Which hormone produced by the urinary system influences red blood cell production?
Cortisol
Calcidiol
Erythropoietin (EPO)
Insulin
The Correct Answer is C
A. Cortisol: This glucocorticoid is synthesized and secreted by the adrenal cortex in response to stress and low blood glucose. While the adrenal glands sit atop the kidneys, they are part of the endocrine system rather than the urinary system. Cortisol does not primarily regulate erythropoiesis.
B. Calcidiol: This molecule is a precursor in the vitamin D metabolic pathway, produced by the liver from cholecalciferol. The kidneys convert it into calcitriol, the active form of vitamin D, which regulates calcium homeostasis. It does not have a direct stimulatory effect on the bone marrow.
C. Erythropoietin (EPO): This glycoprotein hormone is produced by peritubular interstitial cells in the renal cortex in response to cellular hypoxia. It travels to the bone marrow to stimulate the proliferation and differentiation of red blood cell progenitors. This is a vital endocrine function of the kidney.
D. Insulin: This peptide hormone is produced by the beta cells of the pancreatic islets to regulate systemic glucose levels. It facilitates the uptake of glucose into peripheral tissues and has no primary role in red blood cell production. It is not synthesized by renal or urinary tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The volume of urine produced per hour: This describes the rate of diuresis or urine flow rate, which is a measure of total renal output. It is influenced by GFR and tubular reabsorption but is not a fixed maximum for specific solute transport. It varies based on hydration and hormones.
B. The pressure at which urine is excreted: Excretion pressure involves the hydrostatic forces within the collecting system and the contraction of the detrusor muscle. This is a mechanical aspect of micturition and is unrelated to the biochemical saturation of tubular carrier proteins. It does not define transport limits.
C. The amount of ATP needed for filtration: Filtration is a passive process driven by blood pressure and does not directly consume ATP. While active transport requires energy, the term Tm specifically refers to the capacity of the transporters rather than the total energy expenditure of the kidney.
D. The point at which increasing concentration does not increase transport rate: This represents the saturation point of all available carrier proteins for a specific solute within the renal tubules. At this limit, the transport system is operating at its peak velocity. Any additional filtered load will exceed the Tm and bypass reabsorption.
Correct Answer is C
Explanation
A. Because the filtration membrane is impermeable to water: The glomerular filtration membrane is highly permeable to water to allow for the production of 180 L of filtrate daily. Impermeability would prevent renal function entirely. Its high hydraulic conductivity is essential for the rapid movement of fluid and solutes.
B. Because osmolarity affects smooth muscle contraction: While ions affect excitability, the sensitivity of filtration to osmolarity is primarily a function of Starling forces. Direct smooth muscle effects do not explain the precise sensitivity of the filtration rate. The primary mechanism involves the balance of pressures in the capillaries.
C. Because of the low net filtration pressure across the filtration membrane: Net filtration pressure (NFP) is approximately 10 mmHg, representing the slim margin between hydrostatic and oncotic forces. Small changes in blood osmolarity alter the colloid osmotic pressure. Because the NFP is so low, these shifts significantly impact the total GFR.
D. Because osmolarity regulates aldosterone secretion: Aldosterone is primarily regulated by the renin-angiotensin system and serum potassium levels, not small fluctuations in blood osmolarity. Osmolarity primarily triggers ADH release. Furthermore, aldosterone affects tubular reabsorption, not the initial filtration rate at the glomerular tuft.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
