Physiology kidney

22 important questions on Physiology kidney

What happens to the GFR if you vasoconstrict the afferent or efferent the arteriole?

Afferent: GFR decreases
Efferent: GFR increases

What is the formula for GFR?

GFR = (V*Uc)/Pc
Uc = urine concentration of creatinine
V = urine volume per unit of time
Pc = plasma concentration of creatinine

What is renal clearance?

The (virtual) volume of plasma from which that substance is completely removed (cleared) by the kidneys per unit time.
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What is the formula for clearance?

Clearance of substance G = (V*Ug)/Pg
Ug = urine concentration of G
V = urine volume
Pg = plasma concentration of G

How does clearance relate to GFR?

GFR is a measure of kidney function. Clearance depends on kidney function and the characteristics of the substance.
If there is net secretion: renal clearance > GFR
If there is net absorption: renal clearance < GFR

What is the function of the intracellular fluid (ICF)?

ICF acts as a water reservoir to prevent large osmotic changes in ECF.

How is water exchanged between ICF and ECF? What about electrolytes?

Water: aquaporins
Electrolytes: via transporters/channels

How is Na+ reabsorbed in the proximal tubule?

Co-transporter/countertransporter driven by Na+K+-ATPase.

How is Na+ reabsorbed in the ascending limb of the loop of henle?

Na+-K+-2Cl- cotransporter

How is Na+ reabsorbed in the distal tubule and cortical collecting duct?

Na+ channels (diffusion)

What is the function of aldosterone on reabsorption of water and Na+? What happens to the blood pressure?

Aldosterone stimulates the synthesis and incorporation of Na+K+ channels, this leads to an increase of reabsorption of Na+ and subsequently water.
The blood pressure increases.

What happens to the blood pressure if you block aldosterone?

The blood pressure decreases

What is the renin-angiotensin system?

Renins is a protease (cuts proteins) that activates angiotensin I. ACE stimulates the conversion of angiotensin I to angiotensin II. Which leads to an increase of the blood pressure.

What causes vasopressin to be high?

  • Angiotensin II
  • Pain
  • Emotion
  • Stress
  • Pregnancy
  • Nicotine

What causes vasopressin to be low?

  • Alcohol
  • Caffeine

What is the effect of vasopressin on aquaporins?

Vasopressin increases the number of aquaporins.

Why is there an osmolarity gradient between the loop of henle and the distal tubule?

Because of the countercurrent multiplier system.

What is the pH of blood when you speak of alkalosis?

>7.45

What are buffer systems in the intracellular fluid?

  • Phosphate buffer system
  • Protein buffer system
  • Hemoglobin buffer system

What are buffer systems in the extracellular fluid?

  • Carbonic acid-bicarbonate buffer system
  • Protein buffer system

What is the role of the respiratory system in acid-base balance?

Elimination of CO2 via the kidney

What is the role of the urinary system in the acid-base balance?

  • Major action of the kidneys: elemination of H+ ions by altering plasma bicarbonate concentration
  • 'Reabsorption' of bicarbonate
  • Addition of HCO3- to the plasma by the kidneys

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