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Which of the following functions would not be performed by the kidney?


A) urine storage
B) excretion of waste
C) maintenance of fluid balance
D) regulate synthesis of vitamin D
E) regulate synthesis of RBCs

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

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What part of the urinary bladder expands very little during bladder filling?


A) the fundus
B) the trigone
C) the neck
D) transitional epithelium

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

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The movement of fluid into Bowman's capsule is opposed by


A) filtration pressure.
B) capsular hydrostatic pressure.
C) glomerular capillary pressure.
D) osmotic pressure of the medulla of the kidney.
E) blood pressure.

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

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If the following hypothetical conditions exist in the nephron, calculate the net filtration pressure. glomerular capillary pressure = 80 mmHg Blood colloid osmotic pressure = 20 mmHg Capsular hydrostatic pressure = 10 mmHg


A) 110 mmHg
B) 90 mmHg
C) 50 mmHg
D) 30 mmHg
E) 20 mmHg

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

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One feature of renal blood circulation that makes it unique is that


A) there is a double set of venules.
B) blood flows from arterioles into venules.
C) blood flows from venules into arterioles.
D) each nephron has at least two capillary networks.
E) the nephron is only associated with the glomerulus.

F) B) and E)
G) A) and B)

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With aging, a loss of inhibitory action potentials to the sacral region of the spinal cord results in


A) increased bladder capacity.
B) voluntary micturition.
C) continuous dribbling of urine.
D) uncontrollable micturition.
E) lack of control of internal sphincter.

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

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If the tubular maximum for a particular amino acid is 200 mg/100 ml and the concentration of that amino acid in the blood is 100 mg/100 ml, the amino acid


A) will be actively secreted into the filtrate.
B) will be completely reabsorbed by the tubule cells.
C) will appear in the urine.
D) will not appear in the urine.
E) None of these choices is correct.

F) B) and E)
G) A) and D)

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Decreased blood colloid osmotic pressure affects renal function by


A) increasing net filtration pressure.
B) increasing capsular pressure.
C) increasing glomerular capillary pressure.
D) increasing blood pressure in the afferent arteriole.
E) None of these choices is correct.

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

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Urine is prevented from flowing back into the ureters from the bladder by ________________.


A) compression of the ureteral openings
B) the external urethral sphincter
C) the internal urethral sphincter
D) the ureteral sphincters
E) ureteral valves

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

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When macula densa cells experience increased Na+ concentration in the filtrate, they respond by


A) increasing afferent arteriole constriction.
B) decreasing urine production.
C) decreasing renin secretion.
D) increasing aldosterone secretion.
E) increasing renin secretion

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

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Intense sympathetic stimulation of the kidney


A) is necessary for normal kidney metabolism.
B) causes the release of epinephrine from the kidney.
C) decreases renal flow.
D) increases filtration rate.
E) does not alter filtration rate.

F) A) and E)
G) A) and B)

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The part of the cardiac output that passes through the kidneys is the


A) renal fraction.
B) filtration fraction.
C) clearance fraction.
D) glomerular flow rate.
E) cardiac fraction.

F) A) and B)
G) B) and E)

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The visceral layer of Bowman's capsule


A) is part of the filtration membrane.
B) is called endothelium.
C) contains podocytes.
D) is part of the filtration membrane and is called endothelium.
E) is part of the filtration membrane and contains podocytes.

F) A) and C)
G) C) and E)

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In the sodium-hydrogen antiport system,


A) both sodium ions and hydrogen ions are transported into the tubular lumen.
B) both sodium ions and hydrogen ions are transported into the tubular cell.
C) sodium ions are transported into the cell; hydrogen ions are transported out of the cell.
D) sodium ions are transported into the tubular lumen; hydrogen ions are transported into the cell.
E) sodium ions are transported out of the cell; hydrogen ions are transported into the cell.

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

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Choose the term that does not belong.


A) glomerulus
B) macula densa
C) juxtaglomerular cells
D) juxtaglomerular apparatus
E) afferent arteriole

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

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Urine flows through the ureters to the bladder as the result of


A) gravity.
B) a pressure gradient.
C) a concentration gradient.
D) peristaltic contractions.
E) osmotic gradient.

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

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The juxtaglomerular apparatus is composed of


A) juxtaglomerular cells and the macula densa.
B) podocytes and juxtaglomerular cells.
C) the macula densa and the filtration membrane.
D) juxtaglomerular cells and the filtration membrane.
E) glomerulus and Bowman's capsule.

F) B) and E)
G) A) and B)

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What type of tissue is responsible for the expansion of the urinary bladder during filling?


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

E) All of the above
F) None of the above

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Water reabsorption by the renal tubules uses


A) active transport.
B) cotransport.
C) solvent drag.
D) osmosis.
E) None of these choices is correct.

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

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Which of the following is NOT an effect of aging on the kidneys?


A) decrease in kidney size
B) loss of nephrons
C) decreased response to hormonal control of urine volume
D) a marked decrease in the ability to maintain homeostasis

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

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