Questão 1
Questão
In life-threatening starvation, the kidneys synthesize glucose by
Questão 2
Questão
This byproduct of protein catabolism constitutes approximately one-half of
Responda
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Ammonia
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Azotemia
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Uric acid
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Creatinine
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Urea
Questão 3
Questão
Which organ system does not excrete waste?
Questão 4
Questão
Which is not a function of the kidneys?
Responda
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They regulate osmolarity of the body fluids
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They fight osteoporosis by synthesizing vitamin D
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They help control blood pressure
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They release waste into the bloodstream
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They indirectly increase oxyhemoglobin
Questão 5
Questão
Which of the following is not an organ of the urinary system?
Responda
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Urethra
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Collecting duct
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Ureter
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Urinary bladder
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Kidney
Questão 6
Questão
A patient enters a hospital after a motorcycle accident. He complains of midback pain. X rays reveal both rib and pelvic fractures. His emergency room examination includes urinalysis. Which of the following findings from the urinalysis would most likely suggest trauma to the kidneys from the accident, but not to the urinary bladder?
Responda
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Pyuria
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Hematuria
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Albuminuria
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Uremia
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Phenylketonuria
Questão 7
Questão
The innermost connective tissue layer protecting the kidney and assisting in staving off infection is known as
Questão 8
Questão
A single lobe of a kidney is comprised of
Responda
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Two calyces and a renal pelvis
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One pyramid and the overlying cortex
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One major calyx and all of its minor calyces
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A renal medulla and two renal columns
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One collecting duct and all nephrons that drain into it
Questão 9
Questão
A renal pyramid voids urine into
Responda
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The minor calyx
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The major calyx
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The renal medulla
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The renal papilla
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The ureter
Questão 10
Questão
Which of these correctly traces blood flow from the renal artery into the renal cortex?
Responda
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Arcuate a. → interlobar a. → arfferent arteriole → interlobular a.
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Interlobar a. → interlobular a. → segmental a. → arcuate a.
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Segmental a. → interlobar a. → arcuate a. → interlobular a.
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Afferent arteriole → interlobular a. → arcuate a. → interlobar a.
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Segmental a. → arcuate a. → interlobar a. → interlobular a.
Questão 11
Questão
The transition from an afferent arteriole to an efferent arteriole occurs in the:
Responda
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Glomerulus
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Medulla
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Cortical radiate veins
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Peritubular capillaries
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Vasa recta
Questão 12
Questão
The average person has approximately __________ nephrons per kidney
Responda
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1.2 million
-
2.4 Million
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3.6 million
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5.6 million
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4.8 million
Questão 13
Questão
Which of these correctly traces blood flow from the renal cortex to the renal vein?
Responda
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interlobular v. → interlobar v. → segmental v. → renal v.
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arcuate v. → interlobar v. → segmental v. → renal v.
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interlobar v. → interlobular v. → arcuate v. → renal v.
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segmental v. → arcuate v. → interlobar v. → renal v.
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interlobular v. → arcuate v. → interlobar v. → renal v.
Questão 14
Questão
Blood plasma is filtered in
Responda
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The renal tubule
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The renal corpuscle
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The renal capsule
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The renal column
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The renal calyx
Questão 15
Questão
Which of these form the inner layer of the glomerular capsule and wrap around the capillaries of the glomerulus?
Responda
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Macula densa cells
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Mesangial cells
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Nephrocytes
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Podocytes
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Monocytes
Questão 16
Questão
All of the following are composed of cuboidal epithelium with the exception of
Responda
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The thin segment of the nephron loop
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The thick segment of the nephron loop
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The collecting duct
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The proximal convoluted tubule
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The distal convoluted tubule
Questão 17
Questão
Which are primarily responsible for maintain the salinity gradient of the renal medulla?
Questão 18
Questão
In the nephron, the fluid that immediately precedes urine is known as
Responda
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Plasma
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Glomerular filtrate
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Tubular Fluid
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Renal filtrate
-
Medullary filtrate
Questão 19
Questão
Renin hydrolyzes angiotensinogen released from the _______ to form angiotensin I
Responda
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Lungs
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Kidneys
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Liver
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Heart
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Spleen
Questão 20
Questão
Because of the great deal of active transport that occurs here, the _______ of all the nephrons collectively account for about 6% of one's daily resting ATP and caloric consumption
Questão 21
Questão
Proximal convoluted tubules are responsible for reabsorbing all of the following except:
Responda
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Potassium
-
Sodium Chloride
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Hydrogen Ions
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Urea
-
Water
Questão 22
Questão
Atrial natriuretic peptide reduces blood volume and pressure by all of the following means except
Responda
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Increasing glomerular filtration rate
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Inhibiting renin and aldosterone secretion
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Inhibiting the action of ADH on the kidney
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Inhibiting NaCl reabsorption by the collecting duct
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Preventing sodium loss in the urine
Questão 23
Questão
Hypocalcemia stimulates
Responda
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A decrease in aldosterone production
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Secretion of parathyroid hormone
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Secretion of renin
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An increase in blood urea nitrogen
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Vasoconstriction of the afferent arterioles
Questão 24
Questão
Which renal structure is responsible for producing hypertonic urine by reabsorbing water while allowing metabolic wastes and NaCl to pass through?
Questão 25
Questão
The urine is most likely to be hypotonic when
Responda
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The body's water volume is high
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The body's pH is low
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The output of antidiuretic hormone is high
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The output of natriuretic peptides is high
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A person is lost and deprived of drinking water the body's water volume is high
Questão 26
Questão
Which of the following does not contribute to water conservation?
Responda
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The collecting duct
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The countercurrent multiplier
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The length of the nephrons
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Diuretics
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The countercurrent exchange system
Questão 27
Questão
The countercurrent multiplier recaptures ________ and is based on fluid flowing in _________ direction in two adjacent tubules
Responda
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Potassium; the same
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Calcium; the opposite
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Calcium; the same
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Sodium; the opposite
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Sodium; the same
Questão 28
Questão
The overall purpose of the countercurrent exchange system is
Responda
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To supply salt and urea to the renal medulla
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To supply nutrients and oxygen to the renal cortex
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To supply nutrients and oxygen to the renal medulla
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To remove metabolic wastes from the renal cortex
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To remove metabolic wastes from the renal medulla
Questão 29
Questão
Which of these induces renin secretion, constricts afferent arterioles, and reduces GFR and urine volume?
Responda
-
Aldosterone
-
Antidiuretic hormone
-
Parathyroid hormone
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Norepinephrine
-
Angiotensin II
Questão 30
Questão
Normal urine from a healthy person can be expected to contain all of the following except:
Responda
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Creatine
-
Urobilin
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Glucose
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Ammonia
-
Magnesium
Questão 31
Questão
What is the term for the pigment responsible for the color of urine?
Responda
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Monochrome
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Urochrome
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Multichrome
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Cyanochrome
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Pyuria
Questão 32
Questão
The minimum daily output of urine to meet the definition of polyuria is:
Responda
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1.0 L
-
1.5 L
-
2.0 L
-
0.5 L
-
3.0 L
Questão 33
Questão
Prior to chemical tests for glycosuria, clinicians checked for sweetness of the urine as a sign of:
Responda
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Diabetes insipidus
-
Acute glomerulonephritis
-
Diabetes mellitus
-
Renal calculus
-
Pyelitis
Questão 34
Questão
Loop diuretics reduce body water context by acting on:
Responda
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The feedback loop between the kidney and posterior pituitary gland
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The countercurrent multiplier system
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The countercurrent exchanger system
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Aquaporins of the collecting duct
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The thirst mechanism and water intake
Questão 35
Questão
A hospital patient produces 4 mL. min of urine with a urea concentration of 8mg/mL. Venous blood draw reveals urea concentration of .4 mg/mL. What is the percentage of cleared urea from glomerular filrate?
Questão 36
Questão
Which two substances are most useful for determining a patient's glomerular filtration rate?
Responda
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insulin and glucose
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inulin and creatinine
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sodium and water
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albumin and inulin
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insulin and urea
Questão 37
Questão
Creatinine has a renal clearance of 140 mL/min due to the fact that:
Responda
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it is produced in the pulmonary tissue.
-
it is secreted by the renal tubules.
-
it is absorbed by the renal tubules.
-
it is secreted by the glomerulus.
-
it is absorbed by the loop of Henle.
Questão 38
Questão
Which of the following is not found in the ureter?
Questão 39
Questão
Which muscle is located in the bladder?
Responda
-
Detrusor
-
Distractor
-
Pubococcygeus
-
corpus spongiosum
-
corpus cavernosum
Questão 40
Questão
Which is not a portion of the urethra?
Questão 41
Questão
Micturition is another term for:
Responda
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the production of nitrogenous wastes
-
glomerular filtration
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the elimination of urine
-
the countercurrent multiplier process
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inflammation of the urinary bladder
Questão 42
Questão
The ureters pass anterior to the bladder and enter it from below
Questão 43
Questão
Albuminuria is a common sign of diabetes mellitus
Questão 44
Questão
Diseases that affect the descending corticospinal tracts may limit inhibition of the sacral somatic motor neurons and thus could result in urinary incontinence
Questão 45
Questão
Ethyl (drinking) alcohol stimulates the secretion of ADH, thereby reducing reabsorption by the collecting duct
Questão 46
Questão
Parathyroid hormone increases phosphate excretion by the proximal convoluted tubule as well as promotes synthesis of calcitriol
Questão 47
Questão
The countercurrent multiplier mechanism for water conservation was discovered by limiting studies to humans and thus hypothesizing how form determines function
Questão 48
Questão
The thick segment of the nephron loop is impermeable to water
Questão 49
Questão
Glomerular filtration occurs because glomerular oncotic pressure overrides glomerular blood pressure
Questão 50
Questão
Angiotensin converting enzyme is found only in the kidneys and converts angiotensinogen to angiotensin I
Questão 51
Questão
Cells in the cleft between the afferent and efferent arterioles and among capillaries of the glomerulus are known as mesangial cells
Questão 52
Questão
Glomerular capillaries suffer little damage from hypertension because of the protective influence of the afferent arterioles
Questão 53
Questão
The fenestrated endothelium of the capillary has pores small enough to exclude blood cells from the filtrate
Questão 54
Questão
The most toxic of our metabolic wastes are nitrogenous wastes