Proximal Tubule
Loop of Henle
Distal Tubule + Collecting Ducts
Renal Function + Osmolality
Diuretics
100

The percentage of reabsorption that happens in the proximal tubule. 

What is 65% (bulk reabsorption)? 

100

The LOH that is permeable to water, and the LOH that is not.

What is 

DLOH - permeable

ALOH - non-permeable


100

The cells that depend on the Na/K ATPase in the basolateral membrane. NaCl, water reabsorption and K+ secretion.

What are principal cells?

100

The difference between filtration, secretion, and reabsorption. 

What is: 

Filtration - substances that pass through the glomerulus, forming the initial filtrate

Secretion - metabolic products the diffuse/move directly into the nephron ducts, from the blood

Reabsorption - nutrients diffusing/being absorbed from filtrate back into blood

100

The drug type and specific drug you would use if current renal drug causes hypokalemia. 

What is aldosterone antagonist - spironolactone?

200

The transport process of glucose, and the process that provides the energy. 

What is sodium/glucose channels, and secondary active transport?

200

The purpose of Urea recycling.

What is the goal of saving NaCl, urea replaces the increased need of NaCl in the medulla, allowing for better use elsewhere in the body. 

200

The difference between Alpha and beta intercalated cells. 

What is: 

alpha - secrete hydrogren, reabsorb bicarb

beta - secrete bicarb, reabsorb hydrogen and chloride. 

200
The relationship between GHP and GFR with afferent arteriole dilation and constriction, efferent dilation and moderate constriction, efferent severe constriction. 

What is: 

Afferent Dilation: increased GFR

      Constriction: decreased GFR

Efferent Dilation: decreased GFR 

    moderate constriction: increased GFR 

    severe constriction: decreased GFR

200

The drug class, and drug that you would use if you had a dog that came into the clinic with increased CSF pressure or cerebral edema.

What is osmotic diuretics - mannitol?

300

The breed that suffers a genetic disorder that limits their capacity to transport uric acid from the renal tubular lumen to the blood.

What is the dalmation?

300

The direction of osmolarity from descending to ascending loop of henle.

What is same osmolarity (isomolar) as plasma leaving proximal tubule, as the filtrate goes down the descending loop, it becomes hypermolar, then as it ascends it becomes hypomolar.


** Why does this happen? (hint: our queen, the LOML) 

300

what the lack of ADH or lack of response to ADH is the cause of.

What is Diabetes Insipidus?

300

The definitions of GHP, GCOP, CHP and their physiological relation.

What is: 

GHP (Glomerular hydrostatic pressure) - related to blood pressure.

GCOP (Glomerular colloid osmotic pressure) - related to plasma proteins

CHP (Capsular hydrostatic pressure) - hydrostatic pressure in the bowman's capsule. 

300
Drug class and specific drug that is used from a patient that has chronic heart failure, cardiac/hepatic/renal edema. 

What is loop diuretics - furosemide?

400

The transport mechanism for fCa++, fMg++, and PO4-

What is: 

fCa++ and fMg++ : paracellular 

PO4- : transcellular 

400

The purpose and function of the countercurrent mechanism. 

What is to reabsorb the remaining water and solutes from the filtrate, by recycling urea and creating a strong concentration gradient in the medulla. 


** Macula densa cells, our queen** 

400

The driving force for paracellular reabsorption of chloride.

What is the electrochemical gradient: the reabsorption of sodium that generates a negative luminal voltage across the late distal tubule and collecting duct?

400
The adequate concentrations during dehydration of specific species (canine, feline, large animals.)

What is 

Canine: > 1.030

Feline: > 1.040

LA: > 1.025 

400

The locations of the nephron that each drug class acts upon.

What is: 

PT - Carbonic anhydrase and Osmotic diuretics (DLOH as well)

LOH - Loop diuretics 

DT - Thiazides 

CT - Mineralocorticoid antagonists 

500

This multi-step process begins with glutamine metabolism leading to bicarb reabsorption, and ammonium excretion. This explains how the Na+/H+ antiporter plays a role in H+ secretion, and how it contributes to acid-base homeostasis.

What is the excretion of H+ via NH4+ generation from glutamine metabolism?

500

The part of the loop of henle that is improperly functioning if the USG is 1.001.

What is the descending LOH?

500

The role of ADH and the cells.

What is an increased medulla osmolarity that stimulates the release of ADH, which in return causes the expression and translocation of the aquaporins 2 that promote the reabsorption of water?

500

The substances that increase/over estimate a USG and the values/amount it increases it. 

What are: 

Glucose - 3+ adds 0.004 - 0.005

              4+ adds 0.008 - 0.010

Proteins - 4+ adds 0.003 - 0.005

500

The drug type and specific drug that is contraindicated in patients with severe renal disease and electrolyte imbalances. 

What is Thiazides - Chlorothiazide?