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 C
Explanation
The cells are muscle cells.
Reasoning:
Mitochondria are membrane-bound organelles known as the “powerhouses” of the cell because they generate ATP (adenosine triphosphate), the primary energy currency of the cell, through a process called aerobic respiration. Cells that are highly active and require large amounts of energy will naturally have more mitochondria to support their function.
- Muscle cells, particularly skeletal and cardiac muscle, need a continuous and substantial supply of energy for contraction and movement. For example:
- Skeletal muscle enables voluntary movements like walking or lifting objects.
- Cardiac muscle contracts nonstop to pump blood throughout the body.
To meet these energy needs, muscle cells are densely packed with mitochondria.
- The other options:
- Epidermal cells (skin surface cells) act mainly as a protective barrier and have relatively low metabolic activity, so they do not require many mitochondria.
- Sebaceous gland cells are involved in producing and secreting oils (sebum) to lubricate the skin and hair. While they are active in secretion, they do not require as much continuous energy as muscle cells.
- Fat cells (adipocytes) store energy in the form of lipids but are not metabolically active enough to need large numbers of mitochondria. In fact, their role is more about energy storage than usage.
Because mitochondria are essential for producing energy, and muscle cells use significantly more energy than the other cell types listed, it is most logical for the student to conclude that the cells with the highest number of mitochondria are muscle cells. This adaptation allows muscles to contract efficiently and sustain prolonged physical activity.
Correct Answer is D
Explanation
Mucosa, submucosa, muscularis, serosa
Reasoning
The gastrointestinal (GI) tract is structured in four main layers that are arranged from the innermost (facing the lumen) to the outermost part of the wall. Understanding this organization is crucial to comprehending how digestion and absorption occur.
Here’s the correct order of layers:
1. Mucosa (Innermost layer)
- Function: Secretes mucus, digestive enzymes, and hormones; absorbs nutrients; protects against pathogens.
- Structure: Includes the epithelium, lamina propria, and muscularis mucosae.
2. Submucosa
- Function: Provides support with connective tissue, blood vessels, lymphatics, and nerves (submucosal plexus).
- It allows the mucosa to move flexibly during peristalsis and digestion.
3. Muscularis (Muscularis externa)
- Function: Responsible for segmentation and peristalsis (movement of food through the GI tract).
- Structure: Typically consists of two layers of smooth muscle – inner circular and outer longitudinal.
4. Serosa (Outermost layer)
- Function: Reduces friction between digestive organs and surrounding structures.
- Structure: A protective outer layer made of connective tissue and a simple squamous epithelium. In areas not exposed to the peritoneal cavity, it may be called adventitia.
Correct Answer is A
Explanation
The Achilles tendon is a type of connective tissue. Tendons are strong, fibrous bands that connect skeletal muscles to bones. In this case, the Achilles tendon connects the gastrocnemius and soleus muscles in the calf to the calcaneus (heel bone). This tendon is essential for walking, running, jumping, and standing on your toes.
Explanation:
1. What is Connective Tissue?
- Connective tissue is one of the four main tissue types in the human body. It serves to bind, support, and protect other tissues and organs.
- Types of connective tissue include:
- Tendons (connect muscle to bone)
- Ligaments (connect bone to bone)
- Cartilage
- Bone
- Adipose (fat) tissue
- Blood (a fluid connective tissue)
2. The Achilles Tendon
- The Achilles tendon is the largest and strongest tendon in the human body.
- It transmits the force from the calf muscles to the heel, allowing the foot to push off the ground.
- Injuries to the Achilles tendon often occur during sports or intense physical activity and may range from inflammation (tendinitis) to complete rupture.
Why the Other Options Are Incorrect:
2. Muscle
- Muscle tissue contracts to produce movement, but the Achilles tendon is not muscle—it connects muscle to bone. Though the injury may affect how the muscle functions, the tendon itself is made of connective tissue, not muscle fibers.
3. Epithelial
- Epithelial tissue forms the outer layers of the body (like skin) and lines internal organs, cavities, and blood vessels. It does not form tendons or support structures like the Achilles tendon.
4. Nervous
- Nervous tissue includes the brain, spinal cord, and nerves. It is responsible for transmitting electrical signals and does not contribute to the structure of tendons. While nerves may be involved in the sensation of injury, they are not the primary tissue affected.
Clinical Note:
- Achilles tendon injuries are common in athletes and can severely limit mobility.
- Treatment may include rest, physical therapy, or surgery depending on severity.
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 C
Explanation
Milliliters
Reasoning:
Milliliters (mL) are the appropriate unit for measuring volume in the metric system, especially for fluids like blood.
Here's why:
- Milliliters (mL) measure liquid volume, which makes them ideal for medical samples such as blood, urine, or intravenous fluids.
- For example, a typical blood sample drawn for lab analysis is often between 2 mL and 10 mL.
- The milliliter is equivalent to 1/1000 of a liter.
Other Units Explained:
- Centimeters (cm):
- A unit of length, not volume. It measures distance or size in one dimension.
- Milligrams (mg):
- A unit of mass or weight, not volume. It is used to measure the weight of a substance, not how much space it occupies.
- Millimeters (mm):
Another unit of length, used to measure small distances (e.g., the diameter of a blood vessel), not volume.
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
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.
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
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 D
Explanation
Yersinia pestis
Reasoning:
Yersinia pestis is the bacterium responsible for plague, including the bubonic plague. Its primary mode of transmission is through bites from fleas, particularly rat fleas (Xenopsylla cheopis) that have fed on infected rodents.
- Pathogen Overview – Yersinia pestis:
- Gram-negative bacterium.
- Causes bubonic, septicemic, and pneumonic plague.
- Historically associated with pandemics such as the Black Death.
- Transmission Mechanism:
- Fleas ingest the bacteria by biting infected rodents.
- The bacteria multiply in the flea's gut, eventually blocking it.
- When the flea bites a human, it regurgitates infected material into the bite wound.
- Human infection then spreads from the bite site, typically to lymph nodes.
Why the Other Options Are Incorrect:
- 1. Corynebacterium diphtheriae
- Causes diphtheria.
- Transmitted via respiratory droplets, not fleas.
- 2. Neisseria meningitidis
- Causes bacterial meningitis.
- Spread by saliva and respiratory secretions.
- 3. Plasmodium falciparum
- Causes the most severe form of malaria.
- Transmitted by female Anopheles mosquitoes, not fleas or rats.
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