Practice Questions for Function of the Urinary System-Answers

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    Which of the following is not a function of the urinary system?

    removal of organic waste products from body fluids

    homeostatic regulation of the volume and solute concentration of blood plasma

    introduction of plasma proteins into blood plasma

    elimination of waste into the environment

    The openings of the urethra and the two ureters mark an area on the internal surface of the urinary

    bladder called the:

    renal sinus

    internal urethral sphincter

    trigone

    external urethral sphincter

    The initial factor that determines if urine production occurs is:

    filtration

    absorption

    secretion

    activation

    The region of the kidney containing the renal pyramids, renal columns, and interlobar arteries iscalled the:

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    renal functional unit

    renal pelvis

    renal cortex

    renal medulla

    AD stimulates the reabsorption of water in:

    the collecting system

    the loop of enle

    the distal convoluted tubule

    both the distal convoluted tubule and the collecting system

    the renal corpuscle

    The three concentric layers of connective tissue that protect and anchor the kidneys are the:

    ma!or calyces, minor calyces, and renal pyramids

    cortex, medulla, and papillae

    renal capsule, adipose capsule, and renal fascia

    hilus, renal sinus, and renal corpuscle

    "lood supply to the proximal and distal convoluted tubules of the nephron is provided by the:

    peritubular capillaries

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    afferent arterioles

    segmental veins

    interlobular veins

    #n a nephron, the long tubular passageway through which the filtrate passes includes the:

    collecting tubule, collecting duct, and papillary duct

    loop of enle and the collecting and papillary ducts

    renal corpuscle, renal tubule, and renal pelvis

    proximal and distal convoluted tubules and the loop of enle

    The primary site of regulating water, sodium, and potassium ion loss in the nephron is the:

    distal convoluted tubule

    proximal convoluted tubule

    glomerulus

    loop of enle and collecting duct

    Which of the following is not reabsorbed in the loop of enle?

    potassium

    sodium

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    chloride

    bicarbonate

    The primary site for secretion of substances into the filtrate is the:

    proximal convoluted tubule

    renal corpuscle

    distal convoluted tubule

    loop of enle

    The filtration of plasma that generates approximately $% liters&day of filtrate occurs in the:

    renal corpuscle

    distal convoluted tubule

    proximal convoluted tubule

    loop of enle

    'ixty to seventy percent of the water is reabsorbed in the:

    renal corpuscle

    proximal convoluted tubule

    distal convoluted tubule

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    collecting duct

    The portion of the renal segment that is under AD and aldosterone stimulation is the:

    distal convoluted tubule

    vasa recta

    proximal convoluted tubule

    loop of enle

    Dilation of the afferent arteriole and glomerular capillaries and constriction of the efferent arteriolecauses:

    an increase in the secretion of renin and erythropoietin

    decrease in the glomerular filtration rate

    decrease in glomerular blood pressure

    elevation of glomerular blood pressure to normal levels

    Which of the following organic wastes is generated from the catabolism of amino acids?

    uric acid

    urea

    creatinine

    none of the above

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    The average p for normal urine is about:

    $(%

    )(%

    *(%

    +(%

    Autoregulation controls the -. by:

    dilation the afferent arteriole

    dilation of the glomerular capillaries

    constriction of the efferent arteriole

    all of the above

    The pressure that represents the resistance to flow along the nephron and conducting system is the:

    blood colloid osmotic pressure /"0123

    capsular hydrostatic pressure /023

    capsular colloid osmotic pressure /00123

    glomerular hydrostatic pressure /23

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    The mechanism important in the reabsorption of glucose and amino acids when their concentrationsin the filtrate are relatively high is:

    countertransport

    active transport

    facilitated transport

    co4transport

    The primary site of nutrient reabsorption in the nephron is the:

    distal convoluted tubule

    proximal convoluted tubule

    renal corpuscle

    loop of enle

    #n countercurrent multiplication, the countercurrentrefers to the fact that an exchange occursbetween:

    solute concentrations in the loop of enle

    fluids moving in opposite directions

    sodium ions and chloride ions

    potassium and chloride ions

    The result of the countercurrent multiplication mechanism is:

    decreased solute concentration in descending limb of loop of enle

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    #ncreased solute concentration in descending limb of loop of enle

    osmotic flow of water from peritubular fluid into descending limb of loop of enle

    decreased transport of sodium and chloride in ascending limb of loop of enle

    When antidiuretic hormone levels rise the distal convoluted tubule becomes:

    more permeable to water5 water reabsorption increases

    less permeable to water5 reabsorption of water increases

    less permeable to water5 reabsorption of water decreases

    more permeable to water5 water reabsorption decreases

    The results of the effect of aldosterone along the D0T, the collecting tubule, and the collecting ductare:

    increased sodium ion excretion

    increased sodium ion and water excretion

    increased conservation of sodium ions and water

    decreased sodium ion reabsorption in the D0T

    The ureters are lined by what kind of epithelium, which allows them to be stretched whenundergoing peristalsis and moving urine?

    stratified s6uamous

    simple columnar

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    simple cuboidal

    transitional

    The expanded, funnel4shaped upper end of the ureter in the kidney is the:

    renal pelvis

    urethra

    renal calyces

    renal hilus

    0ontraction of the muscular bladder forces the urine out of the body through the:

    ureter

    nephron

    urethra

    penis

    During the micturition reflex, increased afferent fiber activity in the pelvic nerves facilitates:

    sympathetic sensory neurons in the sacral spinal cord

    parasympathetic motor neurons in the sacral spinal cord

    urine e!ection caused by internal and external sphincter contractions

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    the action of stretch receptors in the wall of the bladder

    7idney stones, or calculi, can be formed by deposits of:

    uric acid

    magnesium salts

    calcium

    all of the above

    8rinary incontinence is caused by:

    a lack of AD production

    a prolonged increase in the -.

    the loss of muscle tone in the urinary sphincter muscles

    all of the above

    The renal corpuscle consists of:

    the cortex and the medulla

    ma!or and minor calyces

    "owman capsule and the glomerulus

    renal columns and renal pyramids

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    The filtration process within the renal corpuscle involves passage across three physical barriers, the:

    capsular space, tubular pole, and macula densa

    collecting tubules, collecting ducts, and papillary ducts

    podocytes, pedicels, and slit pores

    capillary endothelium, basement membrane, and glomerular epithelium

    The thin segments in the loop of enle are:

    freely permeable to water5 relatively impermeable to ions and other solutes

    relatively impermeable to water5 freely permeable to ions and other solutes

    freely permeable to water, ions, and other solutes

    relatively impermeable to water, ions, and other solutes

    The thick segments in the loop of enle contain:

    diffusion mechanisms for getting rid of excess water

    transport mechanisms that pump materials out of the filtrate

    AD4regulated permeability

    an aldosterone4regulated pump

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    The collecting system in the kidney is responsible for:

    creation of the medullary concentration gradient

    making final ad!ustments to the sodium ion concentration and volume of urine

    absorption of nutrients, plasma proteins, and ions from the filtrate

    active secretion and reabsorption of sodium ions

    Which of the following systems is not used to excrete wastes from the body?

    integumentary system

    respiratory system

    digestive system

    lymphatic system

    'ympathetic innervation into the kidney is responsible for:

    direct stimulation of water and sodium ion reabsorption

    regulation of glomerular blood flow and pressure

    stimulation of renin release

    all of the above

    When plasma glucose concentrations are higher than the renal threshold, glucose concentrations inthe filtrate exceed the tubular maximum /Tm3 and:

    the glucose is filtered out at the glomerulus

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    the individual has eaten excessive amounts of sweets

    glucose appears in the urine

    glucose is transported across the membrane by countertransport

    The outward pressure forcing water and solute molecules across the glomerulus wall is the:

    glomerular hydrostatic pressure

    blood osmotic pressure

    capsular hydrostatic pressure

    filtration pressure

    The opposing forces of the filtration pressure at the glomerulus are the:

    glomerular hydrostatic pressure and blood osmotic pressure

    blood pressure and glomerular filtration rate

    capsular hydrostatic pressure and blood osmotic pressure

    capsular hydrostatic pressure and glomerular hydrostatic pressure

    At a volume of 99999999 m, there may be sufficient pressure in the bladder to force the opening ofthe internal urinary sphincter, and conse6uently the external urinary sphincter(

    )%%

    ;%%

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    increase in the number of sodium ions lost in the urine

    countercurrent multiplication

    The high osmotic concentrations found in the kidney medulla are primarily caused by the presenceof:

    sodium ions, chloride ions, and urea

    excessive amounts of water

    hydrogen and ammonium ions

    all of the above

    As a means of regulating p, which of the following would not be secreted into the fluid in thecollecting system?

    all of the above

    bicarbonate

    iron

    hydrogen

    Angiotensin ## is a potent hormone that:

    causes constriction of the efferent arteriole at the nephron

    triggers the release of AD in the 0>'

    stimulates secretion of aldosterone by the adrenal cortex and epinephrine by the adrenalmedulla

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    all of the above

    'ympathetic innervation of the afferent arterioles causes a/n3:

    decrease in -. and slowing of filtrate production

    increase in -. and a slowing of filtrate production

    decrease in -. and an increase in filtrate production

    increase in -. and an increase in filtrate production

    During periods of strenuous exercise, sympathetic activation causes the blood flow to:

    cause an increase in -.

    decrease to skin and skeletal muscles5 increase to kidneys

    be shunted toward the kidneys

    increase to skin and skeletal muscles5 decrease to kidneys