Deck 24: Urinary System
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Deck 24: Urinary System
1
Which blood vessels are primarily concerned with reabsorption?
A) renal artery
B) glomeruli
C) renal vein
D) peritubular capillaries
A) renal artery
B) glomeruli
C) renal vein
D) peritubular capillaries
peritubular capillaries
2
The calyces receive urine from the
A) proximal convoluted tubule.
B) collecting ducts.
C) glomeruli.
D) peritubular capillaries.
A) proximal convoluted tubule.
B) collecting ducts.
C) glomeruli.
D) peritubular capillaries.
collecting ducts.
3
The renal cortex descends between the pyramids as the
A) pelvis.
B) collecting ducts.
C) calyces.
D) renal columns.
A) pelvis.
B) collecting ducts.
C) calyces.
D) renal columns.
renal columns.
4
This structure is located between the renal pelvis and the urinary bladder.
A) urethra
B) trigone
C) urinary meatus
D) ureter
A) urethra
B) trigone
C) urinary meatus
D) ureter
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5
The urinary meatus is a part of the
A) ureter.
B) urinary bladder.
C) urethra.
D) collecting duct.
A) ureter.
B) urinary bladder.
C) urethra.
D) collecting duct.
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6
The efferent arterioles extend to become the
A) peritubular capillaries.
B) afferent arterioles.
C) glomeruli.
D) renal artery.
A) peritubular capillaries.
B) afferent arterioles.
C) glomeruli.
D) renal artery.
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7
ADH exerts its effects on the
A) proximal convoluted tubule.
B) afferent arteriole.
C) collecting duct.
D) renal pelvis.
A) proximal convoluted tubule.
B) afferent arteriole.
C) collecting duct.
D) renal pelvis.
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8
Urine flows from the ascending limb (loop of Henle)into the
A) glomeruli.
B) proximal convoluted tubule.
C) distal convoluted tubule.
D) ureter.
A) glomeruli.
B) proximal convoluted tubule.
C) distal convoluted tubule.
D) ureter.
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9
Which of the following words best describes the function of the urinary bladder?
A) filtration
B) storage
C) reabsorption
D) buffering of H⁺
A) filtration
B) storage
C) reabsorption
D) buffering of H⁺
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10
The urinary tract is lined with
A) serous membrane.
B) the renal capsule.
C) mucous membrane.
24-PAGE 2
Test Bank
D) tubular epithelium.
A) serous membrane.
B) the renal capsule.
C) mucous membrane.
24-PAGE 2
Test Bank
D) tubular epithelium.
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11
What is the urine-making structure of the kidney?
A) trigone
B) renal pyramid
C) renal capsule
D) nephron unit
A) trigone
B) renal pyramid
C) renal capsule
D) nephron unit
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12
Which of the following is not "plumbing"?
A) glomeruli
B) ureters
C) urinary bladder
D) urethra
A) glomeruli
B) ureters
C) urinary bladder
D) urethra
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13
The word voiding refers to
A) urine formation.
B) catheterization.
C) micturition.
D) cystitis.
A) urine formation.
B) catheterization.
C) micturition.
D) cystitis.
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14
The detrusor muscle is located in the
A) urethra.
B) renal pelvis.
C) urinary bladder.
D) glomeruli.
A) urethra.
B) renal pelvis.
C) urinary bladder.
D) glomeruli.
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15
The proximal convoluted tubules extend to become the
A) peritubular capillaries.
B) collecting duct.
C) descending limb (loop of Henle).
D) glomeruli.
A) peritubular capillaries.
B) collecting duct.
C) descending limb (loop of Henle).
D) glomeruli.
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16
The renal capsule
A) lines the tubules.
B) lines the urinary bladder.
C) surrounds the kidneys.
D) outlines the trigone.
A) lines the tubules.
B) lines the urinary bladder.
C) surrounds the kidneys.
D) outlines the trigone.
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17
Which of the following is correct?
A) one kidney
B) one ureter
C) two urinary bladders
D) one urethra
A) one kidney
B) one ureter
C) two urinary bladders
D) one urethra
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18
What vascular structure is found between the afferent and efferent arterioles?
A) peritubular capillaries
B) renal artery
C) glomerulus
D) renal veins
A) peritubular capillaries
B) renal artery
C) glomerulus
D) renal veins
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19
Where does aldosterone exert its effects?
A) glomeruli
B) efferent arteriole
C) distal convoluted tubule
D) ascending limb (loop of Henle)
A) glomeruli
B) efferent arteriole
C) distal convoluted tubule
D) ascending limb (loop of Henle)
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20
What is the major artery that supplies the kidneys?
A) carotid
B) portal
C) celiac axis
D) renal
A) carotid
B) portal
C) celiac axis
D) renal
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21
Which of the following is found in the kidney?
A) detrusor muscle
B) trigone
C) nephron units
D) urethra
A) detrusor muscle
B) trigone
C) nephron units
D) urethra
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22
Which of the following is absorbed across the walls of the collecting duct under the influence of ADH?
A) potassium
B) urea
C) water
D) albumin
A) potassium
B) urea
C) water
D) albumin
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23
Kaliuresis refers to the renal excretion of
A) sodium.
B) bicarbonate.
C) water.
D) potassium.
A) sodium.
B) bicarbonate.
C) water.
D) potassium.
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24
The juxtaglomerular apparatus (JGA)secretes
A) aldosterone.
B) ADH.
C) angiotensin.
D) renin.
A) aldosterone.
B) ADH.
C) angiotensin.
D) renin.
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25
Which of the following should not be found in the glomerular filtrate?
A) albumin
B) sodium
C) potassium
D) water
A) albumin
B) sodium
C) potassium
D) water
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26
Activation of the renin-angiotensin-aldosterone system
A) reabsorbs K⁺ and eliminates Na⁺ in the urine.
B) causes albuminuria.
C) expands blood volume.
D) causes hematuria.
A) reabsorbs K⁺ and eliminates Na⁺ in the urine.
B) causes albuminuria.
C) expands blood volume.
D) causes hematuria.
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27
The renal excretion of Na⁺ is generally accompanied by the excretion of
A) bicarbonate.
B) water.
C) albumin.
D) renin.
A) bicarbonate.
B) water.
C) albumin.
D) renin.
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28
The juxtaglomerular apparatus (JGA)is located near the
A) collecting duct.
B) afferent arteriole.
C) ureter.
D) renal pelvis.
A) collecting duct.
B) afferent arteriole.
C) ureter.
D) renal pelvis.
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29
Natriuresis refers to the renal excretion of
A) K⁺.
B) Na⁺.
C) water.
D) bicarbonate.
A) K⁺.
B) Na⁺.
C) water.
D) bicarbonate.
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30
This substance is filtered by the glomerulus and is excreted in the urine;there is minimal reabsorption.
A) albumin
B) glucose
C) sodium
D) creatinine
A) albumin
B) glucose
C) sodium
D) creatinine
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31
The detrusor muscle is concerned with
A) urine formation.
B) micturition.
C) sodium reabsorption.
D) potassium excretion.
A) urine formation.
B) micturition.
C) sodium reabsorption.
D) potassium excretion.
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32
Which of the following is not located within the urinary bladder?
A) trigone
B) detrusor muscle
C) internal sphincter
D) calyces
A) trigone
B) detrusor muscle
C) internal sphincter
D) calyces
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33
Cystitis refers to inflammation of the
A) kidneys.
B) meatus.
C) urinary bladder.
D) renal pelvis.
A) kidneys.
B) meatus.
C) urinary bladder.
D) renal pelvis.
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34
Bowman's capsule is part of the
A) nephron unit.
B) renal pelvis.
C) collecting duct.
D) urinary bladder.
A) nephron unit.
B) renal pelvis.
C) collecting duct.
D) urinary bladder.
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35
Renin activates
A) aldosterone.
B) converting enzyme.
C) angiotensinogen.
D) angiotensin II.
A) aldosterone.
B) converting enzyme.
C) angiotensinogen.
D) angiotensin II.
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36
The internal and external sphincters are associated with (the)
A) renal pelvis.
B) Bowman's capsule.
C) juxtaglomerular apparatus.
D) urinary bladder.
A) renal pelvis.
B) Bowman's capsule.
C) juxtaglomerular apparatus.
D) urinary bladder.
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37
Which of the following is most likely to cause polyuria?
A) oversecretion of aldosterone
B) decreased glomerular filtration rate (GFR)
C) deficiency of ADH
D) activation of angiotensinogen
A) oversecretion of aldosterone
B) decreased glomerular filtration rate (GFR)
C) deficiency of ADH
D) activation of angiotensinogen
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38
Aldosterone
A) depletes blood volume.
B) causes potassium reabsorption.
C) causes sodium excretion.
D) causes Na⁺ and water reabsorption.
A) depletes blood volume.
B) causes potassium reabsorption.
C) causes sodium excretion.
D) causes Na⁺ and water reabsorption.
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39
Pyuria is indicative of
A) infection.
B) glomerular damage.
C) deficiency of ADH.
D) excess secretion of aldosterone.
A) infection.
B) glomerular damage.
C) deficiency of ADH.
D) excess secretion of aldosterone.
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40
Which of the following is not true of ADH?
A) secreted by the posterior pituitary gland
B) secreted in response to low blood volume and concentrated plasma (as in dehydration)
C) causes the renal excretion of sodium,potassium,and water
D) a deficiency causes diabetes insipidus
A) secreted by the posterior pituitary gland
B) secreted in response to low blood volume and concentrated plasma (as in dehydration)
C) causes the renal excretion of sodium,potassium,and water
D) a deficiency causes diabetes insipidus
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41
Which of the following occurs at the distal convoluted tubule?
A) 180 L of water is filtered into the tubules.
B) Renin is secreted.
C) Urine flows from the distal convoluted tubule into the ascending loop of Henle.
D) Sodium and water are reabsorbed.
A) 180 L of water is filtered into the tubules.
B) Renin is secreted.
C) Urine flows from the distal convoluted tubule into the ascending loop of Henle.
D) Sodium and water are reabsorbed.
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42
The urinary bladder
A) contains only skeletal muscle.
B) receives urine from two urethras.
C) causes diuresis in response to ADH deficiency.
D) causes micturition when the detrusor muscle contracts and the internal sphincter relaxes.
A) contains only skeletal muscle.
B) receives urine from two urethras.
C) causes diuresis in response to ADH deficiency.
D) causes micturition when the detrusor muscle contracts and the internal sphincter relaxes.
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43
Which condition is associated with proteinuria?
A) a bladder infection
B) urethritis
C) glomerular disease
D) deficiency of ADH
A) a bladder infection
B) urethritis
C) glomerular disease
D) deficiency of ADH
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44
Low levels of oxygen stimulate the kidneys to secrete this hormone.
A) renin
B) aldosterone
C) erythropoietin
D) converting enzyme
A) renin
B) aldosterone
C) erythropoietin
D) converting enzyme
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45
Which of the following is caused by prolonged hypotension?
A) oliguria
B) albuminuria
C) cystitis
D) glomerulonephritis
A) oliguria
B) albuminuria
C) cystitis
D) glomerulonephritis
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46
Which of the following is caused by a deficiency of erythropoietin?
A) oliguria
B) anemia
C) albuminuria
D) cystitis
A) oliguria
B) anemia
C) albuminuria
D) cystitis
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47
Under normal conditions,this substance is present in the urine.
A) creatinine
B) fibrinogen
C) myosin
D) albumin
A) creatinine
B) fibrinogen
C) myosin
D) albumin
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48
Aldosterone
A) is secreted by the posterior pituitary gland.
B) acts on the collecting duct blocking the reabsorption of water.
C) stimulates the reabsorption of water,but has no effect on potassium.
D) is a mineralocorticoid that stimulates the reabsorption of sodium.
A) is secreted by the posterior pituitary gland.
B) acts on the collecting duct blocking the reabsorption of water.
C) stimulates the reabsorption of water,but has no effect on potassium.
D) is a mineralocorticoid that stimulates the reabsorption of sodium.
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49
Which hormone affects blood volume?
A) PTH
B) erythropoietin
C) insulin
D) aldosterone
A) PTH
B) erythropoietin
C) insulin
D) aldosterone
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50
A diuretic
A) causes the excretion of sodium and water in the urine.
B) causes hyperglycemia.
C) blocks the effects of PTH.
D) stimulates the reabsorption of sodium by the peritubular capillaries.
A) causes the excretion of sodium and water in the urine.
B) causes hyperglycemia.
C) blocks the effects of PTH.
D) stimulates the reabsorption of sodium by the peritubular capillaries.
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51
ADH
A) is secreted by the anterior pituitary gland.
B) is a mineralocorticoid that is secreted by the adrenal cortex.
C) stimulates the collecting duct to reabsorb water.
D) increases GFR.
A) is secreted by the anterior pituitary gland.
B) is a mineralocorticoid that is secreted by the adrenal cortex.
C) stimulates the collecting duct to reabsorb water.
D) increases GFR.
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52
What part of the nephron unit filters 180 L of water per day?
A) peritubular capillaries
B) glomeruli
C) calyces
D) trigone
A) peritubular capillaries
B) glomeruli
C) calyces
D) trigone
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53
Renal failure causes anemia because of
A) a lack of erythropoietin.
B) gross hematuria.
C) uremia-induced hemolysis.
D) uremia-induced hypokalemia.
A) a lack of erythropoietin.
B) gross hematuria.
C) uremia-induced hemolysis.
D) uremia-induced hypokalemia.
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54
With regard to reabsorption,which structure plays the most important role?
A) glomeruli
B) renal pelvis
C) urinary bladder
D) peritubular capillaries
A) glomeruli
B) renal pelvis
C) urinary bladder
D) peritubular capillaries
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55
Which of the following terms refers to the voluntary expulsion of urine?
A) polyuria
B) diuresis
C) micturition
D) dialysis
A) polyuria
B) diuresis
C) micturition
D) dialysis
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56
Creatinine is
A) completely reabsorbed by the peritubular capillaries.
B) a waste product that is filtered and not reabsorbed.
C) a renal enzyme that activates angiotensinogen.
D) a renal hormone that stimulates red blood cell production by the bone marrow.
A) completely reabsorbed by the peritubular capillaries.
B) a waste product that is filtered and not reabsorbed.
C) a renal enzyme that activates angiotensinogen.
D) a renal hormone that stimulates red blood cell production by the bone marrow.
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57
What is the meaning of an elevated serum creatinine?
A) The kidneys are making too much creatinine.
B) Too much creatinine is being reabsorbed by the peritubular capillaries.
C) The kidneys are not filtering creatinine;this is a sign of kidney failure.
D) The kidneys are excreting too much urine.
A) The kidneys are making too much creatinine.
B) Too much creatinine is being reabsorbed by the peritubular capillaries.
C) The kidneys are not filtering creatinine;this is a sign of kidney failure.
D) The kidneys are excreting too much urine.
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58
Which condition is characterized by hematuria and pyuria?
A) renal failure
B) diuresis
C) urinary retention
D) cystitis
A) renal failure
B) diuresis
C) urinary retention
D) cystitis
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59
In the process of secretion,a substance moves from the peritubular capillaries into this structure.
A) glomeruli
B) calyces
C) renal pelvis
D) tubules
A) glomeruli
B) calyces
C) renal pelvis
D) tubules
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60
A drug is classified as a diuretic.Most likely the drug
A) decreases GFR.
B) blocks the tubular reabsorption of Na⁺.
C) activates the renin-angiotensin-aldosterone system.
D) causes the release of ADH.
A) decreases GFR.
B) blocks the tubular reabsorption of Na⁺.
C) activates the renin-angiotensin-aldosterone system.
D) causes the release of ADH.
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61
What happens at the glomerular membrane?
A) Water and dissolved solute are filtered into Bowman's capsule.
B) The JGA cells release ADH.
C) The JGA cells release aldosterone.
D) Na+ is reabsorbed.
A) Water and dissolved solute are filtered into Bowman's capsule.
B) The JGA cells release ADH.
C) The JGA cells release aldosterone.
D) Na+ is reabsorbed.
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62
The distal convoluted tubule
A) receives urine from the collecting duct.
B) reabsorbs Na⁺ in response to aldosterone.
C) is the nephron structure that is primarily associated with filtration.
D) empties its urine into Bowman's capsule.
A) receives urine from the collecting duct.
B) reabsorbs Na⁺ in response to aldosterone.
C) is the nephron structure that is primarily associated with filtration.
D) empties its urine into Bowman's capsule.
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63
A patient with stenosis (narrowing)of the renal artery is most likely to present with
A) uremia.
B) hypertension.
C) albuminuria,hypoalbuminemia,and edema.
D) glucosuria.
A) uremia.
B) hypertension.
C) albuminuria,hypoalbuminemia,and edema.
D) glucosuria.
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64
When the arterial blood pressure declines to 70/50 mm Hg,
A) GFR decreases.
B) diuresis occurs.
C) aldosterone secretion decreases.
D) ADH secretion diminishes.
A) GFR decreases.
B) diuresis occurs.
C) aldosterone secretion decreases.
D) ADH secretion diminishes.
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