Worksheet VIII:  Excretory System

1.   The elimination of waste products of metabolism and the removal of surplus substances from the body is called:                            _______________________________
2.  List 4 other (besides the kidney) organs of excretion and list the substances they excrete.
        Organ                Substances excreted
    __________________        ________________________________
    __________________        ________________________________
    __________________        ________________________________
    __________________        ________________________________
3.  Give 5 functions of the kidney.                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
4. List the major organs of the urinary tract.            _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
5. Identify the macrostructure of the kidney based on the information given below.
    a. Outermost dense fibrous connective tissue; anchors
    kidney and adrenal gland to surrounding structures.    _______________________________
    b. Bean-shaped organ; 12 X 6 X 3 cm.            _______________________________
    c. Fatty mass that holds kidney in place; cushions
    against blows.                        _______________________________
    d. Outer region of kidney; houses renal corpuscles.    _______________________________
    e. Expanded area inside kidney near hilus that receives
    formed urine.                        _______________________________
    f. Duct that drains the kidney.                _______________________________
    g. Vessel that brings nutrients and oxygen to the kidney.  _______________________________
    h. Vessel that removes carbon dioxide and reabsorbed
    nutrients from the kidney.                ________________________________
    i. Innermost region of kidney; primarily composed of
    tubules.                            ________________________________
    j. Layer closest to kidney; protective.            ________________________________
    k. Entrance/exit point for major vessels and ureter.    ________________________________
    l. Cone-shaped tissue masses of microscopic tubules;
    in medulla region.                    ________________________________
    m. Branches of pelvis into medulla.            ________________________________
    n. Tip of renal pyramid facing renal pelvis.        ________________________________
    o. Areas of connective tissue in medulla that separate
    renal pyramids.                        ________________________________
    p. Subdivisions of major calyces.            ________________________________
6.  The functional unit of the kidney is the:            _______________________________.
7. List, in the correct sequence, the major structures that urine passes through as it is formed by the kidney.                                _____________kidney______________
                                ________________________________
                                ________________________________
                                ________________________________
                                ______________outside____________

8. Identify the microstructure of the kidney based on the information given below.
    a. Ball of capillaries found in cortex.            ________________________________
    b.  Tubule of nephron that descends through medulla.    ________________________________
    c. Blind, enlarged, cup-like structure that encloses
    glomerulus.                        ________________________________
    d.  Tubule of nephron that empties into collecting duct.    ________________________________
    e. Tubule that ascends through medulla.            ________________________________
    f. Tubule closest to beginning of nephron.        ________________________________
    g. Glomerulus and Bowman's capsule.            ________________________________
    h.  Large tubule that receives many tubules from many
    nephrons.                        ________________________________
    i. Capillary bed that surrounds tubules in medulla.    ________________________________
    j. Area where an afferent arteriole contacts distal
    convoluted tubule.                    ________________________________
    k. Kind of nephron that is found mostly in the cortex.    ________________________________
    l. Kind of nephron found extensively in medulla.        ________________________________
    m. These tubules merge to form papillary ducts.        ________________________________
9. A plasma-derived substance that passes out of glomerulus into Bowman's capsule is called:
                                _______________________________.

10. __a__ is a cup-shaped structure that encloses a capillary bed called the __b__.  __a__ and the __b__ it encloses is called a(n) __c__.  __a__ has 2 layers, an outer layer of simple squamous epithelium called the __d__ layer and an inner layer of __e__ called the __f__ layer.  The __d__ layer is for structural support while the __f__ layer functions in __g__.   __e__ are highly branched epithelial cells with 'feet', or __h__, that cling to the basement membrane of the glomerulus. Openings between __h__ are important in __g__.
    a. ______________________________        e. _______________________________
    b. ______________________________        f. ________________________________
    c. ______________________________        g. ________________________________
    d. ______________________________        h. ________________________________
11. Identify the part of the nephron based on the information given below.
    a. Simple squamous epithelium; freely permeable to water. _____________________________
    b. Simple cuboidal epithelium with dense microvilli.    _______________________________
    c. Simple cuboidal or slightly columnar; impermeable
    to water.                        _______________________________
    d. Simple cuboidal epithelium with almost no microvilli.    _______________________________
    e. Houses macula densa.                _______________________________
    f. Also called 'thin' segment.                _______________________________
    g. Also called 'thick' segment.                _______________________________

12. The __a__ is located where a coiling distal convoluted tubule (DCT) contacts an afferent arteriole.  At this point of contact, the arteriole wall has enlarged __b__ cells. These __b__ contain granules of __c__ and also receptors, called __d__, for blood pressure.  Most of the DCT has __e__ shaped cells, but in the region of the __a__, the cells are __f__ shaped and closely packed.  These __f__ shaped cells are called the __g__ and contain receptors, called __h__, for detecting changes in solute concentration.
    a. ______________________________        e. _______________________________
    b. ______________________________        f. ________________________________
    c. ______________________________        g. ________________________________
    d. ______________________________        h. ________________________________

13.  Collecting ducts merge to form larger ducts called __a__ ducts. __a__ ducts merge to form __b__, __b__ merge to form __c__, and __c__ empty urine into the __d__.
    a. ______________________________        c. _______________________________
    b. ______________________________        d. ________________________________

14. Starting with the glomerulus, outline the parts of the nephron and other micro and macrostructures that filtrate/urine passes through on its way to the outside._________________glomerulus___________
                            _nephron part: _________________________
                            _nephron part: _________________________
                            _nephron part: _________________________
                            _nephron part: _________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                ___________ureter_______________
                                _______________________________
                                _______________________________
                                _____________outside_____________


15.  Name the 2 capillary beds found in the kidney.        ________________________________
                                ________________________________
16.  Fill in the blanks for the sequence of blood flow in and out of the kidney.
    Renal artery -----> __a__ ----->arcuate artery---->interlobular artery---->__b__----->__c__----->
    __d__---->__e__---->interlobular vein---->__f__----->interlobar vein----->__g__.
    a. ______________________________        e. _______________________________
    b. ______________________________        f. ________________________________
    c. ______________________________        g. ________________________________
    d. ______________________________
17. The peritubular capillary bed that surrounds the loop of Henle is called the _____________________.
18.  What is the significance of the structural arrangement of the peritubular capillary bed and the nephron? ___________________________________________________________________________________
19. Of the 180 liters of blood filtered by the kidney, how much urine, on average, leaves the body?
                                _______________________________
20. Name the 3 major processes that are important in urine formation.
                                _______________________________
                                _______________________________
                                _______________________________
21. _________________________ is a passive, selective process, by which fluids and solutes are forced through a membrane under hydrostatic pressure. This process separates substances based on size.
22.  Give 2 reasons why the kidney forms 180 liters of filtrate each day compared to the 3-4 liters that are formed by most other parts of the body.            ______________________________________
                            ______________________________________
23. Name the 3 layers of the filtration membrane that blood must be forced out of to get into the nephron.
                                _______________________________
                                _______________________________
                                _______________________________
24.  Give 5 examples of substances that pass easily through the filtration membrane of Bowman's capsule and one group of substances that do not pass through.    _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                        Does not pass through: _________________________

25. Name 5 factors that affect glomerular filtration.        _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
26. Increasing the diameter of the afferent arteriole will ______________________ (increase/decrease/ not affect) glomerular filtration rate (GFR).
27. Increasing the diameter of the efferent arteriole will ______________________ (increase/decrease/ not affect) glomerular filtration rate (GFR).
28. Decreasing blood pressure will ______________________ (increase/decrease/ not affect) glomerular filtration rate (GFR).

29. Sympathetic stimulation of the adrenal medulla will cause the release of __a__ and __b__ hormones. These hormones cause vaso__c__ (constriction/dilation) of the afferent arteriole in the kidney.
    a. ______________________________        c. _______________________________
    b. ______________________________
30. __a__ is a local response by the kidney to changes in blood flow or pressure.  The __b__ mechanism affects the diameter afferent arteriole.  The __c__ mechanism affects the diameter of the efferent arteriole.  Both  __b__ and __c__ mechanisms work when increased blood flow causes __d__ (increased/decreased) stretch of __e__ muscle in the vessel wall.  As __e__ muscle is stretched, it __f__ (contracts/relaxes) and __g__ (increases/decreases) the diameter of the vessel.
    a. ______________________________        e. _______________________________
    b. ______________________________        f. ________________________________
    c. ______________________________        g. ________________________________
    d. ______________________________




31. The __a__ mechanism works when mechanoreceptors in the juxtaglomerular apparatus detect __b__ (increased/decreased) blood pressure. __b__ blood pressure causes the release of the hormone __c__ which initiates several reactions that results in the formation of __d__.  __d__ is a powerful vaso__e__ (constrictor/dilator).  Vaso__e__ results in a(n) __f__ (increase/decrease) of blood pressure.
    a. ______________________________        d. _______________________________
    b. ______________________________        e. ________________________________
    c. ______________________________        f. ________________________________

32. Filtrate contains everything blood plasma does except:    ______________________________.
33.  Most tubular reabsorption occurs in what part of the nephron? _____________________________
34. Tubule cells of the PCT are united by __a__; therefore solutes and water must pass __b__ (through/between) cells to return to the circulation.
    a. ______________________________        b. _______________________________

35. Solutes and water pass through 3 membranes to get back into the blood.  Name these membranes in the correct sequence from filtrate to blood.            _______________________________
                                _______________________________
                                _______________________________
36.  List 5 substances that are actively transported back into the blood.
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
37. Specifically, what type of active transport is used to return leaked plasma proteins?
                                _______________________________
38.  What happens to plasma proteins once they are brought inside the tubule cell?
                            ______________________________________


39.  Three forms of passive tubular reabsorption occur in the kidney.  They are:
                                ________________________________
                                ________________________________
                                ________________________________

40. Passive gradients are often established by __a__ (What process?).  For example, if Na+ are __a__ into the tubule cell, this creates a __b__ (high/low) concentration of Na+ in the tubule cell.  Therefore, Na+ will passively __c__ (What process?) into the blood.  Concurrently, as Na+ are removed from the filtrate, the relative concentration of the filtrate __d__ (increases/decreases) because it has more __e__ and less solute.  If __e__ is in __f__ (high/low) concentration in the filtrate, it will also move __g__ (into/out of) the tubule cell by __h__ (What process?). The process described in the previous 2 sentences is called __i__.  
    a. ______________________________        f. _______________________________
    b. ______________________________        g. ________________________________
    c. ______________________________        h. ________________________________
    d. ______________________________        i. ________________________________
    e. ______________________________    

41. ____________________ occurs when water moves out of tubules and, byt its absence, creates a high concentration of solutes in the tubules; the solutes will then diffuse out.
42. Name 2 substances that move out by solvent drag.        ______________________________
                                ______________________________
43. Name 2 substances that have a very low reabsorption rate.     ______________________________
                                ______________________________

44.  Identify the region of the nephron or if the collecting duct is indicated based on the information given below.
    a. Water moves out by osmosis; but not hormonally
    controlled.                        ______________________________
    b. Impermeable to water; Na+ and Cl- move out by
    active transport.                        ______________________________
    c. Almost all nutrients move out here.            ______________________________

    d.  Na+, H+, K+, HCO3-, and Cl-; urea; water by
    osmosis, but is hormonally regulated.            ______________________________
    e. Na+ by active transport, but regulated by aldosterone;
    water by osmosis, but is hormonally regulated.        ______________________________
45. Name 3 hormones that affect water reabsorption and if they are secreted, how they affect reabsorption.    
        Hormone                         Effect
    ___________________    __________________________________________________
    ___________________    __________________________________________________
    ___________________    __________________________________________________
46. _____________________ helps move substances such as H+, K+, creatinine, ammonia, drugs, toxins, and organic acids from the blood to the tubule cells to the filtrate.
47. Why is the process in question 46 important?        _______________________________
                                _______________________________
                                _______________________________
48. Identify the disorder or disease of the excretory system and respiratory system based on the information given below.
    a. Calcium carbonate crystals form in the renal pelvis or ureter. __________________________
    b. Kidneys drop in position due to emaciation; ureter could
    become kinked and prevent drainage.            ________________________________
    c. CNS is so depressed that a person enters a coma and
    dies; blood pH is below 7.0.                ________________________________
    d. NS is overexcited causing tetany, nervousness, and
    convulsions; blood pH is above 7.8.            ________________________________
    e. Caused by failure of respiratory system to eliminate
    CO2 from the blood; pH falls.                ________________________________
    f. Rising pH and bicarbonate levels; caused by excessive
    vomiting or too many antacids.                ________________________________
    g. Too much CO2 is eliminated; caused by hyperventilation. _____________________________
    h. Caused by too much alcohol and excessive loss of
    bicarbonate ions; excessive exercise can cause.        _______________________________
49. Name 3 buffer systems.                    ________________________________
                                ________________________________
                                ________________________________
50. The most plentiful and powerful of the 3 buffer systems if the: ________________________________

51.  In the __a__ buffer system, __b__ (H2CO3) and __c__ (NaHCO3)are the buffers.  If a strong acid, such as HCl, is added, __d__ (Choose from your answers in b and c.) reacts with the acid and forms __e__ and __f__.  The buffer, __d__, turns a strong acid into a(n) __g__ and a(n) __h__.  If a strong base, such as NaOH, is added, it reacts with __i__ (Choose from your answers in b and c.) and forms __j__ and __k__.  The buffer, __i__, turns a strong base into a(n) __l__ and __k__.  The __a__ ion is closely regulated by the __m__ (Give organ.)
    a. ______________________________        h. _______________________________
    b. ______________________________        i. ________________________________
    c. ______________________________        j. ________________________________
    d. ______________________________        k. ________________________________
    e. ______________________________        l. _______________________________
    f. ______________________________        m. ________________________________
    g. ______________________________    

52. The kidney can regulate pH.  If the pH drops too low, the blood vessels will secrete __a__ ions into the kidney tubules and retain __b__ ions.  If the pH goes too high, the blood vessels will secrete __c__ ions into the kidney tubules and retain __d__ ions.
    a. ______________________________        c. _______________________________
    b. ______________________________        d. ________________________________

53.  Identify the terms of solute measurement.
    a. Unit of measure for osmolarity.            _____________________________
    b. 0.001 osmols =                     _____________________________
    c. Number of solute particles dissolved in one liter of water. ___________________________
54. Body fluids have an osmolarity of:                _____________________________.
55.  Urine osmolarity ranges from ________________ to ________________ milliosmols.

56.  Give the approximate osmolarity (in milliosmols) of the filtrate in the regions indicated.  
    a. Bowman's capsule.                            __________________
    b. PCT.                                    __________________
    c. Descending LH, near cortex.                        __________________
    d. Descending LH, in middle of medulla.                    __________________
    e. At bottom of LH near pelvis.                        __________________
    f. Ascending LH, in middle of medulla.                    __________________
    g. Ascending LH, near cortex.                        __________________
    h. DCT.                                    __________________
57. Give the approximate osmolarity (in milliosmols) of the interstitial fluid in the areas indicated.
    a. Cortex.                                __________________
    b. Upper medulla around LH.                        __________________
    c. Middle medulla around LH.                        __________________
    d. Lower (nearest renal pelvis) medulla around LH.            __________________
58. _______________________ means fluids are flowing in opposite directions.

59.  The filtrate that enters the PCT is __a__ (isosmotic/hypoosmotic/hyperosmotic) with the interstitial fluid.  As the filtrate descends in the descending LH, the interstitial fluid is becoming more __b__  (isosmotic/ hypoosmotic/hyperosmotic) and the filtrate (also) becomes __c__ (isosmotic/ hypoosmotic/hyperosmotic) because the tubule cells of the descending LH are __d__ (permeable/impermeable) to water and __e__ (permeable/impermeable) to solutes.  Therefore, water __f__ (moves in/moves out) of the filtrate creating a more __c__ (isosmotic/hypoosmotic/ hyperosmotic) filtrate.  The tubule cells of the ascending LH are __g__ (permeable/impermeable) to water.  Additionally, tubule cells of the ascending LH actively pump __h__ ions out into the interstitial fluid making this fluid more __i__ (isosmotic/hypoosmotic/hyperosmotic).  The __j__ (greater/lower) solute concentration in the interstitial fluid draws more __k__ out of the descending LH.  As more __k__ is pulled out of the descending LH, more __h__ ions become available in the ascending LH to be pumped out into the interstitial fluid.  This cycle is at least partially responsible for the __l__  (isosmotic/hypoosmotic/ hyperosmotic) condition of the interstitial fluid in the medulla and for the ability of the kidney to form a(n) __m__ urine.  The collecting duct also contributes to the __l__ of the interstitial fluid because it is permeable to the solute and waste __n__.  
    a. ______________________________        h. _______________________________
    b. ______________________________        i. ________________________________
    c. ______________________________        j. ________________________________
    d. ______________________________        k. ________________________________
    e. ______________________________        l. _________________________________
    f. ______________________________        m. ________________________________
    g. ______________________________        n. _________________________________

60. Give 2 functions of the vasa recta.        ___________________________________________
                        ___________________________________________

61. What is the significance of the slow blood flow in the vasa recta? ___________________________
            _______________________________________________________________

62. A dilute urine will be formed when ADH is __a__ (present/absent).          The __a__ of ADH __b__ (allows water to pass out/prevents water from passing out) of the collecting duct and DCT into the vasa recta.  The tubule cells of the CD and DCT become __c__ (permeable/impermeable) to water.  The urine formed may achieve an osmolarity of __d__.
    a. ______________________________        c. _______________________________
    b. ______________________________        d. ________________________________

63. A concentrated urine will be formed when ADH is __a__ (present/absent).         The __a__ of ADH __b__ (allows water to pass out/prevents water from passing out) of the collecting duct and DCT into the vasa recta.  The tubule cells of the CD and DCT are, therefore, __c__ (permeable/impermeable) to water.  The urine formed may achieve an osmolarity of __d__.
    a. ______________________________        c. _______________________________
    b. ______________________________        d. ________________________________

64. Any substance that increases urine formation is a(n):    _______________________________.



65. Name 4 diuretics or conditions that create high urine production.
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
66. Give the requested information about urine.
    a. Normal urine color.                    _______________________________
    b. Odor.                        _______________________________
    c. pH.                            _______________________________
    d. Specific gravity.                    _______________________________

67. List 7 substances normally found in urine.            _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
68. Name 5 factors that affect urine production.            _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
69. List, from outermost to innermost, the tunics of the ureter.    _______________________________
                                _______________________________
                                _______________________________

70. The middle tunic of the ureter is the __a__.  It is composed of __b__ muscle, an outer __c__  __b__ muscle and an inner __d__  __b__.  Besides gravity, urine can be moved to the bladder by __e__ (What process?)
    a. ______________________________        d. _______________________________
    b. ______________________________        e. ________________________________
    c. ______________________________
71. Give the location of the bladder in:
    a. Males.                        _______________________________
    b. females.                        _______________________________
72. The area of the urinary bladder where the 2 ureters enter and the urethra exits is called the:
                                _______________________________.
73.  List, from outermost to innermost, the tunics of the bladder.    _______________________________
                                _______________________________
                                _______________________________
74. Identify the tunic of the bladder based on the information given below.
    a. Composed of fibrous connective tissue.        _______________________________
    b. The detrusor muscle.                    _______________________________
    c. Transitional epithelium.                _______________________________

75. The middle tunic of the urinary bladder is called the __a__.  It is composed of 3 layers of __b__ muscle.  The inner layer is __c__  __b__ muscle, the middle layer is __d__  __b__ muscle, and the outer layer is __e__  __b__ muscle.  These 3 muscle layers are collectively called the __f__ muscle.
    a. ______________________________        d. _______________________________
    b. ______________________________        e. ________________________________
    c. ______________________________        f. _________________________________

76. What is the advantage of transitional epithelium tissue in the bladder? ________________________
    _____________________________________________________________________________

77. The tube that drains the urinary bladder is called the __a__.  In females, it is approximately __b__ centimeters long, is tightly bound to the __c__ wall, and exits through the __d__.  In males, it is approximately __e__ centimeters long and exits out the __f__.
    a. ______________________________        d. _______________________________
    b. ______________________________        e. ________________________________
    c. ______________________________        f. _________________________________

78.  The epithelium of the urethra changes from __a__ to __b__ to __c__.
    a. ______________________________        c. _______________________________
    b. ______________________________

79. The process of eliminating urine from the bladder is called:     ______________________________.

80. Name the 2 sphincters that control micturition and indicate if they are voluntarily or involuntarily controlled.                        ____________________________________
                            ____________________________________

81.  The average volume of a urinary bladder is approximately __a__ ml.  To undergo __b__, stretch receptors in the bladder are activated and send impulses to the brain.  The brain sends out impulses via the __c__ division of the ANS causing the detrusor muscle to __d__ (contract/relax) and the internal urethral sphincter to __e__ (contract/relax).  __b__ can occur when the external urethral sphincter is __f__ (voluntarily/ involuntarily) __g__ (contracted/relaxed).    
    a. ______________________________        e. _______________________________
    b. ______________________________        f. ________________________________
    c. ______________________________        g. ________________________________
    d. ______________________________

82. Why does a starving person have a greater risk of developing ptosis? _______________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

83. What functional significance is applied to a cell that has many microvilli? _____________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

84.  Kangaroo rats form one of the most concentrated urines known.  What structural differences, compared to a human kidney, would you expect to observe in their kidney? ______________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

85. Why does one urinate frequently when drinking alcoholic beverages? _____________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

86. Why does one urinate frequently when drinking coffee or tea? _____________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

87. Explain solvent drag. ______________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

88. Explain how active transport of ions (e.g. Na+) helps passive processes in the kidney. __________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

89. How does a urologist at a urologists' convention check if the microphone is turned on?
_________________________________________________________________________________
    


Answers:  Worksheet VIII-Excretory System

1.   excretion
2.     Skin-urea, ammonia, salts, and water.
    Lungs-carbon dioxide and water.
    Intestines-iron and calcium.
    Liver-bilirubin, cholesterol, via intestines; urea via kidney and skin.
3.  Regulates blood volume and composition./Regulates pH./Eliminates foreign substances such as drugs and toxins./Endocrine functions-renin and erythropoietin./Metabolizes Vitamin D to active form.
4. Kidneys-Ureter-Bladder-Urethra.
5.     a. Renal fascia                    i. Medulla
    b. Kidney                    j. Renal capsule
    c. Adipose capsule                k. Hilus
    d. Cortex                    l. Renal pyramids
    e. Renal pelvis                    m. Calyces
    f. Ureter                    n. Renal papilla
    g. Renal artery                    o. Renal columns
    h. Renal vein                    p. Minor calyces
6. nephron
7. Kidney-ureter-urinary bladder-urethra-outside
8.     a. Glomerulus                    h. Collecting duct
    b. Descending Loop of Henle (LH)        i. Vasa recta
    c. Bowman's capsule                j. Juxtaglomerular apparatus
    d. Distal convoluted tubule (DCT)        k. Cortical nephron
    e. Ascending LH                l. Juxtamedullary nephron
    f. Proximal convoluted tubule (PCT)        m. Collecting ducts
    g. Renal corpuscle
9. filtrate
10.     a. Bowman's capsule                e. podocytes
    b. glomerulus                    f. visceral
    c. renal corpuscle                g. filtration
    d. parietal                    h. pedicels

11.     a.  Descending LH                e. DCT
    b. PCT                        f. Descending LH
    c. Ascending LH                g. Ascending LH
    d. DCT            

12.     a. Juxtaglomerular apparatus            e.  cuboidally
    b. smooth muscle                f. columnarly
    c. renin                        g. macula densa
    d. mechanoreceptors                h. chemoreceptors (osmoreceptors)

13.     a. papillary                    c. major calyces
    b. minor calyces                d.  renal pelvis
14.     glomerulus-Bowman's capsule-PCT-LH-DCT-Collecting duct-papillary duct-minor calyces-major calyces-renal pelvis-ureter-urinary bladder-urethra-outside.
15.  glomerulus and peritubular capillary bed
16.     a.  interlobar artery                e. peritubular capillary bed
    b. afferent arteriole                f. arcuate vein
    c. glomerulus                    g. renal vein
    d. efferent arteriole
17.  vasa recta
18. It allows reabsorbed nutrients easy access to return to the main circulation.
19. ~ 1.5 l
20.  Glomerular filtration, tubular reabsorption, tubular secretion.
21.  Filtration
22.  Hydrostatic pressure is higher (55 mmHg) in glomerulus./Capillaries are heavily fenestrated.
23.  Fenestrated capillary endothelium, visceral layer of BC, basement membrane.
24.  Water, glucose, amino acids, urea, ions, etc.; proteins larger than 9 nm do not pass through.
25.  Afferent arteriole diameter, arterial blood pressure, efferent arteriole diameter, autoregulation, sympathetic controls.
26.  increase
27. decrease
28. decrease
29.      a. NE                        c. constriction
    b. E

30.     a. Autoregulation                e. smooth
    b. afferent                    f. contracts
    c. efferent                    g. decreases
    d. increased

31.     a. renin-angiotensin                d. angiotensin II
    b.  decreased                    e. constrictor
    c. renin                        f. increased
32.     proteins larger than 9 nm.
33. PCT
34.     a. tight junctions                b. through
35.  luminal membrane of tubule cell, basolateral membrane of tubule cell, endothelial membrane of capillary.
36.  Glucose, amino acids, lactate, vitamins, most ions, plasma proteins.
37. pinocytosis (endocytosis)
38. They are enzymatically broken down into amino acids and the amino acids are used by the tubule cell or released back into the blood.
39.  diffusion, facilitated diffusion, osmosis.

40.      a. active transport (actively transported)        f. high
    b.  high                        g. into
    c. diffuse                    h. osmosis
    d. decreases                    i. obligatory water reabsorption
    e. water

41. Solvent drag
42. Urea and fatty acids
43. urea, creatinine, uric acid.

44.      a. Descending LH                d. DCT
    b. Ascending LH                e. DCT
    c. PCT

45.     ADH-makes DCT and CD more permeable to water; therefore water moves back into blood.
    Aldosterone-Causes Na+ to be reabsorbed; water follows Na+ back into blood.
    Atrial natriuretic factor-Inhibits Na+ reabsorption; water follows out of body with Na+.
46. Secretion
47.     Helps control pH./Eliminates toxins and wastes./Gets rid of excess K+.
48.     a. Kidney stones                e. Respiratory acidosis
    b. Ptosis                    f. Metabolic alkalosis
    c.  Acidosis                    g. Respiratory alkalosis
    d. Alkalosis                    h. Metabolic acidosis
49. Bicarbonate, Protein, and Phosphate.
50. Protein
51.     a. Bicarbonate                    h. salt
    b. Carbonic acid                i. Carbonic acid
    c. Sodium bicarbonate                j. Sodium bicarbonate
    d. Sodium bicarbonate                k. water (H2O)
    e.  Carbonic acid                l.  weak base
    f.  NaCl (salt)                    m. kidneys
    g.  weak acid

52.     a. H+                        c. bicarbonate
    b. bicarbonate (HCO3-)                d. H+

53.    a. osmol                    c. osmolarity
    b. 1 milliosmol
54. ~ 300 mosm
55.  65 to 1200 mosm
56.     a. 300                        e. 1200
    b. 300                        f. 500-600
    c. 300-400                    g. 100-200 (About 200 less than 'c'
    d. 600-700                    h. 200

57.     a. 300                        c. 600-800
    b. 400                        d. 1200
58. Countercurrent

59.     a. isosmotic                    h.  Na+
    b. hyperosmotic                    i. hyperosmotic
    c. hyperosmotic                    j. greater
    d.  permeable                    k. water
    e. impermeable                    l. hyperosmotic
    f. moves out                    m.  concentrated
    g. impermeable                    n. urea
60.  Acts as countercurrent exchanger with LH and CD./Delivers nutrients to tubule cells./Does not destroy gradient.
61. This prevents the destruction of the gradient in the interstitial fluid that is so important to forming a concentrated urine.
62.     a. absent (absence)                c. impermeable
    b. prevents water from passing out        d. 65 mosm

63.     a. present                    c. permeable
    b. allows water to pass out            d. 1200 mosm
64. diuretic
65.  high blood glucose as in diabetes./high protein diets./alcohol./caffeine.
66.      a. Clear to deep yellow                c. 6
    b. Slightly aromatic                d. 1.001 to 1.035
67.  water, urea, sodium, K+, phosphate, sulfates, uric acid, creatinine, calcium, bicarbonate ions. etc.
68.  Blood pressure, Hormones-aldosterone and ADH, temperature, diuretics, emotions.
69. Adventitia,muscularis, mucosa.
70.     a. muscularis                    d. longitudinal
    b. smooth                    e. peristalsis
    c. circular

71.     Males-anterior to rectum.
    Females-anterior to vagina and uterus.
72. trigone
73. Adventitia, muscularis, mucosa.
74.     a. Adventitia                    c. Mucosa
    b. Muscularis

75.     a. muscularis                    d. circular
    b. smooth                    e. longitudinal
    c. longitudinal                    f. detrusor
76. Prevents leakage of urine out of bladder when full.
77.     a. urethra                    d. urethral aperture (orifice)
    b. 3-4                        e. 20
    c. vaginal                    f. penis

78.     a. transitional                    c. stratified squamous
    b. pseudostratified
79. micturition (urination)
80.     Internal urethral sphincter-involuntary
    External urethral sphincter-voluntary after 2 yrs of age.
81.     a. 500 ml                    e. relax
    b. micturition                    f. voluntarily
    c. parasympathetic                g. relaxed
    d. contract


82. Starvation taps into a person's adipose tissue.  Ptosis results when the adipose capsule of the kidney is reduced.  The kidney drops in position and the ureter becomes kinked.
83. Brush border cells and cuboidal cells of the proximal convoluted tubules both are important in absorption.  Microvilli increase the absorptive surface area of a cell many times.
84. Kangaroo rats have very long loops of Henle and collecting ducts.  It is in the loop of Henle and CDs where urine concentration occurs.
85. Alcohol inhibits release of ADH from the posterior pituitary.  Without ADH, water stays in the collecting duct and passes out with the urine.
86.  Caffeine, found in coffee and tea, increases the GFR by causing renal vasodilation.  Renal vasodilation results in more blood flow through the kidney, which increases urine formation.
87.
88.
89. testes, testes, testes???