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Chapter 26: Renal Function

Pathophysiology, 5th Edition By Lee-Ellen C. Copstead

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Chapter 26: Renal Function

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The primary selectivity barrier for glomerular filtration is the
a. glomerular basement membrane.
b. endothelial tight junctions.
c. epithelial fenestra.
d. mesangial cells.

 

 

ANS:  A

The basement membrane is an important selectivity barrier of the glomerulus, preventing plasma proteins, RBCs, WBCs, and platelets from passing through the glomerulus. Endothelial tight junctions, epithelial fenestra, and mesangial cells are not the primary selectivity barriers for glomerular filtration.

 

REF:   Pg. 555

 

  1. The glucose transporter in the proximal tubule
a. has no transport maximum.
b. does not depend on sodium reabsorption.
c. is ATP dependent.
d. may be saturated at high filtered glucose loads.

 

 

ANS:  D

The glucose transporter in the proximal tubule may be saturated at high filtered glucose loads; glycosuria then results. A transport maximum does exist beyond which glycosuria occurs. A sodium-dependent protein co-transporter is needed. The transporter is not ATP-dependent.

 

REF:   Pgs. 563-564

 

  1. The primary function of the vasa recta is to
a. secrete renin.
b. reabsorb NaCl.
c. reabsorb interstitial fluid.
d. secrete urea.

 

 

ANS:  C

The vasa recta are capillaries that surround the loops of Henle and collecting ducts and absorb interstitial fluid. The vasa recta do not secrete rennin or urea, nor do they reabsorb NaCl.

 

REF:   Pg. 551

 

  1. Approximately two-thirds of the water and electrolytes filtered by the kidney are reabsorbed by the
a. loop of Henle.
b. collecting tubule.
c. distal tubule.
d. proximal tubule.

 

 

ANS:  D

Approximately two-thirds of the water and electrolytes filtered by the kidney are reabsorbed by the proximal tubule. Two-thirds of the water and electrolytes filtered by the kidney are not reabsorbed by the loop of Henle, collecting tubule, or distal tubule.

 

REF:   Pg. 556

 

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