1 Excretion is the removal of __________ from the body.A) undigested food waste B) used hormones C) metabolic waste D) pathogens 2 Which of the following is NOT a function of the urinary system?A) maintaining blood pressure B) excreting metabolic wastes C) maintaining acid--base balance D) preserving water--sugar balance 3 Which of the following is NOT a nitrogenous waste excreted by the kidneys?A) amino acids B) urea C) uric acid D) creatinine 4 The kidneys maintain acid--base balance by mainlyA) excreting hydrogen and excreting bicarbonate. B) excreting hydrogen and reabsorbing bicarbonate. C) reabsorbing hydrogen and excreting bicarbonate. D) reabsorbing hydrogen and reabsorbing bicarbonate. 5 The kidneys produce renin. Explain the function of renin.A) Activates angiotensin B) Activates vitamin D C) Stimulate the production of red blood cells. D) Vasoconstriction 6 When blood supply to the kidneys drops, the kidneys will releaseA) aldosterone. B) atrial natriuretic hormone. C) water. D) renin. 7 The kidneys aid in the activation of vitamin _____.A) A B) D C) E D) K 8 When the oxygen content of the blood decreases, the kidneys will releaseA) erythropoietin. B) renin. C) angiotensin. D) calcitriol. 9 Aldosterone stimulates the kidneys to:A) excrete excess hydrogen ions B) excrete excess water C) reabsorption of sodium ions and water D) reabsorption of sodium and calcium 10 List the organs of the urinary system in order from urine production to excretion.A) Kidneys, ureters, urethra and urinary bladder B) Kidneys, ureters, urinary bladder and urethra C) Kidneys, urethra, urinary bladder and ureters D) Urinary bladder, ureter, urinary bladder and urethra 11 The depression of the kidney where the renal artery enters and the renal vein and ureters exit is called the:A) hilum B) renal capsule C) renal cortex D) renal pyramid 12 The term used to describe the three openings in the urinary bladder is theA) detrusor muscle. B) rugae. C) cortex. D) trigone. 13 What structures are located in the urinary bladder that allows it to expand as it fills with urine?A) rugae B) villi C) transitional epithelium D) pseudostratified columnar epithelium E) Both A and C F) Both B and D 14 What structure carries urine from the urinary bladder to the outside of the body?A) ureter B) urethra C) renal pelvis D) glomerulus 15 The process of urination is calledA) micturition. B) mastication. C) deglutition. D) defecation. 16 As the male urethra leaves the urinary bladder, it is surrounded by the:A) adrenal glands B) bulburethral glands C) prostate gland D) renal hilum 17 Which of the following is NOT a region of the kidney?A) medulla B) cortex C) lobule D) pelvis 18 The functional structure of the kidney is theA) neuron. B) sinusoid. C) trigone. D) nephron 19 The glomerular capsule contains an arteriole capillary bed called theA) peritubular capillaries. B) glomerulus. C) renal sinusoid. D) Bowman's capsule. 20 List the regions of the kidney tubule in the order that filtrate flows through beginning with the site of filtrate formation. Collecting duct Distal convoluted tubule Glomerular capsule Loop of the nephron Proximal convoluted tubuleA) 1 – 3 – 2 – 4 - 5 B) 3 – 1 – 2 – 4 - 5 C) 3 – 5 – 4 – 2 - 1 D) 4 - 3 – 5 – 1 – 2 21 Where in the kidney are the glomeruli located?A) cortex B) medulla C) pelvis 22 Where does filtration based on blood pressure occur?A) collecting duct B) distal convoluted tubule C) glomerulus D) loop of the nephron E) proximal convoluted tubule 23 Glomerular filtration occurs between the _____ and the ______.A) afferent arterioles and the peritubular capillaries B) efferent arteriole and the peritubular capillaries C) glomerulus and the glomerular capsule D) peritubular capillaries and the kidney tubule 24 Identify the blood components that cannot be filtered by the glomerulus.A) Formed elements and plasma proteins B) Formed elements and glucose C) Glucose and plasma proteins D) Plasma proteins and salts 25 How much fluid is filtered by the nephrons in one day?A) 10 L B) 100 L C) 180 L D) 200 L 26 The process of returning water, nutrients, and salt to the blood from the filtrate in the tubules isA) tubular secretion. B) glomerular filtration. C) micturition D) tubular reabsorption. 27 Where does tubular reabsorption primarily occur?A) collecting duct B) distal convoluted tubule C) glomerular capsule D) loop of Henle E) proximal convoluted tubule 28 Where does tubular secretion primarily occur?A) collecting duct B) distal convoluted tubule C) glomerular capsule D) loop of the Henle E) proximal convoluted tubule 29 Water is returned to the blood from the proximal convoluted tubule byA) active transport. B) osmosis. C) facilitated diffusion. D) carrier molecules. 30 Describe urine in relationship to glomerular filtration, tubular reabsorption and tubular secretion. Urine =:A) glomerular filtration + tubular reabsorption + tubular secretion B) glomerular filtration – tubular reabsorption – tubular secretion C) glomerular filtration + tubular reabsorption – tubular secretion D) glomerular filtration – tubular reabsorption + tubular secretion 31 Place the flow of blood through the nephron in correct order.A) afferent arteriole – glomerulus – efferent arteriole – peritbubular capillary B) afferent arteriole – peritubular capillary – efferent arteriole – glomerulus C) efferent arteriole – glomerulus – afferent arteriole – peritubular capillary D) peritubular capillary – afferent arteriole – glomerulus – efferent arteriole 32 Most of the body's water is found in theA) plasma. B) lymph. C) tissue fluid. D) cells. 33 The average female has a _____ percentage of water by weight compared to a male because females typically have more ______ tissue.A) higher; adipose B) higher; muscle C) lower; adipose D) lower; muscle 34 Identify the mechanisms of water intake.A) Fluid ingested, food ingested and air inhaled. B) Fluid ingested, food ingested and metabolic processes C) Fluid ingested, metabolic processes and air inhaled. D) Food ingested, air inhaled and metabolic processes 35 Identify the mechanisms of water output.A) Exhaled air, inhaled air, urine and sweat B) Exhaled air, inhaled air, urine and feces C) Exhaled air, sweat, urine and feces D) Inhaled air, sweat, urine and feces 36 To increase the reabsorption of water, which parts of the kidney tubules are involved?A) proximal convoluted tubule and collecting duct B) proximal convoluted tubule and distal convoluted tubule C) distal convoluted tubule and Loop of Henle D) Loop of Henle and collecting duct 37 The reabsorption of water from the Loop of Henle depends on the movement of ______ out of the tubule.A) sodium chloride B) acid C) glucose D) uric acid 38 The ______ limb of the Loop of Henle is impermeable to water.A) ascending B) descending 39 What molecule adds to the increased solute concentration in the lowest part of the renal medulla?A) sugar B) urea C) protein D) bicarbonate 40 The best indicator of blood osmolarity is the blood concentration of ______ ions.A) calcium B) chlorine C) potassium D) sodium 41 Atrial natriuretic hormone (ANH) will promote a(n) _______ in the excretion of sodium and water; thus ______ blood volume and blood pressure.A) decrease; decreasing B) decrease; increasing C) increase; decreasing D) increase; increasing 42 The presence of ADH will causeA) increased urine production. B) decreased urine production. C) no change in urine production. 43 What controls the reabsorption of salt and water in the distal convoluted tubule?A) hormones B) sodium chloride C) glucose D) urea 44 Where is the juxtaglomerular apparatus located?A) In the loop of Henle. B) In the medulla oblongata. C) Between the afferent arteriole and the distal convoluted tubule. D) Between the collecting duct and the proximal convoluted tubule. 45 Which structure monitors blood volume?A) juxtaglomerular apparatus B) medulla oblongata C) midbrain D) hypothalamus 46 Which structure monitors the osmolarity of the blood?A) juxtaglomerular apparatus B) medulla oblongata C) midbrain D) thalamus 47 Alcohol is a _______ because it ________ the secretion of ADH.A) antidiuretic : increases B) diuretic : inhibits C) antidiuretic : inhibits D) diuretic : increases 48 A blood pH above 7.4 is calledA) acidosis. B) diuresis. C) alkalosis. D) natriuresis. 49 A substance that can take up excess hydrogen or excess hydroxide is a/anA) acid B) buffer. C) base. D) salt. 50 The most important blood buffer isA) carbonic acid and water. B) carbon dioxide and bicarbonate C) carbonic acid and bicarbonate. D) bicarbonate and water. 51 A quick way to rid the body of excess H+ is toA) hyperventilate. B) hypoventilate. C) urinate more often. D) hold your breath. 52 What percentage of the urine is water?A) 100% B) 95% C) 90% D) 85% 53 Infection of the kidney is called _________ .A) pyelonephritis B) cystitis C) urethritis D) hypertension 54 Infection of the urinary bladder isA) urethritis. B) cystitis. C) pyelonephritis D) nephritis 55 Patients with renal failure can be treated byA) dialysis. B) continuous ambulatory peritoneal dialysis. C) kidney transplant. D) All of the above are treatments for renal failure. 56 In a 3-6 hour hemodialysis, how much urea can be removed from a patient?A) 8-10 g B) 8-25 g C) 50-250 g D) 8-25 mg 57 Which of the following is NOT an excretory organ?A) kidney B) large intestine C) liver D) lungs 58 What is the yellow pigment in urine called?A) hemoglobin B) urea C) urochrome D) uroglobin 59 Where is urea produced?A) muscles B) liver C) kidneys D) spleen 60 Which of the following body systems is NOT directly influenced by kidney function?A) cardiovascular B) respiratory C) endocrine D) skeletal E) All of the above.