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Removal of the posterior pituitary will immediately cause


A) a decrease in urine volume.
B) an increase in urine volume.
C) no change in urine volume.

D) None of the above
E) All of the above

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The vasa recta


A) supplies blood to the glomerulus.
B) alters the cortical solute gradient.
C) collects excess water and solutes from the medullary interstitial fluid.
D) collects water and solutes reabsorbed from the proximal convoluted tubule.
E) surrounds the collecting duct.

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

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Which of the following ions are cotransported across the wall of the proximal convoluted tubule,distal convoluted tubule,and the ascending limb of the loop of Henle?


A) sodium and bicarbonate
B) potassium and phosphate
C) sodium and chloride
D) bicarbonate and potassium
E) potassium and chloride

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

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At the rate of 125 ml of filtrate/minute,estimate the amount of filtrate formed in 24 hours.


A) 45 liters
B) 90 liters
C) 125 liters
D) 180 liters
E) 200 liters

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

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In order to regulate the pH of extracellular fluid,the kidneys are able to adjust the excretion of:


A) hydrogen ions.
B) calcium.
C) sodium.
D) magnesium.
E) potassium.

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

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Which of the following statements is true?


A) Most filtrate (99%) is eliminated as urine.
B) Normal filtrate contains a large amount of protein.
C) Reabsorption of water in the filtrate may be hormonally controlled.
D) Sodium ions are secreted into the filtrate of the proximal convoluted tubule.
E) Hormones play a minor role in fluid homeostasis.

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

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An obstruction in the afferent arteriole would reduce the flow of blood into the


A) glomerulus.
B) renal artery.
C) macula densa.
D) efferent arteriole.
E) arcuate artery.

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

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What muscle is responsible for contraction of the urinary bladder during micturition?


A) trigone
B) internal urinary sphincter
C) micturition mucle
D) detrusor muscle

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

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The renal papillae extend into the


A) cortex.
B) renal columns.
C) minor calyces.
D) major calyces.

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

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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 C)
F) A) and D)

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A substance used to calculate plasma clearance must


A) pass freely through the filtration membrane of the renal corpuscle.
B) be readily reabsorbed.
C) be either a protein or a polysaccharide.
D) be secreted into the nephron.
E) be produced in the kidney.

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

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Plasma contains a much greater concentration of _____ than the glomerular filtrate.


A) urea
B) water
C) protein
D) sodium ions
E) glucose

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

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

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The portion of the nephron that empties into the collecting duct is the


A) glomerulus.
B) ascending loop of Henle.
C) distal convoluted tubule.
D) proximal convoluted tubule.
E) descending loop of Henle.

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

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The portion of the kidney that is composed of cone-shaped renal pyramids is called the


A) cortex.
B) medulla.
C) pelvis.
D) calyx.
E) columns.

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

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The openings between the endothelial cells of the glomerular capillaries are called


A) fenestrae.
B) gap junctions.
C) filtration slits.
D) macula densa.
E) membrane channels.

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

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Which of the following statements concerning the micturition reflex is false?


A) The micturition reflex is initiated by stretching the bladder wall.
B) Afferent signals are conducted to the sacral segments of the spinal cord by the pelvic nerves.
C) Efferent signals are sent to the bladder by sympathetic fibers in the pelvic nerve.
D) The micturition reflex usually produces a series of contractions of the urinary bladder.
E) The micturition reflex is modified by centers in the pons and cerebrum.

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

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Effects of aging on the kidneys include all of the following,except


A) an increased ability to eliminate uric acid and creatine from the blood.
B) a gradual decrease in the size of the kidneys.
C) a gradual decrease in blood flow through the kidneys.
D) a loss of general function.
E) a decline in absorption and secretion.

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

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Aldosterone exerts its effect on the kidney tubules by


A) increasing tubular renin production.
B) increasing tubular permeability.
C) increasing osmosis into the tubule cells.
D) increasing the synthesis of the transport proteins for sodium.
E) decreasing tubular permeability.

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

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Blood loss that occurs during surgery will stimulate cells in the


A) efferent arteriole.
B) wall of the right atrium.
C) proprioceptors.
D) juxtaglomerular apparatus.
E) None of these choices is correct.

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

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