt dissociates into sodium and chloride ions.Urea is assembled in the liver.In a healthy person,what is the fate of the majority of these molecules as they pass through a nephron?


A) All three remain in the bloodstream.
B) All three pass across to the glomerular capsule and are excreted in urine.
C) All three pass across to the glomerular capsule,but the salt ions are mostly reabsorbed.
D) Albumin remains in the blood; salt ions and urea are passed across and excreted.
E) Albumin remains in the blood,salt ions pass across but are reabsorbed,and the urea is passed across and excreted.

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

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Which of the following statements about the role of the respiratory system in maintenance of blood pH is not true?


A) Increasing the breathing rate rids the body of hydrogen ions because more carbon dioxide is breathed out.
B) The respiratory center in the medulla oblongata increases the breathing rate if the hydrogen ion concentration of the blood rises.
C) The lungs are able to rid the body of a wide variety of acidic and basic substances,thereby directly adjusting the pH of the blood.
D) Breathing readjusts the proportion of carbonic acid and bicarbonate ions in the blood.
E) When the buffer system of the blood is overwhelmed by an acidic or basic substance,the respiratory center adjusts the breathing rate to compensate.

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

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The physical principle upon which kidney dialysis is based is


A) active transport.
B) diffusion.
C) heat transfer.
D) hydrogen ion transfer.
E) pinocytosis.

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

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Since the proximal convoluted tubule reabsorbs molecules by diffusion,what structure would you expect to find at the microscopic level?


A) microvilli to increase surface area
B) smooth muscle to stretch as the volume inside increases
C) numerous mitochondria to allow active transport
D) loose connective tissue so that liquids can pass through the cells
E) many neurons to stimulate the cells to reabsorb

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

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An antibiotic such as penicillin that is taken orally is soon excreted in the urine.Since infections last for a short period of time,what is the best strategy for overcoming this continual loss?


A) Provide another oral medication that stops cellular metabolism.
B) Provide a medication that prevents the filtration of all metabolites in the kidney.
C) Take a much larger single dose of penicillin.
D) Take continual doses of penicillin sufficient to maintain it in the bloodstream.
E) Provide a medication that prevents all reabsorption in the kidneys.

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

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What capillaries are enclosed by the glomerular (Bowman's) capsule?


A) peritubular
B) glomerular
C) loop of nephron (loop of Henle)
D) collecting tubule
E) pulmonary

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

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Which of the following would be an indication of kidney failure?


A) urea in the urine
B) salts in the urine
C) uric acid in the urine
D) large amount of protein in the urine
E) dilute urine

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

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Which of the following structures does not normally contain urine?


A) renal artery
B) kidney
C) ureter
D) urethra
E) bladder

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

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The prostate gland in older men may block the flow of fluid in the


A) ureter.
B) urethra.
C) collecting tubule.
D) proximal convoluted tubule.
E) renal vein.

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

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On average,a healthy adult human produces 10-20 liters of urine per day.

A) True
B) False

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The kidney was one of the first organs to be successfully transplanted because it is so encapsulated and has limited vessels feeding into or out of it.How many major vessels must be cut in transplant surgery for one kidney?


A) two: the renal artery and vein
B) three: the renal artery and vein and one urethra
C) three: the renal artery and vein and one ureter
D) four: the renal artery and vein and the ureter and urethra
E) five: the renal artery and vein,two ureters and one urethra

F) C) and D)
G) None of the above

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Which is NOT a function of the urinary system?


A) monitoring and maintaining blood pH at about 7.4
B) regulating blood pressure by regulating salt balance in the blood
C) elimination of nitrogenous wastes including urea,uric acid,and creatinine
D) hormone secretion to stimulate red blood cell production and regulate sodium ion levels
E) production of water from oxygen and bicarbonate ions (HCO3)

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

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The loop of the nephron (loop of Henle)


A) is necessary for glucose reabsorption.
B) creates a low osmotic pressure in the medulla.
C) creates a high osmotic pressure in the medulla.
D) creates a low osmotic pressure in the cortex.
E) creates a high osmotic pressure in the cortex.

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

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Which structure releases aldosterone?


A) glomerular (Bowman's) capsule
B) proximal convoluted tubule cells
C) loop of the nephron (loop of Henle)
D) collecting tubule
E) adrenal cortex

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

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Reabsorption of water,nutrients,and required salts occurs in the what part of the nephron?


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

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

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An increased amount of ADH leads to


A) an increased amount of urine.
B) a decreased amount of urine.
C) no change in the amount of urine.
D) kidney failure.
E) a decreased amount of filtrate.

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

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