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Conscious control of micturition inhibits the micturition reflex by using nerve centers in the


A) medulla oblongata.
B) spinal cord.
C) brainstem and cerebral cortex.
D) pons and hypothalamus.

E) None of the above
F) B) and D)

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Kidney cells die as early as age


A) 20.
B) 30.
C) 40.
D) 50.

E) A) and D)
F) A) and C)

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The detrusor muscle is in the


A) ureter.
B) urethra.
C) kidneys.
D) urinary bladder.

E) A) and B)
F) All of the above

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Which of the following correctly lists the order of structures through which urine flows after its formation in the nephron?


A) calyx, renal pelvis, ureter, urinary bladder, urethra
B) renal pelvis, calyx, ureter, urinary bladder, urethra
C) calyx, renal pelvis, urethra, ureter, urinary bladder
D) renal pelvis, calyx, urinary bladder, ureter, urethra

E) B) and C)
F) A) and D)

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Sympathetic nerve impulses usually cause proportional degrees of vasodilation in the afferent and efferent arterioles.

A) True
B) False

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Which of the following indicates the parts of a renal tubule in the correct sequence from beginning to end?


A) Proximal convoluted tubule, ascending limb of nephron loop, descending limb of nephron loop, distal convoluted tubule
B) Distal convoluted tubule, ascending limb of nephron loop, descending limb of nephron loop, proximal convoluted tubule
C) Proximal convoluted tubule, descending limb of nephron loop, ascending limb of nephron loop, distal convoluted tubule
D) Collecting duct, proximal convoluted tubule, descending limb of nephron loop, ascending limb of nephron loop, distal convoluted tubule

E) A) and C)
F) None of the above

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The efferent arteriole supplies blood to the capillary of the glomerulus.

A) True
B) False

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A product of the metabolism of certain nucleic acid bases is


A) uric acid.
B) urea.
C) ammonia.
D) water.

E) C) and D)
F) B) and D)

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The reabsorption of glucose occurs primarily through the walls of the


A) glomerular capsule.
B) nephron loop.
C) proximal convoluted tubule.
D) distal convoluted tubule.

E) A) and B)
F) A) and C)

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Aldosterone from the adrenal cortex causes sodium ions to be


A) excreted and potassium ions to be conserved.
B) excreted and potassium ions to be excreted.
C) conserved and potassium ions to be conserved.
D) conserved and potassium ions to be excreted.

E) None of the above
F) B) and D)

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Athletes might abuse which of the following chemicals made in the urinary system to improve performance by increasing red blood cell production?


A) ADH
B) Erythropoietin (EPO)
C) Glomerular filtrate
D) Urea

E) All of the above
F) A) and B)

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When sodium ions are reabsorbed through the wall of the renal tubule by active transport, chloride ions are


A) reabsorbed by active transport.
B) reabsorbed by passive transport.
C) secreted by active transport.
D) secreted by passive transport.

E) All of the above
F) A) and B)

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Extracorporeal shock-wave lithotripsy is used to treat


A) kidney failure.
B) a urinary tract infection.
C) kidney stones.
D) gout.

E) B) and D)
F) A) and C)

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The micturition reflex can be voluntarily controlled by the


A) person controlling contraction and relaxation of the pyloric sphincter.
B) sympathetic impulses stimulating the internal urethral sphincter.
C) relaxation of the external urethral sphincter.
D) voluntary contractions or inhibition of the prostate gland.

E) A) and C)
F) B) and C)

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Glomerular filtrate is similar to tissue fluid in composition.

A) True
B) False

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A renal corpuscle is a _____, whereas a renal tubule is a _____.


A) cluster of blood capillaries and glomerular capsule; highly coiled tubule exiting the glomerular capsule
B) special blood cell in the kidneys; tubule that leads from the kidneys to the bladder
C) storage area for urine; tubule that carries urine from the urinary bladder outside
D) glandular structure that regulates blood pressure; blood vessel that regulates the flow of blood into the glomerulus

E) B) and D)
F) A) and D)

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An increase in glomerular osmotic pressure ________ the rate of glomerular filtration.


A) increases
B) decreases
C) does not change
D) has a variable effect on

E) A) and D)
F) A) and C)

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Shigatoxin is associated with


A) endemic nephropathy.
B) urinary tract infection.
C) edema.
D) hemolytic uremic syndrome.

E) B) and C)
F) A) and B)

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The composition of glomerular filtrate differs from that of plasma by including


A) many different substances that are absent from plasma.
B) the same substances as plasma except for larger protein molecules.
C) less water and electrolytes than does plasma.
D) much more uric acid and creatinine than plasma.

E) A) and B)
F) A) and C)

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The juxtaglomerular apparatus consists of the juxtaglomerular cells and the cells of the _____ _____.

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