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In the kidneys,the countercurrent mechanism involves the interaction between the flow of filtrate through the nephron loop of the juxtamedullary nephrons (the countercurrent multiplier)and the flow of blood through the limbs of adjacent blood vessels (the countercurrent exchanger).This relationship establishes and maintains an osmotic gradient extending from the cortex through the depths of the medulla that allows the kidneys to vary urine concentration dramatically.

A) True
B) False

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Angiotensin II is a substance made by the body to lower blood pressure during stress.

A) True
B) False

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The proximal convoluted tubule is the portion of the nephron that attaches to the collecting duct.

A) True
B) False

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Tubular secretion is effective in controlling blood pH.

A) True
B) False

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Ellen,a 47-year-old woman who has suffered kidney disease for several years,has been diagnosed with proteinuria.Her legs and feet are so swollen that she has difficulty walking.Her hands and her left arm are also swollen.What is proteinuria,and could this condition be playing a role in her swollen limbs?

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Proteinuria is a condition in which the ...

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Which of the following is not associated with the renal corpuscle?


A) a fenestrated capillary
B) a podocyte
C) an efferent arteriole
D) a vasa recta

E) A) and D)
F) A) and C)

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  Figure 25.2 Using Figure 25.2, match the following: -Filtrate at the site of these cells is about the same osmolarity as blood plasma. A) E B) C C) D D) B E) A Figure 25.2 Using Figure 25.2, match the following: -Filtrate at the site of these cells is about the same osmolarity as blood plasma.


A) E
B) C
C) D
D) B
E) A

F) All of the above
G) B) and D)

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A

Which of the following statements best describes the difference between the intrinsic and extrinsic controls of the kidney?


A) Extrinsic controls have the greatest effect on systemic blood pressure while intrinsic control have a greater effect on GFR.
B) Extrinsic controls will reduce blood plasma volume while intrinsic controls will increase blood plasma volumes.
C) Intrinsic controls raise blood pressure while extrinsic controls lower blood pressure.
D) Extrinsic and intrinsic controls work in nearly opposite ways.

E) B) and C)
F) A) and D)

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Select the correct statement about urinary system development.


A) The metanephric ducts will become the urethras.
B) The pronephros (first tubule system) develops during the tenth week of gestation.
C) The mesonephros will develop into the kidneys.
D) Kidneys develop from urogenital ridges.

E) B) and C)
F) All of the above

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What is the best explanation for the microvilli on the apical surface of the proximal convoluted tubule (PCT) ?


A) They increase the surface area and allow for a greater volume of filtrate components to be reabsorbed.
B) Their movements propel the filtrate through the tubules.
C) They increase the amount of surface area that comes in contact with the blood's plasma to help activly excrete toxins.
D) They hold on to enzymes that cleanse the filtrate before reabsorption.

E) A) and B)
F) A) and C)

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The urinary bladder is composed of ________ epithelium.


A) transitional
B) stratified squamous
C) pseudostratified columnar
D) simple squamous

E) B) and C)
F) A) and C)

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Most electrolyte reabsorption by the renal tubules is ________.


A) hormonally controlled in distal tubule segments
B) not limited by a transport maximum
C) in the distal convoluted tubule
D) accomplished after the nephron loop is reached

E) A) and B)
F) A) and C)

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The kidneys are stimulated to produce renin ________.


A) when the pH of the urine decreases
B) when the specific gravity of urine rises above 1.10
C) when the peritubular capillaries are dilated
D) by a decrease in the blood pressure

E) B) and C)
F) A) and B)

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The entire responsibility for urine formation lies with the nephron.

A) True
B) False

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True

If the diameter of the afferent arterioles leading to the glomerulus increases (vasodilation) which of the following is not likely to occur?


A) Net filtration pressure will increase.
B) Urine output will increase.
C) Systemic blood pressure will go up.
D) Glomerular filtration rate will increase.

E) None of the above
F) A) and B)

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If the diameter of the efferent arterioles leading away from the glomerulus increases (vasodilation) which of the following is not likely to occur?


A) Urine output will decrease.
B) Net filtration pressure will decrease.
C) Systemic blood pressure will decrease.
D) Glomerular filtration rate will decrease.

E) B) and D)
F) All of the above

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If the Tm for a particular amino acid is 120 mg/100 ml and the concentration of that amino acid in the blood is 230 mg/100 ml,the amino acid will ________.


A) appear in the urine
B) be completely reabsorbed by the tubule cells
C) be actively secreted into the filtrate
D) be completely reabsorbed by secondary active transport

E) A) and B)
F) A) and C)

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A

The collecting duct is impermeable to water in the presence of ADH.

A) True
B) False

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    Figure 25.1 Using Figure 25.1, match the following: -Which label marks a structure at the medulla of the kidney? A) B B) C C) A D) D E) E Figure 25.1 Using Figure 25.1, match the following: -Which label marks a structure at the medulla of the kidney?


A) B
B) C
C) A
D) D
E) E

F) C) and D)
G) A) and B)

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Select the correct statement about the nephrons.


A) Podocytes are the branching epithelial cells that line the tubules of the nephron.
B) The parietal layer of the glomerular capsule is simple squamous epithelium.
C) The glomerulus is correctly described as the proximal end of the proximal convoluted tubule.
D) Filtration slits are the pores that give fenestrated capillaries their name.

E) All of the above
F) C) and D)

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