Which of the following is the function of the nephron glomerulus?
Responds to presence of ADH to control water reabsorption and produce a concentrated urine
Reabsorbs water into the blood that increases blood pressure
Produces a filtrate that is then processed by the renal tubule
Allows K+, Na+ and Cl- to move out of the filtrate through both active and passive transport
Correct Answer : C
The glomerulus is a key structure in each nephron, which is the functional unit of the kidney. It consists of a tuft of capillaries surrounded by Bowman’s capsule.
Main function:
- The glomerulus filters blood plasma under high pressure.
- It allows water and small solutes (like sodium, glucose, amino acids, and urea) to pass into the Bowman’s capsule, creating a fluid called glomerular filtrate.
- Large molecules and blood cells are too big to pass through and remain in the blood.
This filtrate then enters the renal tubule, where selective reabsorption and secretion take place to form urine.
Why the Other Options Are Incorrect:
1. Responds to presence of ADH to control water reabsorption and produce a concentrated urine
- Incorrect, because this describes the collecting duct, not the glomerulus.
- ADH (antidiuretic hormone) increases water reabsorption by making the collecting duct walls more permeable to water, concentrating the urine.
- The glomerulus does not respond to hormones like ADH; its role is purely filtration.
2. Reabsorbs water into the blood that increases blood pressure
- Incorrect, because water reabsorption occurs primarily in the proximal convoluted tubule, loop of Henle, and collecting duct, not in the glomerulus.
- The glomerulus only filters; it does not reabsorb water.
- While kidney function can influence blood pressure, the glomerulus itself does not directly reabsorb water to raise blood pressure.
4. Allows K⁺, Na⁺, and Cl⁻ to move out of the filtrate through both active and passive transport
- Incorrect, because this describes what happens in the loop of Henle and distal tubule.
- The glomerulus does not perform transport of ions through active or passive mechanisms; it simply filters them based on size and pressure.
- Ion regulation is a function of the tubular parts of the nephron, not the glomerulus.
Summary:
- The glomerulus acts like a sieve, initiating urine formation by filtering blood.
- The renal tubules then modify this filtrate by reabsorbing useful substances and secreting waste.
Clinical Relevance: Glomerular Function
Glomerular Filtration Rate (GFR)
- GFR is a critical indicator of kidney function.
- A low GFR may suggest renal impairment or chronic kidney disease.
- Influenced by blood pressure, hydration status, and conditions such as diabetes.
Glomerular Disorders
- Glomerulonephritis: Inflammation of the glomeruli, often presenting with protein and/or blood in the urine.
- Diabetic nephropathy: Long-term high blood sugar damages glomeruli, leading to progressive kidney dysfunction.
Nursing Considerations
- Monitor: Urine output, presence of proteinuria, and blood pressure, especially in high-risk patients.
- Educate: Patients on kidney-friendly diets—low in sodium and protein—to reduce glomerular stress.
Memory Trick
"Glomerulus = Gatekeeper"
- It filters blood, allowing water and small molecules to pass through.
- It does not reabsorb or secrete—those functions occur in the renal tubule.
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Related Questions
Correct Answer is B
Explanation
Atoms are made up of protons, neutrons, and electrons:
- Protons and neutrons are located in the nucleus and have similar masses (~1 atomic mass unit each).
- Electrons are much smaller in mass (about 1/1836 the mass of a proton) and orbit the nucleus.
Since protons and neutrons are both relatively heavy compared to electrons, they account for almost all of the atom's mass. Therefore, neutrons do contribute significantly to atomic mass—just like protons.
Why the Other Options Are Incorrect:
1. The mass of each electron is the same as the mass of each proton.
- Incorrect.
- Electrons are much lighter than protons (about 1/1836 the mass of a proton).
3. Isotopes of an element differ in the number of protons in the nucleus.
- Incorrect.
- Isotopes have the same number of protons (same element) but different numbers of neutrons.
- Example: Carbon-12 vs. Carbon-14 — both have 6 protons, but different neutron counts.
4. The amount of charge on a proton is greater than the amount of charge on an electron.
- Incorrect.
- A proton has a +1 charge, and an electron has a -1 charge.
- Their charges are equal in magnitude but opposite in sign.
Correct Answer is A
Explanation
A country with a growing population and high infant mortality typically experiences high birth rates that outpace death rates. This demographic pattern is common in developing countries, where families tend to have more children to compensate for the higher risk of infant and child mortality.
- High Infant Mortality:
- Increases the likelihood that families will have more children to ensure that some survive into adulthood.
- This leads to elevated birth rates.
- Growing Population:
- Indicates that the number of people being born exceeds the number of people dying.
- Even with high death rates (especially in infants), if the birth rate is even higher, the population will grow.
- Demographic Transition Model:
- Countries in Stage 2 (early industrializing) often have declining death rates due to improved healthcare but maintain high birth rates, resulting in rapid population growth.
Why the Other Options Are Incorrect:
- 2. Birth rates variable compared to death rates:
Too vague and does not describe a consistent demographic pattern for population growth. - 3. Birth rates lower than death rates:
Would result in a declining population, which contradicts the condition that the population is growing. - 4. Birth rates equal to death rates:
Implies zero population growth, which is not the case here.
Correct Answer is D
Explanation
Aldosterone
Reasoning:
Aldosterone is a steroid hormone secreted by the adrenal cortex. It plays a central role in regulating sodium (Na⁺) and potassium (K⁺) balance and maintaining blood pressure and fluid volume by acting on the distal tubules and collecting ducts of the nephron in the kidneys.
Explanation:
Role of Aldosterone:
- Increases sodium reabsorption into the bloodstream from the kidney tubules.
- Stimulates potassium excretion into the urine.
- Enhances water retention indirectly, since water follows sodium, helping maintain blood volume and pressure.
Mechanism of Action:
- Aldosterone binds to mineralocorticoid receptors in kidney cells.
- It triggers the synthesis of proteins that increase the number of sodium channels and sodium-potassium pumps.
- This boosts Na⁺ reabsorption from the filtrate back into the blood and promotes K⁺ excretion.
Clinical Relevance:
- Hyperaldosteronism (e.g., Conn’s syndrome): Causes excess sodium retention, hypertension, and hypokalemia.
- Addison’s disease: Low aldosterone leads to sodium loss, low blood pressure, and dehydration.
The other options are incorrect because:
- Erythropoietin: Stimulates red blood cell production, not involved in sodium regulation.
- Calcitriol: Active form of vitamin D, important for calcium and phosphate homeostasis, not sodium.
- Thyroxine (T4): A thyroid hormone that regulates metabolism, not directly involved in kidney sodium handling.
Correct Answer is D
Explanation
Skeletal muscle cells are highly active and require a large amount of energy to support continuous and powerful contractions. Mitochondria are the "powerhouses" of the cell, producing ATP (adenosine triphosphate) through cellular respiration, which fuels muscle activity.
Explanation:
- Mitochondria(4): Abundant in skeletal muscle cells to meet high energy demands, especially during exercise or repetitive movements. The more active the muscle, the more mitochondria it contains.
- Lysosomes (1): Help break down waste but are not especially concentrated in muscle tissue.
- Centrioles (2): Involved in cell division, which is not a primary function of mature skeletal muscle cells (they are typically multinucleated and non-dividing).
- Golgi Bodies (3): Package and modify proteins, important in general cell function but not uniquely enriched in muscle cells compared to mitochondria.
Clinical Insight:
Conditions like mitochondrial myopathies involve defective mitochondria and can lead to muscle weakness and fatigue, highlighting the importance of mitochondrial health in skeletal muscle function.
Exercise & Mitochondria
- Endurance training increases mitochondrial density, enhancing muscle efficiency.
Mitochondrial Diseases
- Mitochondrial defects can lead to muscle weakness, fatigue, and exercise intolerance (e.g., mitochondrial myopathy).
Implications for Patient Care
- Monitor fatigue levels in patients with mitochondrial disorders.
- Educate patients on the benefits of aerobic exercise to support mitochondrial health.
Fun Fact:
- Cardiac muscle contains even more mitochondria than skeletal muscle—because the heart never rests!
Correct Answer is A
Explanation
Urea
Reasoning:
When proteins are broken down in the body, a waste product called ammonia is formed. Since ammonia is toxic, the body converts it into urea, a less harmful substance. Urea is then eliminated from the body primarily by the kidneys through urine, but also in small amounts by sweat glands.
Here’s how it works:
- Protein Catabolism
- Proteins → Amino acids → Ammonia (NH₃)
- Ammonia is highly toxic to cells and must be removed quickly.
- Urea Formation
- In the liver, ammonia is converted into urea via the urea cycle.
- Excretion via Sweat
- While the kidneys are the main organs responsible for filtering urea into urine, the sweat glands in the skin also excrete a small amount of urea.
- This is why sweat can have a slightly ammonia-like odor during intense exercise or in people with kidney problems.
- Other Options Explained:
- Water: Also excreted in sweat, but not a direct byproduct of protein breakdown.
- Sebum: An oily secretion from sebaceous glands, unrelated to nitrogen waste.
- Lysozymes: Enzymes that kill bacteria, present in sweat but not related to protein catabolism.
Urea is the nitrogenous waste product excreted in small amounts by sweat glands after proteins are broken down and ammonia is formed. This helps the body safely eliminate excess nitrogen
Correct Answer is D
Explanation
A substance with a pH of 3 is 10 times more acidic than a substance with a pH of 4.
Reasoning:
1. The pH Scale Basics:
The pH scale is logarithmic, meaning each unit change represents a tenfold difference in hydrogen ion concentration [H+].
- Formula:
pH=−log[H+]
- Key Principle:
A decrease of 1 pH unit = 10 times more acidic (10× higher [H⁺]).
2. Comparing pH 3 and pH 4:
- pH 3: [H⁺] = 10⁻³ M =0.001 M.
- pH 4: [H⁺] = 10⁻⁴ M =0.0001 M.
- Ratio: 0.001 M / 0.0001 M =10.
- Conclusion:
pH 3 has 10 times the hydrogen ion concentration of pH 4, making it 10 times more acidic.
3. Why Other Options Are Incorrect:
- 1 & 2: Incorrect—pH 3 is acidic, not alkaline (alkaline = pH > 7).
- 3: Incorrect—A 1-unit difference on the pH scale equals a 10-fold, not 2-fold, change.
4. NOTE:
- Acidic: pH < 7 (higher [H⁺])
- Neutral: pH = 7 (e.g., pure water)
- Basic/Alkaline: pH > 7 (lower [H⁺])
Summary:
A substance with a pH of 3 is 10 times more acidic than one with a pH of 4 because the pH scale is logarithm.
Correct Answer is B
Explanation
Calcium
Reasoning:
Parathyroid hormone (PTH) is secreted by the parathyroid glands in response to low blood calcium levels (hypocalcemia). Its main role is to raise calcium levels in the blood through a coordinated response involving the bones, kidneys, and intestines.
1. How PTH Increases Blood Calcium:
- Bone Resorption:
PTH stimulates osteoclast activity, which breaks down bone tissue and releases calcium into the bloodstream. - Kidney Effects:
- Enhances reabsorption of calcium in the renal tubules, reducing calcium loss in urine.
- Stimulates the conversion of inactive vitamin D into its active form, calcitriol.
- Intestinal Absorption (Indirect):
Calcitriol (active vitamin D) promotes greater absorption of calcium from food in the small intestine.
2. Why the Other Options Are Incorrect:
- 1. Iron:
Regulated primarily by the hormone hepcidin, not PTH. Involved in oxygen transport (via hemoglobin). - 3. Sodium:
Controlled by aldosterone and atrial natriuretic peptide (ANP), not PTH. - 4. Potassium:
Levels are regulated by aldosterone and insulin, not affected by PTH.
3. Clinical Relevance:
- Hyperparathyroidism:
Excess PTH leads to high blood calcium levels (hypercalcemia), which can cause kidney stones, bone weakening, and other complications. - Hypoparathyroidism:
Deficient PTH causes low calcium levels (hypocalcemia), resulting in muscle cramps, spasms, or tetany.
Correct Answer is D
Explanation
The valence of an atom refers to the number of valence electrons, which are the electrons in the outermost energy level and are responsible for chemical bonding.
In the periodic table, elements in the same group (vertical column) share similar chemical properties because they have the same number of valence electrons.
Explanation:
- For example, Group 1 (alkali metals like lithium, sodium, and potassium) all have 1 valence electron, so their valence remains constant throughout the group.
- Group 17 (halogens like fluorine, chlorine, and bromine) all have 7 valence electrons.
- While atomic size, reactivity, and electronegativity may change down a group, the valence does not.
Clinical Relevance
Why Valence Matters in the Body:
- Valence is the number of electrons an atom uses to bond. It helps predict how elements behave in the body and how they interact with medications.
Common Ions & Their Roles:
- Sodium (Na) & Potassium (K) – Group 1 → +1 charge
Crucial for nerve signals and fluid balance. - Calcium (Ca) & Magnesium (Mg) – Group 2 → +2 charge
Needed for strong bones, muscle contractions, and heart function. - Oxygen (O) & Sulfur (S) – Group 16 → -2 charge
Important for energy production and protein structure.
Medication Examples:
- Lithium (Group 1, +1) – Used to treat bipolar disorder by interacting with brain cells based on its charge.
- Antacids – Often contain Mg²⁺ or Al³⁺ to neutralize stomach acid. Their valence determines how they work.
Memory Tip:
“Groups share valence, periods change it.”
Atoms in the same vertical column (group) behave similarly because they have the same number of valence electrons.
Correct Answer is C
Explanation
Centromere
Reasoning:
During cell division, specifically in mitosis and meiosis, the spindle fibers play a crucial role in the accurate separation of chromosomes. These fibers are part of the mitotic spindle apparatus, which is composed of microtubules.
- Centromere:
The centromere is the region of a chromosome where the two sister chromatids are joined. It is also the specific location where the kinetochore forms—a protein structure that serves as the attachment point for spindle fibers. - Function of Spindle Fibers:
Once attached to the kinetochores at the centromeres, spindle fibers pull the sister chromatids apart during anaphase, ensuring that each daughter cell receives an identical set of chromosomes.
Why Other Options Are Incorrect:
- Gene: A segment of DNA that codes for a specific protein. Spindle fibers do not attach to genes.
- Nucleosome: The basic unit of DNA packaging, consisting of DNA wrapped around histone proteins. It is involved in DNA compaction, not chromosome movement.
- Histone: Proteins that help package DNA into nucleosomes. These are structural, not involved in spindle attachment.
Key Visual:
- Centromere= The "waist" of the chromosome where spindle fibers pull chromatids apart.
- Kinetochore= Protein complex on the centromere that spindle fibers latch onto.
Correct Answer is C
Explanation
Solid
Reasoning:
The volume a substance occupies depends on its state of matter, with gases typically taking up the most space and solids the least. Carbon dioxide can exist in several states—gas (CO₂), liquid (under pressure), or solid ("dry ice")—depending on temperature and pressure.
- States of Carbon Dioxide & Volume:
- Gas: In this state, CO₂ molecules are far apart and move freely, so they occupy the largest volume.
- Liquid: Requires high pressure and low temperature. Molecules are closer together, so the volume is smaller than gas.
- Solid (Dry Ice): Molecules are packed tightly in a fixed structure, so it occupies the least volume.
- Plasma: Not relevant for normal CO₂ behavior; plasma refers to an ionized gas state, not typical for CO₂ in natural conditions.
- Why Option 3 is Correct:
- In the solid state, carbon dioxide has minimal kinetic energy, and its molecules are tightly packed, resulting in the least volume among all options.
- Dry Ice (Solid CO₂):
In its solid form, carbon dioxide molecules are packed tightly in a rigid crystalline lattice, making it the densest state of CO₂.
- Density Comparison:
- Solid CO₂: ~1.6 g/cm³
- Liquid CO₂: ~1.0 g/cm³
- Gaseous CO₂ at STP: ~0.0018 g/cm³
- Volume by Mass:
- 1 kg of CO₂ gas occupies approximately 560 liters
- 1 kg of liquid CO₂ occupies approximately 1 liter
- 1 kg of solid CO₂ occupies approximately 0.6 liters
3. Why the Other Options Are Incorrect
- 1. Plasma:
Plasma is an ionized gas that exists only under extreme conditions (e.g., high energy in labs or stars). It occupies a greater volume than solids or liquids and is not a natural state for CO₂ on Earth. - 2. Liquid:
Liquid CO₂ is more compressed than gas but still less dense than solid CO₂. - 4. Gas:
Gaseous CO₂ has the lowest density because its molecules are spread far apart, occupying the most space.
4. Real-World Applications
- Dry Ice for Storage and Transport:
Solid CO₂ (dry ice) is ideal for refrigeration and shipping due to its high density and ability to sublimate directly into gas, avoiding liquid messes. - Carbon Capture and Storage (CCS):
In environmental technologies, captured CO₂ is often compressed into liquid or solid form to reduce storage volume and space required.
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