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There is an osmotic gradient within the tissues of the renal medulla: the concentration of salt is greater in the direction of the inner medulla.

A) True
B) False

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Urinary tract infections confined to the urethra are called


A) urethritis.
B) kidneyitis.
C) cystitis.
D) nephritis.
E) prostatitis.

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

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Nervous control of urination involves what mechanism(s) ?


A) The brain determines need for urination from an internal clock.
B) Stretch receptors in the urinary bladder directly send impulses to the sphincters to cause urination.
C) Stretch receptors in the urinary bladder send impulses to the spine,causing a urinary reflex,but the brain can delay the reflex.
D) Stretch receptors in the urinary bladder directly send impulses to the brain that consciously decides to stimulate sphincters to relax.
E) Chemical receptors in the bladder detect urine concentration and trigger a reflex action.

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

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Patients with diabetes mellitus have frequent urination and increased thirst because


A) less water passes from the glomerulus to the glomerular capsule.
B) more water is driven from the glomerulus to the glomerular capsule than normal.
C) more salt is reabsorbed at the proximal convoluted tubule.
D) an increase in sodium ions causes more nerve stimulation and triggers urination.
E) increased glucose in the urine increases its osmolarity and less water is reabsorbed by blood.

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

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Tubular secretion allows hydrogen ions,creatinine,and penicillin to be excreted in the distal convoluted tubule.How are these molecules moved across?


A) fluid pressure similar to what happens in the glomerulus
B) passive diffusion
C) osmosis
D) active transport
E) reverse reabsorption

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

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Smoking may increase your risk of lung cancer,but it does not affect the risk of bladder cancer.

A) True
B) False

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Urethra and bladder infections are easily treated with antibiotics,but even simple kidney infections are much more difficult to treat.

A) True
B) False

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It is advantageous to have a bladder because it


A) helps with defecation.
B) is a place where white cells attack bacteria.
C) stores urine to prevent constant urination.
D) transports urine to the outside of the body.
E) filters wastes and recycles nutrients back into the bloodstream.

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

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Which statement is NOT true about ADH?


A) It increases the permeability of the collecting duct.
B) ADH increases water reabsorption.
C) ADH decreases urine volume.
D) It is secreted by the adrenal gland.
E) Hot,sweaty days will cause more ADH release.

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

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Sodium concentration in the urine will be maintained due to the loop of the nephron (loop of Henle) exhibiting


A) an active release of sodium from the descending limb.
B) a passive and active release of sodium from the ascending limb.
C) a passive release of sodium from the descending limb.
D) the release of water from the ascending limb.
E) the active transport of water.

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

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What is the correct order an excreted water molecule moves from glomerulus to collecting duct?


A) loop of nephron \rightarrow glomerular capsule \rightarrow proximal convoluted tubule \rightarrow distal convoluted tubule
B) glomerular capsule \rightarrow proximal convoluted tubule \rightarrow loop of nephron \rightarrow distal convoluted tubule
C) glomerular capsule \rightarrow proximal convoluted tubule \rightarrow distal convoluted tubule \rightarrow loop of nephron
D) proximal convoluted tubule \rightarrow glomerular capsule \rightarrow loop of nephron \rightarrow distal convoluted tubule
E) distal convoluted tubule \rightarrow glomerular capsule \rightarrow proximal convoluted tubule \rightarrow loop of nephron

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

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Ammonia in urine is NOT evidence of


A) tubule cells deaminating amino acids.
B) a mechanism to neutralize acidic urine.
C) buffering of excess hydrogen ions in urine (NH3 + H+ \rightarrow NH4+) .
D) the need to reabsorb more water.
E) regulation of pH of body fluids.

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

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Jackie's ankles are very swollen at night after work.When she went to the doctor about the problem,the doctor requested a urine specimen.Why?


A) Edema could be a sign of kidney failure.A urine sample might contain protein or urea.
B) Jackie is probably drinking too much water and the doctor can see this because the urine will be very dilute.
C) Jackie probably stands all day long and this prevents the urinary system from working correctly.
D) Edema is a sign of kidney stones and the doctor is looking for small stones in the urine.
E) Edema could be a sign of an inactive bladder.The doctor wants to see if Jackie is capable of urinating.

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

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Urine contains substances that underwent pressure filtration and substances that underwent tubular secretion.

A) True
B) False

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Which substance is not removed from the body via the urinary system?


A) uric acid
B) salt
C) feces
D) bicarbonate
E) urea

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

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Deamination of amino acids will result initially in the formation of


A) ammonia.
B) urea.
C) glucose.
D) creatinine.
E) uric acid.

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

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The microscopic anatomical unit of excretion found in the kidney is the


A) nephron.
B) glomerular (Bowman's) capsule.
C) glomerulus.
D) alveoli.
E) microvilli.

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

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Glucose is found in glomerular filtrate but NOT in the urine because


A) the kidney stores glucose as glycogen.
B) kidney cells require glucose because energy is needed for active transport.
C) glucose is reabsorbed back into the bloodstream.
D) glucose is converted to amino acids in the kidney.
E) glucose molecules are too large to pass through the loop of the nephron (loop of Henle) .

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

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Which of the following is NOT a nitrogenous waste product?


A) ammonia
B) urea
C) uric acid
D) creatinine
E) bile pigments

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

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Which of the following is not normally found in the glomerular filtrate?


A) water
B) red blood cells
C) nitrogenous wastes
D) glucose and other nutrients
E) salts (ions)

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

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