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The countercurrent multiplier recaptures __________ and is based on fluid flowing in the __________ direction in two adjacent tubules.


A) potassium;same
B) calcium;opposite
C) calcium;same
D) sodium;opposite
E) sodium;same

Correct Answer

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A patient enters a hospital after a motorcycle accident.He complains of mid-back 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?


A) Pyuria
B) Hematuria
C) Albuminuria
D) Uremia
E) Phenylketonuria

Correct Answer

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Hypocalcemia stimulates __________.


A) a decrease in aldosterone production
B) secretion of parathyroid hormone
C) secretion of renin
D) an increase in blood urea nitrogen
E) vasoconstriction of the afferent arterioles

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A hospital patient produces 4 mL/min of urine with a urea concentration of 8 mg/mL.Venous blood draw reveals urea concentration of 0.4 mg/mL.What is the percentage of cleared urea from glomerular filtrate?


A) 40%
B) 56%
C) 64%
D) 72%
E) 80%

Correct Answer

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Which of the following is not true about the anatomy of the urinary system?


A) The kidneys are retroperitoneal.
B) The ureters connect the kidneys to the urinary bladder.
C) The urethra of males is longer than the urethra of females.
D) The kidneys are at equal heights within the pelvic cavity.
E) The right kidney is located more inferiorly than the left kidney.

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A byproduct of protein catabolism,__________ constitutes approximately one-half of all nitrogenous waste.


A) urea
B) creatinine
C) uric acid
D) azotemia
E) ammonia

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Which of the following induces renin secretion,constricts afferent arterioles,and reduces GFR and urine volume?


A) Aldosterone
B) Antidiuretic hormone
C) Parathyroid hormone
D) Norepinephrine
E) Angiotensin II

Correct Answer

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Prior to chemical tests for glycosuria,clinicians checked for sweetness of the urine as a sign of __________.


A) diabetes insipidus
B) acute glomerulonephritis
C) diabetes mellitus
D) renal calculus
E) pyelitis

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Blood plasma is filtered in the __________.


A) renal tubule
B) renal corpuscle
C) renal capsule
D) renal column
E) renal calyx

Correct Answer

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The fenestrated endothelium of the capillary has pores small enough to exclude blood cells from the filtrate.

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The __________ is not an organ of the urinary system.


A) urethra
B) liver
C) ureter
D) urinary bladder
E) kidney

Correct Answer

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Which of the following form the inner layer of the glomerular capsule and wrap around the capillaries of the glomerulus?


A) Macula densa cells
B) Mesangial cells
C) Nephrocytes
D) Podocytes
E) Monocytes

Correct Answer

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Which renal structure is responsible for producing hypertonic urine by reabsorbing water while allowing metabolic wastes and NaCl to pass through?


A) Glomerulus
B) Proximal convoluted tubule
C) Distal convoluted tubule
D) Collecting duct
E) Nephron loop

Correct Answer

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Glomerular capillaries suffer little damage from hypertension because of the protective influence of the afferent arterioles.

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Cells in the cleft between the afferent and efferent arterioles and among capillaries of the glomerulus are known as mesangial cells.

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Micturition is another term for __________.


A) the production of nitrogenous wastes
B) glomerular filtration
C) the countercurrent multiplier process
D) inflammation of the urinary bladder
E) the elimination of urine

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Ethyl (drinking)alcohol stimulates the secretion of ADH,thereby reducing reabsorption by the collecting duct.

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In the thick segment of the ascending limb of the nephron loop,K+ reenters the cell from the interstitial fluid via the _________.K+ is then secreted into the tubular fluid.


A) Na+-K+ pump
B) countercurrent multiplier
C) countercurrent exchange
D) vasa recta
E) juxtaglomerular apparatus

Correct Answer

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A renal pyramid voids urine into the __________.


A) minor calyx
B) major calyx
C) renal medulla
D) renal papilla
E) ureter

Correct Answer

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Natriuretic peptide inhibits __________ reabsorption by the collecting duct,which _________ urine output.


A) K+;increases
B) NaCl;decreases
C) NaCl;increases
D) K+;decreases
E) Ca2+;increases

Correct Answer

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