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The countercurrent mechanism in the nephron


A) creates a highly concentrated interstitial fluid so that urine can be concentrated by the collecting ducts when they are permeable to water.
B) is a method to move sodium to control its concentration.
C) keeps the volume of water lost in the urine relatively constant.
D) keeps interstitial fluid hydrated to maintain blood pressure.

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

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The glomerular filtrate in the proximal convoluted tubule is isotonic to the plasma of the peritubular capillary.

A) True
B) False

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Which of the following is correct concerning the location of the kidneys?


A) The right kidney is usually higher than the left one.
B) They are located behind the parietal peritoneum.
C) Their upper borders are about at the level of the third lumbar vertebra.
D) They are against the anterior wall of the abdominal cavity.

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

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A biochemical important in glomerulus formation in the embryo is


A) ADH.
B) ADP.
C) renin.
D) VEGF.

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

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Inulin and para-aminohippuric acid (PAH)can be used to determine glomerular filtration rate and the rate of blood flow through the kidneys,respectively.

A) True
B) False

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Most hydrogen ions are secreted


A) passively into the proximal convoluted tubule.
B) passively from the distal convoluted tubule.
C) actively into the entire renal tubule.
D) actively from the distal convoluted tubule.

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

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The layers of a ureter are


A) outer fibrous coat,middle muscular coat,inner mucous coat.
B) inner fibrous coat,middle muscular coat,outer mucous coat.
C) inner muscular coat,middle fibrous coat,outer inner mucous coat.
D) inner vascular coat,middle neural coat,outer mucous coat.

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

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Hemodialysis involves


A) an artificial kidney.
B) an artificial liver.
C) a kidney transplant.
D) a bone marrow transplant.

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

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At the renal plasma threshold


A) more glucose is in the filtrate than active transport can handle.
B) blood volume is so great that nephrons cannot keep up.
C) the urine has too little glucose.
D) more glucose is in the blood,limiting the amount of glucose that can be reabsorbeD.

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

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A

The story of Balkan endemic nephropathy indicated that


A) a toxin in food can damage kidneys and cause cancer in the urinary tract.
B) kidney disease only affects people in Croatia.
C) drinking too much alcohol can strain the kidneys.
D) a terrorist can poison peoples' urinary systems by putting bacteria in the water supply.

E) A) and C)
F) All of the above

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Conscious control of micturition inhibits the micturition reflex by using nerve centers in the


A) medulla oblongatA.
B) spinal cord.
C) brainstem and cerebral cortex.
D) pons and hypothalamus.

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

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C

When sodium ions are reabsorbed through the wall of the renal tubule by active transport,chloride ions are


A) reabsorbed by active transport.
B) reabsorbed by passive transport.
C) secreted by active transport.
D) secreted by passive transport.

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

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When the concentration of water in body fluids increases,the secretion of ADH increases.

A) True
B) False

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ADH increases reabsorption of water from urine into blood by increasing the permeability of the distal convoluted tubules and collecting ducts.

A) True
B) False

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Glomerular filtration produces about ________ liters of fluid in twenty-four hours.


A) 40
B) 96
C) 144
D) 180

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

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When plasma glucose concentration exceeds the renal plasma threshold,


A) the glomerular filtration rate increases.
B) the volume of urine decreases.
C) glucose is secreted into the peritubular capillary.
D) glucose appears in the urine.

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

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Which of the following does not occur with aging of the urinary system?


A) decreased GFR.
B) renal tubules become encased in fat.
C) fibrous connective tissue accumulates around the kidney capsule.
D) nephrons invert.

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

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If a ureter is obstructed,a _____ reflex reduces urine production in the kidney on the affected side.

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The ureter extends downward


A) behind the parietal peritoneum and joins the urinary bladder from above.
B) behind the parietal peritoneum and joins the urinary bladder from below.
C) in front of the parietal peritoneum and joins the urinary bladder from above.
D) in front of the parietal peritoneum and joins the urinary bladder from below.

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

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The relative concentration of potassium is


A) higher in urine than plasma or glomerular filtrate.
B) higher in plasma and glomerular filtrate than in urine.
C) about equal in plasma,glomerular filtrate,and urine.
D) lower in urine than plasma or glomerular filtrate.

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

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A

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