Chapter 15: The Urinary System.

( ) 1- What enzyme produced by the kidneys helps to regulate blood pressure?

a- renin

b- aldosterone

c- urochrome

d- erythropoietin

e- creatine

( ) 2- Blood in an afferent arteriole would enter which of the following next?

a- interlobular artery

b- efferent arteriole

c- peritubular capillaries

d- arcuate artery

e- glomerulus

( ) 3- The filtrate forced through the capillary walls in the kidneys enters which of the following first?

a- distal convoluted tubule (DCT).

b- glomerular capsule

c- loop of Henle

d- collecting duct

e- proximal convoluted tubule (PCT).

( ) 4- Which of the following is not normally in the filtrate forced from the glomerular capillaries and, therefore, does not appear in urine?

a- proteins

b- glucose

c- water

d- amino acids

e- urea

( ) 5- Which of the following is normally present in the filtrate forced from the glomerular capillaries but does not normally appear in the urine?

a- blood cells

b- water

c- proteins

d- glucose

e- urea

( ) 6- Which of the following is not located in the renal medulla?

a- interlobar artery

b- renal pyramid

c- glomerular capsule

d- collecting duct

e- renal column

( ) 7- From first to last, the correct order in which the filtrate would pass through the structures listed is?

a- collecting duct-glomerular capsule-PCT-loop of Henle-DCT

b- glomerular capsule-collecting duct-PCT-loop of Henle-DCT

c- glomerular capsule-PCT-loop of Henle-DCT-collecting duct

d- glomerular capsule-DCT-loop of Henle-PCT-collecting duct

e- glomerular capsule-loop of Henle-PCT-DCT-collecting duct

( ) 8- The metabolism of nucleic acids yields this nitrogenous waste that appears in blood and urine?

a- uric acid

b- urochrome

c- urea

d- ammonia

e- creatinine

( ) 9- The regulation of blood pH by the elimination of excess acids or alkaline substances from the body is accomplished by the?

a- renal mechanism

b- bicarbonate buffer system

c- protein buffer system

d- respiratory system

e- phosphate buffer system

( ) 10- Which of the following substances is not normally found in urine?

a- urochrome

b- urea

c- uric acid

d- water

e- red blood cells

( ) 11- Which of the following would not apply to the location of the kidneys?

a- ventral cavity

b- thoracic cavity

c- retroperitoneal

d- abdominal cavity

e- lumbar region

( ) 12- Podocytes are?

a- Cells of the wall of the glomerular capillaries

b- cells that line the urinary bladder

c- Cells of the inner layer of the glomerular capsule

d- kidneys cells that produce renin

e- phagocytic cells in the kidneys

( ) 13- A high specific gravity of urine indicates?

a- diabetes insipidus

b- alkalosis

c- acidosis

d- excessive fluid intake

e- kidney inflammation

( )14- Starting at the tip of a medullary pyramid, the correct sequence of structures that urine passes through on its way out of the body is?

a- renal pelvis-calyx-ureter-urinary bladder-urethra

b- renal pelvis-calyx-urethra-urinary bladder-ureter

c- ureter-calyx-renal pelvis-urinary bladder-urethra

d- calyx-renal pelvis-ureter-urinary bladder-urethra

e- calyx-renal pelvis-urethra-urinary bladder-ureter

( ) 15- Which of the following is an indicator of the disease diabetes insipidus?

a- ketones in the urine

b- glucose in the urine

c- acidosis

d- a huge volume of dilute urine

e- hunger

( ) 16- What are the structural and functional units of the kidneys involved in forming urine?

a- calyces

b- medullary pyramids

c- renal columns

d- nephrons

e- renal pelvises

( ) 17- Which of the following terms refers to the formation of a large volume of urine?

a- oliguria

b- polyuria

c- anuria

d- ptosis

e- dysuria

( ) 18- Which of the following terms refers to an inflammation of the urinary bladder?

a- pyelitis

b- cystitis

c- ptosis

d- urethritis

e- glomerulonephritis

( ) 19- Which of the following is NOT a function of the kidneys?

a- produce urea

b- produce renin

c- excrete urea

d- maintain acid-base balance

e- maintain water and electrolyte balance

( ) 20- Which of the following substances enters the renal tubule by both filtration and secretion?

a- glucose

b- amino acids

c- creatine

d- urea

e- water

( ) 21- Each kidney is surrounded by a layer of fibrous tissue, the?

a- renal fat pad

b- hilus

c- renal fascia

d- renal capsule

e- renal pelvis

( ) 22- The notch on the medial surface of the kidney, through which the blood vessels enter and leave the kidney, is called the?

a- renal cortex

b- renal pelvis

c- ureter

d- calyx

e- hilus

( ) 23- The expansion of the ureter into the substance of the kidney forms the?

a- renal fascia

b- renal capsule

c- renal fat pad

d- renal pelvis

e- hilus

( ) 24- What is the outermost portion of the kidney?

a- renal pelvis

b- renal pyramid

c- renal calyx

d- renal medulla

e- renal cortex

( ) 25- Cortical tissue that extends between the medullary or renal pyramids is termed the?

a- nephrons

b- renal medulla

c- renal papillae

d- medullary rays

e- renal columns

( ) 26- If you dissected a medullary or renal pyramid, what would you find inside?

a- the vas deferens

b- the glomeruli

c- the collecting tubules

d- the calyx

e- an Egyptian King's tomb

( ) 27- What is the functional unit of the kidney?

a- nephron

b- renal medulla

c- glomerulus

d- renal corpuscle

e- renal cortex

( ) 28- The portion of the nephron closest to the collecting duct is called the?

a- distal convoluted tubule

b- proximal convoluted tubule

c- Loop of Henle

d- glomerulus

e- Bowman's capsule

( ) 29- The beginning of the nephron is dilated to form the?

a- glomerulus

b- renal calyx

c- renal pelvis

d- proximal convoluted tubule

e- Bowman's capsule

( ) 30- Urine formation requires which of the following?

a- Glomerular filtration, tubular reabsorption, and tubular secretion

b- Glomerular filtration and tubular secretion only

c- a lot of patience

d- Tubular secretion, tubular filtration and glomerular reabsorption

e- Glomerular reabsorption and tubular filtration only

( ) 31- The uptake of substances from the lumen of the nephrons is known as?

a- tubular secretion

b- tubular filtration

c- does not occur

d- tubular reabsorption

e- tubular distension

( ) 32- The filtrate materials found in the nephron first leave the blood at the?

a- urinary bladder

b- Loop of Henle

c- contractile vacuole

d- nephridium

e- glomerulus

( ) 33- Where does most reabsorption of substances from the glomerular filtrate occur?

a- in the distal convoluted tubule

b- in the loop of Henle

c- in the collecting tubule

d- in the proximal convoluted tubule

e- in the Bowman's Capsule

( ) 34- Which of the following can enter the urine by tubular secretion?

a- H+

b- K+

c- Creatinine

d- All of a, b and c above are correct about tubular secretion

e- Only a and b above are correct about tubular secretion

( ) 35- What does renin do?

a- It forms paracasein with a milk protein in the stomach

b- It catalyses the formation and release of angiotensin

c- It is concerned with lipid digestion in the stomach

d- It reduces blood pressure

e- It is concerned with carbohydrate digestion in the stomach

( ) 36- The cells of the juxtaglomerular apparatus?

a- secrete aldosterone

b- secrete renin

c- are located in the proximal convoluted tubule

d- both a and c above are correct about the juxtaglomerular cells

e- both b and c above are correct about the juxtaglomerular cells

( ) 37- Aldosterone is secreted in response to?

a- low extracellular sodium (Na+) ion concentrations

b- high extracellular potassium (K+) ion concentrations

c- increased plasma angiotensin

d- all of a, b and c above are correct about aldosterone

e- only a and c above are correct about aldosterone

( )38- Which endocrine gland is primarily concerned with sodium (Na+) and potassium (K+) ion balance in the body?

a- Parathyroids

b- thyroids

c- adrenal cortex

d- corpus luteum

e- adrenal medulla

( ) 39- Just before the final exam in Anatomy and Physiology, to relax yourself and ease your tensions, you drank ten pints of beer. The production and release of ADH [Antidiuretic Hormone or Vasopressin] would?

a- be carried out by the kidney

b- decrease

c- be controlled by the anterior pituitary

d- increase dramatically

e- remain the same

( ) 40- ADH stimulates tubular reabsorption of?

a- water.

b- Na+ ions.

c- K+ ions.

d- all of a, b and c above are correct about ADH.

e- only b and c above are correct about ADH.

20 / 19 / 18 / 17 / 16 / 15 / 14 / 13 / 12 / 11 / 10 / 9 / 8 / 7 / 6 / 5 / 4 / 3 / 2 / 1 / A
B
40 / 39 / 38 / 37 / 36 / 35 / 34 / 33 / 32 / 31 / 30 / 29 / 28 / 27 / 26 / 25 / 24 / 23 / 22 / 21 / A
B

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