Physiology final exam practice
The ________ nephrons play an important role in producing concentrated urine.
Pelvic
Calico
Cortical
Juxtamedullary
Which structure is an arteriole capillary bed drained by an arteriole instead of a venule?
Peritubular capillaries
Juxtaglomerular apparatus
Glomerulus
Vasa recta
Which of the following is the correct order of the nephron tubule structures?
Distal convoluted tubule, nephron loop, proximal convoluted tubule, Bowman's capsule
Nephron loop, Bowman's capsule, proximal convoluted tubule, distal convoluted tubule
Bowman's capsule, proximal convoluted tubule, nephron loop, distal convoluted tubule
Proximal convoluted tubule, Bowman's capsule, distal convoluted tubule, nephron loop
Where is the micturition center?
S2–S4 of the spinal cord
Urinary bladder
Pons
Medulla oblongata
Which of the following is NOT a potential filtration barrier in the glomerular capsule?
Parietal layer of the capsule
Glomerular basement membrane
Slit diaphragm
Capillary fenestrae
Increased sympathetic stimulation will cause ________.
Decreased blood volume
Increased GFR
Vasoconstriction of afferent arterioles
Increased urine production
The ability of the kidneys to maintain a relatively constant GFR despite fluctuating blood pressures is called as renal ________.
Autoregulation
Plasma clearance
Transport maximum
Plasma threshold
The sensor in tubuloglomerular feedback is a group of cells called the ________.
Vasa recta
Glomerulus
Macula lutea
Macula densa
Glomerular filtration would be decreased by ________.
Increased plasma protein concentration
Increased glomerular filtrate protein concentration
Decreased glomerular hydrostatic pressure
Increased mean arterial pressure
Through renal autoregulation, an increase in blood pressure will cause the afferent arteriole to ________ and therefore the GFR will ________.
Constrict; not change
Dilate; decrease
Constrict; decrease
Dilate; not change
The majority of reabsorption occurs in the ________.
Proximal convoluted tubule
Collecting duct
Nephron loop
Distal convoluted tubule
________ of the nephron loop is/are impermeable to water.
Both limbs
Neither limb
The ascending limb
The descending limb
The tubular filtrate osmolality ________ as it flows through the ascending limb of the nephron loop.
Increases
Remains unchanged
Decreases
The concentration of renal filtrate is highest in the ________.
Distal convoluted tubule
Cortical portion of the collecting duct
proximal convoluted tubule
Base of the nephron loop
Countercurrent multiplication occurs by the actions of the ________.
Vasa recta
Nephron loop
Peritubular capillaries
Both vasa recta and nephron loop are correct
If the rate of urine formation is 2 ml/min, the urine inulin concentration is 25 mg/ml, and the plasma inulin concentration 0.5 mg/ml, then the GFR is ________.
100 mL/min
6.25 mL/min
None of the choices are correct
0.04 mL/min
People with diabetes mellitus have glycosuria because ________.
None of the choices are correct
They have inadequate amounts of ADH
The total renal blood flow is low
The plasma glucose concentration is greater than the renal plasma threshold
The main region of aldosterone action is the ________.
Cortical collecting duct
Distal convoluted tubule
Medullary collecting duct
Proximal convoluted tubule
Aldosterone secretion from the adrenal cortex is stimulated by a(n) ________ in blood Na+ or a(n) ________ in blood K+.
Increase; increase
Increase; decrease
Decrease; increase
Decrease; decrease
Changes in blood volume are detected by ________.
Stretch receptors in the atria
Osmoreceptors in the medulla
Cells in the proximal convoluted tubule
Osmoreceptors in hypothalamus
Hepatic places are separated by large capillary spaces called ________.
Lobules
Hepatocytes
Portal systems
Sinusoids
Choose the structure or substance that is NOT a barrier to acid and pepsin damage in the stomach.
Rapid turnover of epithelial cells
Bicarbonate
Adherent layer of mucus
Gap junctions between epithelial cells
Which of the following is NOT an effect of CCK?
Inhibits gastric motility
Stimulates secretion of pancreatic juice rich in enzymes
Stimulates contraction of the gall bladder
Stimulates secretion of water and bicarbonate rich pancreatic juice
Slow waves of the intestine are produced by what type of cells?
Gastric
SXR
Cajal
Microflora
Removal of the ________ would NOT impact ________.
Stomach; Storage of food
Small intestine; Absorption of sugar and protein
Stomach; Digestion of most foods
Large intestine; Absorption of fat-soluble vitamins
Which tunic of the GI tract is vascular and has many nerves and glands?
Submucosa
Muscularis
Mucosa
Serosa
Vitamin B12 is primarily absorbed in the ________.
Ileum
Cecum
Duodenum
jejunum
Pepsin would not be found in the stomach if the ________ cells were destroyed.
D cells
Parietal
Goblet
Chief or zymogenic
Acidic chyme is buffered by ________ secreted from the pancreas.
Urea
Mucus
Ammonia
Bicarbonate
A patient underwent a partial gastrectomy. As a result of this procedure, the patient ________.
A. May become hypoglycemic due to impaired carbohydrate digestion
Would have an increased risk of peptic ulcers and gastroesophageal reflux disease
May require regular vitamin B12 injections
May experience an irregular increase in hunger due to increased ghrelin secretion
Which of the following are hepatic phagocytic cells of the reticuloendothelial system?
Merkel's cells
Hepatocytes
Kupffer cells
. Langerhans cells
Wavelike muscular contraction of the gastrointestinal tract is called ________.
Mastication
Deglutition
Peristalsis
Segmentation
Inhibition of exocrine pancreatic secretions would result in ________.
Decreased bile synthesis and secretion
Presence of an acidic chyme
Decreased insulin secretion following meals
Stimulation of enterokinase activity
The ________ of the stomach and intestine secrete histamine and serotonin.
Enterochromaffin-like (ECL) cells
G cells
Parietal cells
Chief cells
Choose the physiologic process that should not be compromised by disease of the liver.
Formation of steroid hormones
Storage of glucose and fatty acids throughout the body for long-term energy reserves
Hydrolysis of lactose into lactase and sucrase
Maintenance of blood glucose levels during fasting
Why does the upper third of the esophagus have skeletal muscle in its wall?
So that peristalsis can occur
The first phase of swallowing is involuntary
To prevent choking
The first phase of swallowing is voluntary
Which of the following is NOT a major constituent of bile?
Urea
Bilirubin
Lecithin
Cholesterol
Antihistamines would directly limit the gastric secretion of ________.
Gastrin
Hydrochloric acid
Mucus
Pepsinogen
The majority of hydrolysis of disaccharides occurs by the actions of enzymes found in the ________.
Pancreatic juice
Saliva
Brush border of the small intestine
Gastric mucosa
Which of the following may be beneficial in treating gastric ulcers?
H2 histamine blockers
Gastric inhibitory peptide
Carboxypeptidase
Epinephrine
In the female menstrual cycle ________.
Progesterone secretion is stimulated by LH
Ovulation is stimulated by decreasing concentrations of progesterone
The luteal phase is characterized by high circulating concentrations of estrogens
Menstruation occurs during the last four days of the cycle
Sertoli cells are stimulated by ________, while Leydig cells are stimulated by ________.
FSH; LH
LH; FSH
Testosterone; LH
FSH; testosterone
Day 1 of the menstrual cycle is the ________.
First day of the proliferative phase
Day ovulation occurs
First day of the menses
Last day of the menses
Estradiol amounts rise during the ________ phase of the endometrial menstrual cycle.
Menstrual
Secretory
Proliferative
Follicular
The ________ provides enzymes that allow the sperm to digest a pathway through the zona pellucida to the oocyte.
Blastocyst
Zygote
Chorion
Acrosome
Males lacking testosterone receptors would ________.
Develop as genotypic females
Have testes and female external genitalia
Lack gonads
Have male internal genitalia
For the rhythm method to be successful, coitus must not happen ________.
6 days prior to ovulation through 2 days after ovulation
Both during the first 10 days of the menstrual cycle and during the last 10 days of the menstrual cycle
During the last 10 days of the menstrual cycle
During the first 10 days of the menstrual cycle
Secretion of LH is inhibited by ________.
Rapidly rising concentrations of estradiol
Decreasing concentrations of progesterone
High concentrations of testosterone
High concentrations of inhibin
The LH surge causes ________.
Endometrium build-up
Ovulation
Menses
All of the choices are correct
The ________ phase of the endometrium is supported when the ovary is in the luteal phase.
Menstrual
Proliferative
Ovulatory
Secretory
The first sign of puberty in females is ________.
Breast development
Menarche
Rapid longitudinal growth of the skeleton
Axillary hair growth
Spermatogenesis is regulated by ________.
FSH
Growth hormone
Testosterone and its derivatives
Progesterone
In males, androgens are required for ________.
Maintenance of accessory sex organs
Development of the Müllerian ducts
Initiation of spermatogenesis at puberty
Regression of the wolffian ducts during embryonic development
About 60% of the volume of semen is produced by the ________.
Bulbourethral glands
Prostate gland
Seminal vesicles
Testes
How many sperm are produced from one spermatogonium?
Four
Eight
One
Two
After meiosis I in males, ________ are formed.
Primary spermatocytes
Secondary spermatocytes
Spermatozoa
Spermatids
Gonadotropic hormones from the anterior pituitary will affect the gonads in all of the following ways EXCEPT ________.
Stimulation of spermatogenesis or oogenesis
Maintenance of gonad structures
Suppression of sexual drive
Stimulation of gonadal hormone secretion
Removal of the ________ would result in a lack of energy in the semen to support the sperm cells.
Seminal vesicles
Epididymis
Prostate
Testis
What structure of a mature follicle is a barrier to sperm and fertilization?
Corona radiata
Zona pellucida
Cumulus oophorus
Antrum
Choose the event in the male reproductive process that does not involve the Sertoli cells.
Protection of developing sperm from the male's immune system
Production of androgen-binding protein
FSH stimulation of spermiogenesis
Production of testosterone
If an individual consumes excess calories in the form of carbohydrates, the excess energy is stored as ________.
Structural carbohydrates
Glycogen
Skeletal muscle
Adipose tissue
Which hormones are involved in long-term regulation of hunger?
Leptin and CCK
Leptin and insulin
Insulin and PYY
Ghrelin and CCK
The metabolic rate of an awake, relaxed person, 12 to 14 hours after eating, at a comfortable temperature is known as the ________.
Average metabolic rate
Basal metabolic rate
Metabolic rate
Oxidative metabolic rate
The preferred energy source for resting skeletal muscle is ________.
Glucose
Fatty acids
Glycogen
Protein
A positive energy balance occurs when ________.
Daily energy expenditure balance the calorie intake over time
Daily energy expenditure is greater than the calorie intake over time
You lose weight
Calorie intake is greater than daily energy expenditure over time
Where is the major site of body energy storage?
White adipose tissue
Inside skeletal muscle cells
Brown adipose tissue
Liver
Metabolic rate can be measured by the ________.
Amount of oxygen consumed by the body
Sheart and respiration rate
Amount of heat generated by the body
Amount of heat generated and the amount of oxygen consumed by the body
The only energy source for the brain is ________.
Glucose
Fatty acid
Glycogen
Protein
What hormone is important in adaptive thermogenesis?
Insulin
Calcitonin
Thyroxine
MSH
Lipolysis is increased by ________.
Epinephrine
Growth hormone
Glucagon
All of the choices are correct
Reactions that cause triglyceride storage to increase, and bones of the skeleton to grow longer, would be considered ________.
Catabolic
Anabolic
Hydrolytic
Degradation
The BMI of a female weighing 130 pounds with a height of 68 inches would be closest to ________.
2.4
76.5
34.8
19.8
The satiety factor that acts to suppress neuropeptide Y and stimulate MSH release is ________.
Leptin
Glucose
MSH
Insulin
Which of the following is an adipose tissue hormone that stimulates glucose utilization and fatty acid oxidation in muscle cells, thereby producing an insulin-sensitizing, antidiabetic effect?
Adiponectin
TNF alpha
Leptin
Resistin
Satiety would be induced by all of the following EXCEPT ________.
Naloxone
Serotonin
Cholecystokinin
Ghrelin
Decreased leptin secretion should not cause ________.
Menstrual abnormalities
Suppression of appetite
A decline in helper T abilities
Delayed onset of puberty
Since they are released between meals, ________ are involved in the short-term regulation of hunger.
Ghrelin and CCK
Insulin and PYY
Leptin and insulin
Leptin and CCK
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