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Physicians often ask for urine samples collected over a 24-hour period,rather than a single sample.Why?

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Often the information needed for a diagn...

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The U-shaped segment of the nephron is the


A) nephron loop.
B) proximal convoluted tubule.
C) distal convoluted tubule.
D) collecting loop.
E) minor calyx.

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

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Urine is transported by the ________,stored within the ________,and eliminated through the ________.


A) urethra; urinary bladder; ureters
B) ureters; urinary bladder; urethra
C) urinary bladder; ureters; urethra
D) urethra; ureters; urinary bladder
E) ureters; urethra; urinary bladder

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

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The ability to form concentrated urine depends on the functions of


A) the proximal convoluted tubule.
B) the distal convoluted tubule.
C) the collecting duct.
D) the nephron loop.
E) both the distal convoluted tubule and the collecting duct.

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

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Peristaltic contractions,beginning at the renal pelvis,sweep along the ureter,forcing urine toward the urinary bladder.In a normal,healthy person,how often do these contractions occur?


A) 12-15 times a minute
B) every 30 seconds or so
C) once every minute
D) every 2 minutes
E) It is not known how often these contractions occur.

F) None of the above
G) C) and D)

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The condition called ________ is characterized by painful or difficult urination.This condition can be due to pathologic or benign causes.


A) incontinence
B) dysuria
C) pyelonephritis
D) renal calculi
E) urinary retention

F) All of the above
G) None of the above

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Define countercurrent multiplication as it occurs in the kidneys.


A) The exchange of substances in the adjacent limbs of the nephron loop containing fluid moving in opposite directions.
B) The exchange of substances in the adjacent limbs of the nephron loop containing fluid moving in the same directions.
C) The cycling of urea from the collecting duct to the nephron loop and back.
D) The bulk reabsorption of substances in the proximal convoluted tubule and the bulk movement of water due to osmosis.
E) The secretion of ions in response to hormones in the distal convoluted tubule.

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

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The ability to consciously control urination depends on your ability to control which muscle?


A) detrusor
B) internal urethral sphincter
C) external urethral sphincter
D) trigone
E) bulbospongiosus

F) None of the above
G) B) and C)

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An X-ray image of the urinary system is called a


A) urogram.
B) renogram.
C) nephrograph.
D) pyelogram.
E) pelvigram.

F) C) and E)
G) B) and C)

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Explain why blood pressure is higher in glomerular capillaries than in other systemic capillaries.


A) Blood pressure is higher in glomerular capillaries because the efferent arteriole drains into peritubular capillaries.
B) Blood pressure is higher in glomerular capillaries because the distal convoluted tubule constricts the afferent arteriole.
C) Blood pressure is higher in glomerular capillaries because the kidneys are in close proximity to the renal arteries.
D) Blood pressure is higher in glomerular capillaries because less proteins enter the afferent arterioles.
E) Blood pressure is higher in glomerular capillaries because the efferent arteriole has a smaller diameter than the afferent arteriole.

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

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During the micturition reflex,


A) stimulation of stretch receptors in the bladder wall sends impulses to the lumbar spinal cord.
B) sympathetic motor neurons that control the detrusor muscle become active.
C) the internal sphincter is consciously relaxed.
D) the external sphincter is unconsciously relaxed.
E) None of the answers is correct.

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

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Briefly explain the difference between chronic and acute renal failure.


A) Chronic renal failure is a sudden loss of renal function,whereas acute renal failure is a gradual loss of renal function.
B) Chronic renal failure is a gradual loss of renal function,whereas acute renal failure is a sudden loss of renal function.
C) Chronic renal failure is a sudden loss in the ability to concentrate urine,whereas acute renal failure is a gradual loss in the ability to concentrate urine.
D) Chronic renal failure is a gradual loss in the ability to concentrate urine,whereas acute renal failure is a sudden loss in the ability to concentrate urine.
E) Chronic renal failure is the gradual loss in the ability to reabsorb glucose,whereas acute renal failure is a sudden loss in the ability to reabsorb glucose.

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

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What does the juxtaglomerular complex do in response to decreased filtration pressure?


A) It increases aldosterone production and release.
B) It increases ADH production and release.
C) It decreases ADH production and release.
D) It increases renin production and release.
E) It decreases renin production and release.

F) None of the above
G) C) and E)

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Antidiuretic hormone


A) increases the permeability of the collecting ducts to water by increasing the number of aquaporins.
B) is secreted in response to low potassium ion in the blood.
C) causes the kidneys to produce a larger volume of very dilute urine.
D) increases the permeability of the collecting ducts to water by decreasing the number of aquaporins.
E) release is insensitive to the osmolarity of interstitial fluid.

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

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The ureters and urinary bladder are lined by ________ epithelium.


A) stratified squamous
B) pseudostratified columnar
C) simple cuboidal
D) transitional
E) simple columnar

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

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Increased sympathetic tone can do all of the following except


A) produce venoconstriction of blood reservoirs.
B) increase the glomerular filtration rate.
C) increase cardiac output.
D) stimulate peripheral vasoconstriction.
E) increase systemic blood pressure.

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

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Discuss the changes in urinary output and possible causes of polyuria.

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Polyuria is the production of ...

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Which type of nephron is essential for water conservation and concentrated urine production?


A) juxtamedullary nephrons
B) cortical nephrons
C) medullary nephrons
D) pyramidal nephrons
E) pelvic nephrons

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

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The ________ is a capillary plexus that parallels the nephron loop.


A) vasa recta
B) lamina propria
C) trigone
D) renal corpuscle
E) glomerulus

F) A) and D)
G) None of the above

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List each organ of the urinary system and concisely describe its function.

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Consisting of the kidneys,ureters,urinar...

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