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Ch. 24 The Urinary System
Amerman- Human Anatomy & Physiology 3e
Amerman3rd EditionHuman Anatomy & PhysiologyISBN: 9780138247201, 9780138247928, 9780138201814당신이 사용하는 게 아니라요?교과서 변경
모든 교과서Amerman 3rd EditionCh. 24 The Urinary System문제 8
24장, 문제 8

Fill in the blanks for the following statements:
a. When the GFR decreases, the macula densa releases chemicals to______ the afferent arteriole.
b. The sympathetic nervous system______ the blood vessels supplying the kidney _____ to the glomerular filtration rate.
c. The enzyme _____ is released by JG cells in response to a decrease in the GFR.
d. The enzyme ______ converts angiotensin-I to angiotensin-II.
e. Generally, angiotensin-II______ systemic blood pressure while _____ the GFR.

검증된 단계별 안내
1
Step 1: Understand the role of the macula densa in regulating the glomerular filtration rate (GFR). When the GFR decreases, the macula densa detects reduced sodium and chloride levels in the filtrate. It responds by releasing chemicals that dilate the afferent arteriole to increase blood flow into the glomerulus, thereby increasing GFR.
Step 2: Recognize the effect of the sympathetic nervous system on kidney function. During stress or low blood pressure, the sympathetic nervous system constricts the blood vessels supplying the kidney, reducing renal blood flow and decreasing the GFR to conserve water and maintain blood pressure.
Step 3: Identify the enzyme released by juxtaglomerular (JG) cells in response to a decrease in GFR. The JG cells release renin, which plays a key role in the renin-angiotensin-aldosterone system (RAAS) to restore blood pressure and GFR.
Step 4: Recall the enzyme responsible for converting angiotensin-I to angiotensin-II. This enzyme is angiotensin-converting enzyme (ACE), which is primarily found in the lungs and catalyzes this conversion.
Step 5: Understand the effects of angiotensin-II. Angiotensin-II increases systemic blood pressure by causing vasoconstriction and stimulating aldosterone release. However, it can also constrict the efferent arteriole of the glomerulus, which helps maintain or slightly increase the GFR despite systemic vasoconstriction.

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주요 개념

질문에 올바르게 답하기 위해 반드시 이해해야 하는 핵심 개념들은 다음과 같습니다.

Glomerular Filtration Rate (GFR)

GFR is a measure of how well the kidneys filter blood, specifically the volume of fluid filtered from the renal glomeruli into the Bowman's capsule per unit time. A decrease in GFR can indicate kidney dysfunction and triggers compensatory mechanisms to maintain homeostasis, such as the release of signaling molecules by the macula densa.
추천 영상:
3:15
Glomerular Filtration Rate

Renin-Angiotensin-Aldosterone System (RAAS)

The RAAS is a hormone system that regulates blood pressure and fluid balance. When GFR decreases, juxtaglomerular (JG) cells release renin, which converts angiotensinogen to angiotensin-I. Angiotensin-I is then converted to angiotensin-II by the enzyme angiotensin-converting enzyme (ACE), leading to vasoconstriction and increased blood pressure.
추천 영상:
가이드 코스
11:30
Renin-Angiotensin-Aldosterone-System

Sympathetic Nervous System (SNS) Regulation

The sympathetic nervous system plays a crucial role in regulating blood flow to the kidneys, particularly during stress or low blood pressure situations. Activation of the SNS causes vasoconstriction of renal blood vessels, which can reduce blood flow to the kidneys and subsequently affect the GFR, ensuring that vital organs receive adequate blood supply.
추천 영상:
1:21
Sympathetic Nervous System Example 3
관련 실천
교과서 질문

Mark the following statements as true or false. If a statement is false, correct it to make a true statement.

d. ADH triggers water reabsorption from the nephron loop.

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교과서 질문

Glomerular hydrostatic pressure _____ filtration; colloid osmotic pressure and capsular hydrostatic pressure_____ filtration.

a. Favors; favor

b. Opposes; oppose

c. Favors; oppose

d. Opposes; favor

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교과서 질문

Which of the following is false about the GFR?

a. The GFR averages about 120 ml/min

b. The GFR increases when the afferent arteriole dilates

c. The GFR decreases when the efferent arteriole constricts

d. The GFR decreases when the afferent arteriole constricts

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교과서 질문

Mark the following statements as true or false. If a statement is false, correct it to make a true statement.

e. Obligatory water reabsorption occurs in the distal tubule and collecting system.

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1
rank
교과서 질문

Mark the following statements as true or false. If a statement is false, correct it to make a true statement.

c. Sodium ion reabsorption creates a gradient that helps drive the reabsorption of water and many other solutes from the proximal tubule.

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교과서 질문

The route by which substances are reabsorbed by crossing through the cells of the renal tubule and collecting system is known as the:

a. Paracellular route

b. Transcellular route

c. Primary active transport route

d. Facultative route

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