 |
1 |  |  Fibrous connective tissue that surrounds each kidney is the |
|  | A) | cortex. |
|  | B) | hilum. |
|  | C) | medulla. |
|  | D) | renal capsule. |
|  | E) | renal pyramids. |
|
|
 |
2 |  |  The apex of the renal pyramid is called the |
|  | A) | major calyx. |
|  | B) | minor calyx |
|  | C) | renal papilla. |
|  | D) | renal pelvis. |
|  | E) | ureter. |
|
|
 |
3 |  |  The major calyces of the kidney converge to form an enlarged channel called the |
|  | A) | renal fascia. |
|  | B) | renal pelvis. |
|  | C) | renal pyramids. |
|  | D) | renal papillae. |
|  | E) | renal sinus. |
|
|
 |
4 |  |  The basic histological and functional unit of the kidney is the |
|  | A) | glomerulus. |
|  | B) | filtration membrane. |
|  | C) | nephron. |
|  | D) | podocyte. |
|  | E) | renal corpuscle. |
|
|
 |
5 |  |  Given these parts of a nephron:
1. renal corpuscle
2. collecting duct
3. loop of Henle
4. distal tubule
5. proximal tubule
Arrange the parts in order as fluid flows from the filtration membrane through the nephron. |
|  | A) | 1,5,3,4,2 |
|  | B) | 2,4,1,3,5 |
|  | C) | 2,1,4,5,3 |
|  | D) | 4,2,3,5,1 |
|  | E) | 5,1,3,4,2 |
|
|
 |
6 |  |  The tuft of capillaries in the renal corpuscle is called the |
|  | A) | podocytes. |
|  | B) | glomerulus. |
|  | C) | calyx. |
|  | D) | renal pyramid. |
|  | E) | renal sinus. |
|
|
 |
7 |  |  The juxtaglomerular apparatus is formed where the __________ projects between the afferent arteriole and efferent arteriole next to Bowman's capsule. |
|  | A) | glomerulus |
|  | B) | arcuate arteries |
|  | C) | proximal tubule |
|  | D) | distal tubule |
|  | E) | collecting duct |
|
|
 |
8 |  |  Collectively, the capillary epithelium, basement membrane, and podocytes form the |
|  | A) | filtration membrane. |
|  | B) | glomerulus. |
|  | C) | juxtamedullary nephron. |
|  | D) | nephron. |
|  | E) | renal corpuscle. |
|
|
 |
9 |  |  The part of a nephron between Bowman's capsule and the loop of Henle is the |
|  | A) | collecting duct. |
|  | B) | distal tubule. |
|  | C) | juxtaglomerular apparatus. |
|  | D) | macula densa. |
|  | E) | proximal tubule. |
|
|
 |
10 |  |  The __________ are specialized portions of the peritubular capillaries that extend deep into the medulla of the kidney. |
|  | A) | interlobar arteries |
|  | B) | arcuate arteries |
|  | C) | efferent arterioles |
|  | D) | afferent arterioles |
|  | E) | vasa recta |
|
|
 |
11 |  |  Given these vessels:
1. arcuate vein
2. afferent arteriole
3. efferent arteriole
4. interlobular vein
5. peritubular capillaries
Arrange the vessels in the order in which a drop of blood from the interlobular artery passes through them. |
|  | A) | 1,2,4,5,3 |
|  | B) | 2,3,5,4,1 |
|  | C) | 3,5,4,2,1 |
|  | D) | 4,2,5,3,1 |
|  | E) | 5,2,4,1,3 |
|
|
 |
12 |  |  The triangular area of the urinary bladder between the two ureters posteriorly and the urethra anteriorly is the |
|  | A) | external urinary sphincter. |
|  | B) | internal urinary sphincter. |
|  | C) | smooth muscle. |
|  | D) | transitional epithelium. |
|  | E) | trigone. |
|
|
 |
13 |  |  Skeletal muscle that surrounds the urethra as it extends through the pelvic floor is the |
|  | A) | external urinary sphincter. |
|  | B) | internal urinary sphincter. |
|  | C) | trigone. |
|
|
 |
14 |  |  Active transport of substances from the blood into the nephron is called |
|  | A) | filtration. |
|  | B) | tubular reabsorption. |
|  | C) | tubular secretion. |
|
|
 |
15 |  |  The movement of substances from the filtrate back into the blood of the peritubular capillaries is called |
|  | A) | filtration. |
|  | B) | tubular secretion. |
|  | C) | backflow. |
|  | D) | tubular reabsorption. |
|  | E) | micturition. |
|
|
 |
16 |  |  The part of the total cardiac output that passes through the kidneys is called the |
|  | A) | filtration fraction. |
|  | B) | plasma clearance. |
|  | C) | renal blood flow rate. |
|  | D) | renal fraction. |
|  | E) | tubular maximum. |
|
|
 |
17 |  |  The part of the plasma volume that passes through the filtration membrane is the |
|  | A) | filtration fraction. |
|  | B) | plasma clearance. |
|  | C) | renal blood flow rate. |
|  | D) | renal fraction. |
|  | E) | tubular maximum. |
|
|
 |
18 |  |  Which of these substances normally cannot pass through the filtration membrane? |
|  | A) | hemoglobin |
|  | B) | water |
|  | C) | sodium ions |
|  | D) | bicarbonate ions |
|  | E) | glucose |
|
|
 |
19 |  |  Of the filtrate that enters the nephron, about what percent is reabsorbed during urine formation? |
|  | A) | 99% |
|  | B) | 95% |
|  | C) | 80% |
|  | D) | 65% |
|  | E) | 19% |
|
|
 |
20 |  |  A decrease in plasma proteins results in |
|  | A) | decreased colloid osmotic pressure. |
|  | B) | increased colloid osmotic pressure. |
|  | C) | increased glomerular capillary pressure. |
|  | D) | decreased filtration pressure. |
|  | E) | increased tubular reabsorption. |
|
|
 |
21 |  |  As filtrate moves through the thin segment of the descending limb of the loop of Henle, water moves __________ the nephron, and solutes move __________ the nephron. |
|  | A) | into, into |
|  | B) | into, out of |
|  | C) | out of, into |
|  | D) | out of, out of |
|
|
 |
22 |  |  During tubular reabsorption in the proximal tubule of the nephron, most solutes are moved across the apical membrane by __________ , and across the basal membrane by __________ . |
|  | A) | cotransport, cotransport |
|  | B) | cotransport, facilitated diffusion |
|  | C) | counter transport, cotransport |
|  | D) | facilitated diffusion, cotransport |
|  | E) | primary active transport, cotransport |
|
|
 |
23 |  |  In kidney nephron epithelial cells, solutes are cotransported with |
|  | A) | Ca2+ ions. |
|  | B) | Cl- ions. |
|  | C) | K+ ions. |
|  | D) | Mg2+ ions. |
|  | E) | Na+ ions. |
|
|
 |
24 |  |  In kidney nephron epithelial cells, __________ are moved by counter transport through the basal membrane in exchange for K+ ions. |
|  | A) | Ca2+ ions |
|  | B) | Cl- ions |
|  | C) | H+ ions |
|  | D) | Mg2+ ions |
|  | E) | Na+ ions |
|
|
 |
25 |  |  The ascending limb of the loop of Henle is __________ to water. |
|  | A) | impermeable |
|  | B) | moderately permeable |
|  | C) | permeable |
|
|
 |
26 |  |  The percentage of filtrate volume reabsorbed in the proximal tubule is |
|  | A) | 99%. |
|  | B) | 80%. |
|  | C) | 65%. |
|  | D) | 19%. |
|  | E) | 15%. |
|
|
 |
27 |  |  These ions are cotransported across the apical membrane in the ascending limb of the loop of Henle. |
|  | A) | K+ ions and Cl- ions |
|  | B) | K+ ions and Mg2+ ions |
|  | C) | Ca2+ ions and K+ ions |
|  | D) | Ca2+ ions and Cl- ions |
|  | E) | Ca2+ ions and Mg2+ ions |
|
|
 |
28 |  |  The permeability of the distal tubule and the collecting duct is controlled by |
|  | A) | ADH. |
|  | B) | aldosterone. |
|  | C) | atrial natriuretic factor. |
|  | D) | carrier molecules. |
|  | E) | sodium ions. |
|
|
 |
29 |  |  All of these compounds are reabsorbed from the filtrate back into the blood EXCEPT |
|  | A) | amino acids. |
|  | B) | fructose. |
|  | C) | Na+ ions. |
|  | D) | penicillin. |
|  | E) | Ca2+ ions. |
|
|
 |
30 |  |  At which of these locations is the osmolality of the filtrate the highest? |
|  | A) | Bowman's capsule |
|  | B) | proximal tubule |
|  | C) | bottom of the loop of Henle |
|  | D) | distal tubule |
|  | E) | top of the collecting duct |
|
|
 |
31 |  |  Renal tubules are __________ permeable to urea than they are to water, therefore urea concentration in the tubules __________ . |
|  | A) | less, decreases |
|  | B) | less, increases |
|  | C) | more, decreases |
|  | D) | more, increases |
|
|
 |
32 |  |  Which of these substances is actively transported into the filtrate in the proximal and distal tubule? |
|  | A) | H+ ions |
|  | B) | Na+ ions |
|  | C) | glucose |
|  | D) | amino acids |
|  | E) | Cl- ions |
|
|
 |
33 |  |  The countercurrent multiplier mechanism of the nephron is in the |
|  | A) | proximal tubule and distal tubule. |
|  | B) | loop of Henle and vasa recta. |
|  | C) | distal tubule and collecting duct. |
|  | D) | glomerulus and Bowman's capsule. |
|  | E) | glomerulus and collecting duct. |
|
|
 |
34 |  |  Urea diffuses out of the __________ , and into the __________ . |
|  | A) | proximal tubule, distal tubule |
|  | B) | proximal tubule, descending limb of the loop of Henle |
|  | C) | descending limb of the loop of Henle, ascending limb of the loop of Henle |
|  | D) | ascending limb of the loop of Henle, descending limb of the loop of Henle |
|  | E) | collecting duct, descending limb of the loop of Henle |
|
|
 |
35 |  |  Juxtaglomerular cells secrete |
|  | A) | ADH. |
|  | B) | oxytocin. |
|  | C) | renin. |
|  | D) | aldosterone. |
|  | E) | angiotensin |
|
|
 |
36 |  |  Drinking a large amount of beer results in |
|  | A) | increased aldosterone secretion. |
|  | B) | increased permeability of the collecting ducts of the nephrons. |
|  | C) | decreased urine osmolality. |
|  | D) | increased urine volume. |
|  | E) | both c and d |
|
|
 |
37 |  |  Which of these conditions increases the amount of urine produced? |
|  | A) | increased ADH secretion |
|  | B) | increased atrial natriuretic hormone secretion |
|  | C) | increased aldosterone secretion |
|  | D) | decreased blood pressure in the glomerular capillaries |
|  | E) | sympathetic stimulation of the renal arteries |
|
|
 |
38 |  |  Angiotensin II causes |
|  | A) | increased ADH secretion. |
|  | B) | increased thirst. |
|  | C) | increased salt appetite. |
|  | D) | increased peripheral resistance. |
|  | E) | all of these |
|
|
 |
39 |  |  When the tubular load of a substance exceeds the tubular maximum, that substance will |
|  | A) | be actively transported into the blood. |
|  | B) | diffuse into the blood. |
|  | C) | appear in the urine. |
|  | D) | cause a backflow of filtrate from Bowman's capsule into the glomerulus. |
|  | E) | be broken down by carbonic anhydrase. |
|
|
 |
40 |  |  The micturition reflex |
|  | A) | can be stimulated or inhibited by higher centers in the brain. |
|  | B) | is stimulated by increased pressure in the bladder. |
|  | C) | can be stimulated by irritation of the bladder or urethra. |
|  | D) | all of these |
|
|