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Which of the following is NOT an action of angiotensin II?


A) vasoconstriction of arterioles
B) increases thirst
C) increases ADH secretion
D) decreases peripheral resistance
E) increases aldosterone secretion

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

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Why is the external urinary sphincter under conscious control?


A) It is made of smooth muscle.
B) It is part of the detrusor muscle.
C) It is made of skeletal muscle.
D) It is made of adventitia.

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

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What is tubular reabsorption?


A) The process where the nephron returns water and some filtered molecules to the blood.
B) The reabsorption of blood cells in the nephron into the body.
C) The passage of water and ions into the filtrate during filtration in the nephron.
D) The absorption of proteins into the filtrate which later becomes urine.
E) The transport additional solutes from the blood into the filtrate by tubule cells.

F) All of the above
G) C) and D)

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Once inside the cells of the ascending limb, potassium and chloride cross the basal membrane into the interstitial fluid by the process of


A) facilitated diffusion.
B) cotransport.
C) counter transport.
D) active transport.
E) simple diffusion.

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

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Most water is reabsorbed from the filtrate in the


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

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

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In the ascending limb of the loop of Henle,


A) water can easily enter or leave.
B) potassium and chloride are cotransported with sodium across the apical membrane.
C) calcium ions are actively transported across the basal membrane.
D) potassium is concentrated in the filtrate.
E) the filtrate does not change.

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

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To calculate plasma clearance of any substance, it is necessary to know the


A) quantity of urine produced per minute.
B) concentration of the cleared substance in the urine.
C) concentration of the cleared substance in the blood.
D) blood volume.
E) quantity of urine produced per minute, the concentration of the cleared substance in the urine, and the concentration of the cleared substance in the blood.

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

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In glomerular nephritis, proteins and white blood cells enter the filtrate resulting in


A) increased reabsorption of water.
B) increased reabsorption of sodium.
C) increased secretion of sodium.
D) increased urine output.
E) decreased urine output.

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

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When ADH binds to receptor sites on distal convoluted tubule cells,


A) filtrate volume increases.
B) filtrate osmolality decreases.
C) potassium is secreted from the cells.
D) the distal convoluted tubule is less permeable to water.
E) the distal convoluted tubule is more permeable to water.

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

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Starting from the collecting duct, indicate the order in which urea molecules move to maintain the medullary concentration gradient. (1) ascending limb (2) distal convoluted tubule (3) interstitial fluid (4) collecting duct (5) descending limb


A) 2, 5, 1, 4, 3
B) 1, 3, 5, 2, 4
C) 3, 5, 1, 2, 4
D) 4, 2, 1, 3, 5
E) 4, 3, 5, 1, 2

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

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Which of these vessels gives rise to the peritubular capillary?


A) glomerulus
B) arcuate artery
C) efferent arteriole
D) interlobular artery
E) afferent arteriole

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

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Smooth muscle cells in the walls of the afferent and efferent arterioles dilate or constrict as needed in response to changes in blood pressure. This process of autoregulation is called the ____________________.


A) myogenic mechanism
B) tubular secretion
C) tubuloglomerular feedback
D) glomerular filtration
E) tubular reabsorption

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

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What is the effect of intense sympathetic stimulation on the GFR?


A) GFR increases
B) GFR decreases
C) GFR is not affected
D) GFR increases, then decreases

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

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Which of the following helps maintain a high solute concentration in the kidney medulla?


A) high urea concentration in medulla
B) active transport of solutes from ascending limb
C) the vasa recta
D) functions of the loop of Henle
E) All of these choices are correct

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

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Voluntary micturition


A) involves higher brain centers.
B) involves control of the internal sphincter.
C) is a reflex action.
D) is common in infants.
E) involves control of smooth muscle.

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

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Passage of proteins into Bowman's capsule is prevented by


A) the size of the capillary pores.
B) the size of the filtration slits in the podocytes.
C) the size of the proteins.
D) filtration pressure.
E) the size of the capillary pores, the size of the filtration slits in the podocytes, and the size of the proteins.

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

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Put the following in the correct order after the blood pressure increases. (1) decreased sympathetic stimulation (2) increase in glomerulus filtration rate (3) increase in arterial blood pressure (4) increase in urine production (5) afferent arterioles dilate


A) 1, 3, 5, 2, 4
B) 3, 2, 1, 5, 4
C) 2, 3, 5, 1, 4
D) 3, 1, 5, 2, 4
E) 3, 2, 5, 4, 1

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

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The kidney dialysis machine is an example of a mechanical


A) active transport system.
B) countercurrent system.
C) cotransport system.
D) sorting system.
E) toy.

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

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What is/are the main excretory organ/s of the body?


A) skin
B) lungs
C) intestines
D) kidneys

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

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