The kidneys are stimulated to produce renin
when the peritubular capillaries are dilated
when the pH of the urine decreases
by the increase in blood pressure
when the specific gravity of urine rises above 1.10
by a decrease in the blood pressure
The Correct Answer is E
A. when the peritubular capillaries are dilated: Capillary dilation typically occurs in response to local metabolic needs or increased flow rather than systemic pressure drops. Renin release is triggered by signals from the juxtaglomerular apparatus. This vascular change does not serve as a primary trigger for the renin-angiotensin-aldosterone system.
B. when the pH of the urine decreases: Urine acidity is managed through the secretion of hydrogen ions and the reabsorption of bicarbonate in the tubules. While the kidneys regulate acid-base balance, pH changes do not directly stimulate the granular cells to release renin. Renin secretion is primarily a hemodynamic response.
C. by the increase in blood pressure: Elevated systemic arterial pressure inhibits the release of renin to prevent further vasoconstriction and fluid retention. The body utilizes atrial natriuretic peptide to counteract high pressure. Increased stretch in the afferent arteriole decreases the activity of the juxtaglomerular cells.
D. when the specific gravity of urine rises above 1.10: Specific gravity measures the concentration of solutes in the urine and reflects the hydration status. While high concentration might coincide with low blood volume, it is the pressure and sodium delivery that act as triggers. Specific gravity itself is a result of renal processing.
E. by a decrease in the blood pressure: Reduced stretch in the afferent arteriole stimulates granular cells to secrete renin into the bloodstream. This enzyme initiates a cascade that produces angiotensin 2, a potent vasoconstrictor. This mechanism is vital for maintaining glomerular filtration rate and systemic perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. podocytes: These are highly specialized epithelial cells that constitute the visceral layer of the glomerular capsule. They possess long cytoplasmic extensions called pedicels that interdigitate to form filtration slits around the glomerular capillaries. They are essential for maintaining the structural integrity and selectivity of the renal filtration barrier.
B. mesangial cells: These contractile cells are located between the capillary loops of the glomerulus and provide structural support. They also regulate the surface area available for filtration by contracting or relaxing in response to various stimuli. They do not form a continuous inner layer wrapping the capillaries like the podocytes.
C. monocytes: These are a type of agranular leukocyte found in the circulating blood that can differentiate into macrophages. They are part of the immune system and are not a structural component of the renal corpuscle or the glomerular capsule. Their presence within the filtration membrane would be considered pathological.
D. nephrocytes: This is a general term sometimes used to describe various cells of the kidney, but it is not the specific anatomical name for the visceral epithelial cells. In human renal anatomy, the term podocyte is the specific medical jargon used to identify the cells forming the filtration slits.
E. macula densa cells: These are specialized chemoreceptor cells found in the wall of the distal convoluted tubule where it contacts the afferent arteriole. They monitor sodium chloride concentration in the filtrate as part of the juxtaglomerular apparatus. They are located outside the renal corpuscle's internal filtration surface.
Correct Answer is B
Explanation
A. protein-regulated diffusion. Large plasma proteins like albumin are too big to pass through the filtration membrane and remain in the capillaries. They actually create a colloid osmotic pressure that pulls water back into the blood, opposing filtration. Diffusion is a passive movement of solutes, not the primary mechanical force driving the high-volume ultrafiltration of plasma.
B. glomerular hydrostatic pressure (glomerular blood pressure). This is the blood pressure within the glomerular capillaries, which is typically much higher than in other capillary beds due to the high-resistance efferent arteriole. It serves as the dominant outward force that physically pushes water and small solutes through the filtration slits. It is the fundamental driver of the glomerular filtration rate.
C. the size of the pores in the basement membrane of the capillaries. The fenestrations and filtration slits determine the permeability and selectivity of the filter, essentially acting as a sieve. While these pores permit the passage of substances, they do not provide the energy or force to move them. They represent a physical constraint on what can pass rather than a driving force.
D. the ionic electrochemical gradient. Electrochemical gradients primarily drive the movement of specific ions across tubular epithelial cells during reabsorption and secretion. Glomerular filtration is a non-selective, bulk-flow process driven by mechanical pressure rather than individual ion concentrations. The process is governed by hydrostatic and osmotic pressures according to Starling's law.
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