Human urinary system, kidney organisation and nephron structure
Question 1
A simplified longitudinal kidney section marks the central funnel-shaped collecting space inner to the hilum with ?. Which structure is marked?
(a)The external capsule surrounding the cortex
(b)A Column of Bertini
(c)A medullary pyramid
(d)Renal pelvis
Show answer
(d) Renal pelvis
The renal pelvis is the broad funnel-shaped space inner to the hilum and receives the calyces. The tough capsule covers the outside, the cortex lies beneath it, and the medulla lies further inward around the collecting region.
Question 2
In the diagram, nephron A has its corpuscle and convoluted tubules in the cortex, while its long loop extends deep into the medulla beside a well-developed vasa recta. Which interpretation is correct?
(a)A is cortical; cortical nephrons have the long deep loop and well-developed vasa recta.
(b)A is juxtamedullary; its long loop extends deep into the medulla, but its corpuscle, PCT and DCT are cortical.
(c)A is cortical because any nephron with a vasa recta keeps its loop entirely within the cortex.
(d)A is juxtamedullary, and all of its segments including corpuscle, PCT and DCT lie in the medulla.
Show answer
(b) A is juxtamedullary; its long loop extends deep into the medulla, but its corpuscle, PCT and DCT are cortical.
A long loop extending deep into the medulla with a developed vasa recta identifies a juxtamedullary nephron. Its renal corpuscle, PCT and DCT nevertheless remain in the cortical region; the loop is the part that dips into the medulla.
Micturition, urine characteristics and accessory excretory organs
Question 3
Which comparison correctly describes the primary and additional roles of sweat?
(a)Cooling is primary; removal of water, sodium chloride and small amounts of urea and lactic acid is an additional role.
(b)Cooling is primary, but sweat removes no waste because only kidneys contribute to excretion.
(c)Removal of bile pigments is primary; cooling and salt removal do not occur through sweat.
(d)Urea excretion is primary; cooling is only an accidental secondary effect.
Show answer
(a) Cooling is primary; removal of water, sodium chloride and small amounts of urea and lactic acid is an additional role.
The primary function of sweat is to cool the body surface. Sweat also helps eliminate water, sodium chloride and small amounts of urea and lactic acid. This accessory role does not make sweat chiefly a urea-excretion mechanism, nor does it make kidneys the only excretory organs.
Question 4
A learner writes, ‘Micturition is purely local: the bladder relaxes while the urethral sphincter contracts. Normal urine is alkaline and contains large plasma proteins.’ Which one corrects all three errors?
(a)Stretch receptors and the CNS control the reflex; the bladder relaxes as the sphincter contracts; normal urine is watery and slightly acidic.
(b)The response is purely local and non-neural; the bladder contracts as the sphincter relaxes; normal urine is watery and slightly acidic.
(c)Stretch receptors and the CNS control the reflex; the bladder contracts as the sphincter relaxes; normal urine is alkaline and protein-rich.
(d)Stretch receptors and the CNS control the reflex; the bladder contracts as the sphincter relaxes; normal urine is watery and slightly acidic.
Show answer
(d) Stretch receptors and the CNS control the reflex; the bladder contracts as the sphincter relaxes; normal urine is watery and slightly acidic.
Micturition is a neural reflex involving bladder-wall stretch receptors, CNS signalling and voluntary CNS control. Urine release requires contraction of bladder smooth muscle together with relaxation of the urethral sphincter. Normal urine is watery and slightly acidic at about pH 6.0.
Urine formation by filtration, reabsorption and secretion
Question 5
A filtration-barrier diagram shows blood separated from Bowman's-capsule lumen by three layers. Which account correctly distinguishes the filtrate formed there from plasma and final urine?
(a)The approximately 125 mL formed each minute is final urine output rather than glomerular filtrate.
(b)Plasma proteins normally pass with all other plasma constituents into Bowman's-capsule lumen.
(c)Only about one per cent of the filtrate is reabsorbed before final urine is released.
(d)Almost all plasma constituents except proteins enter Bowman's-capsule lumen; this filtrate is later extensively reabsorbed before urine is released.
Show answer
(d) Almost all plasma constituents except proteins enter Bowman's-capsule lumen; this filtrate is later extensively reabsorbed before urine is released.
Glomerular capillary pressure filters through endothelium, basement membrane and Bowman's-capsule epithelium with filtration slits. Almost all plasma constituents except proteins pass into the lumen; the approximately 125 mL min⁻¹ formed is filtrate, not the much smaller final urine output.
Question 6
The feedback strip reads: fall in GFR → JG-cell activation → ? → increased glomerular blood flow and restoration of GFR. Which event belongs at the marked stage?
(a)Return of hydrogen ions, potassium ions and ammonia from filtrate to blood by secretion
(b)Release of renin by JG cells
(c)Passage of plasma proteins into Bowman's-capsule lumen
(d)Suppression of renin release by JG cells
Show answer
(b) Release of renin by JG cells
A fall in GFR activates juxtaglomerular cells to release renin. In the chapter's account, renin helps stimulate glomerular blood flow and return GFR toward normal; this feedback is distinct from tubular secretion of ions or ammonia.
Segment-specific functions of the renal tubule
Question 7
Which one corrects both the 'fixed DCT' and 'inactive collecting duct' claims?
(a)DCT conditionally reabsorbs sodium and water, also reabsorbs bicarbonate and selectively secretes H+, K+ and ammonia. The collecting duct can reabsorb much water, pass some urea to medullary interstitium and secrete H+ and K+.
(b)DCT reabsorbs sodium and water at one fixed unconditional rate; the collecting-duct functions stated are otherwise correct.
(c)DCT secretes bicarbonate while reabsorbing H+ and K+; the collecting duct only transports sodium.
(d)DCT transport is conditional as stated, but the collecting duct neither reabsorbs water nor permits urea passage and has no pH role.
Show answer
(a) DCT conditionally reabsorbs sodium and water, also reabsorbs bicarbonate and selectively secretes H+, K+ and ammonia. The collecting duct can reabsorb much water, pass some urea to medullary interstitium and secrete H+ and K+.
The DCT is a conditional rather than invariant site for sodium and water reabsorption; it also helps acid-base and ionic balance. The collecting duct can reclaim large amounts of water, let some urea enter the medullary interstitium, and secrete H+ and K+.
Question 8
Which fix simultaneously corrects a claim that minimises PCT reabsorption, swaps Henle-limb water permeability and predicts ascending concentration?
(a)PCT is only a minor site of reabsorption; the stated Henle-limb properties and ascending dilution are otherwise correct.
(b)PCT reabsorbs nearly all essential nutrients and about 70–80% of electrolytes and water. Descending Henle permits water but is nearly impermeable to electrolytes, while ascending Henle is water-impermeable, transports electrolytes and dilutes its filtrate.
(c)PCT is a major site of reabsorption, but descending Henle is water-impermeable while ascending Henle is water-permeable; ascending filtrate is diluted.
(d)PCT is a major site of reabsorption and the limb permeabilities are correctly opposed, but electrolyte loss makes ascending filtrate more concentrated.
Show answer
(b) PCT reabsorbs nearly all essential nutrients and about 70–80% of electrolytes and water. Descending Henle permits water but is nearly impermeable to electrolytes, while ascending Henle is water-impermeable, transports electrolytes and dilutes its filtrate.
The PCT performs bulk reabsorption, including nearly all essential nutrients and about 70–80% of electrolytes and water. Water leaves the descending limb, whereas electrolytes leave the water-impermeable ascending limb, so descending filtrate concentrates and ascending filtrate dilutes.
Counter-current mechanism and concentration of urine
Question 9
Which one corrects same-direction flow, a reversed gradient and a water-only explanation?
(a)Counter-current flows and 300→1200 values are correct, but only water creates the medullary gradient; NaCl and urea do not contribute.
(b)Counter-current flows are opposite, but osmolarity falls from about 1200 in cortex to about 300 mOsmol L⁻¹ in inner medulla.
(c)Flow is opposite in paired limbs of both Henle's loop and vasa recta. Interstitial osmolarity rises from about 300 mOsmol L⁻¹ in cortex to about 1200 mOsmol L⁻¹ in inner medulla, chiefly with NaCl and urea contributions.
(d)Flows in paired limbs run in the same direction; the 300→1200 gradient and NaCl–urea contributions are otherwise correct.
Show answer
(c) Flow is opposite in paired limbs of both Henle's loop and vasa recta. Interstitial osmolarity rises from about 300 mOsmol L⁻¹ in cortex to about 1200 mOsmol L⁻¹ in inner medulla, chiefly with NaCl and urea contributions.
Counter current refers to opposite directions in paired limbs of Henle's loop and likewise of the vasa recta. This arrangement helps maintain a corticomedullary gradient rising approximately 300→1200 mOsmol L⁻¹, with NaCl and urea as the principal solutes described.
Question 10
Which causal chain links exchange, gradient maintenance and urine concentration without a missing step?
(a)The solute-recycling routes are correct, but collecting-tubule water leaves and urine concentrates independently of any medullary gradient.
(b)NaCl is recycled only through the collecting tubule, while urea is carried exclusively by the vasa recta.
(c)The vasa recta carries all exchanged NaCl out of the medulla instead of returning it; the gradient-concentration link is otherwise correct.
(d)NaCl leaves ascending Henle, exchanges into descending vasa recta and is returned to interstitium by ascending vasa recta. Some urea enters thin ascending Henle and returns via collecting tubule. This maintains a gradient that draws water from collecting tubule and can make urine nearly four times as concentrated.
Show answer
(d) NaCl leaves ascending Henle, exchanges into descending vasa recta and is returned to interstitium by ascending vasa recta. Some urea enters thin ascending Henle and returns via collecting tubule. This maintains a gradient that draws water from collecting tubule and can make urine nearly four times as concentrated.
Vasa-recta exchange limits NaCl washout by returning salt to the medullary interstitium, while urea also recycles through the described tubular route. Retained solute maintains the osmotic gradient, which facilitates water passage from the collecting tubule and supports urine approaching four times initial-filtrate concentration.
Hormonal and feedback regulation of kidney function
Question 11
Which comparison correctly distinguishes the renin–angiotensin–aldosterone response from ANF?
(a)High rather than low GFR triggers JG-cell renin; all later RAAS and ANF effects are otherwise correct.
(b)Low glomerular flow, pressure or GFR triggers JG-cell renin. Angiotensin II constricts vessels and stimulates adrenal-cortex aldosterone, which increases distal sodium-water reabsorption. Increased atrial flow releases ANF, which vasodilates and lowers pressure, checking RAAS.
(c)Low GFR triggers renin and angiotensin II, but aldosterone causes distal sodium and water loss rather than reabsorption.
(d)RAAS is initiated by low GFR and aldosterone increases reabsorption, but ANF reinforces angiotensin vasoconstriction and raises pressure.
Show answer
(b) Low glomerular flow, pressure or GFR triggers JG-cell renin. Angiotensin II constricts vessels and stimulates adrenal-cortex aldosterone, which increases distal sodium-water reabsorption. Increased atrial flow releases ANF, which vasodilates and lowers pressure, checking RAAS.
A fall in glomerular flow, pressure or GFR activates JG cells to release renin and leads to angiotensin II. Angiotensin II raises pressure and promotes aldosterone-mediated distal sodium-water reabsorption; ANF opposes this response through vasodilation and reduced blood pressure.
Excretory disorders, haemodialysis and kidney transplantation
Question 12
The diagram represents haemodialysis in a patient with uremia. Which statement correctly predicts the process?
(a)Nitrogenous wastes move from blood into the dialysing fluid, while blood cells remain in the blood path.
(b)The waste-rich dialysing fluid drives nitrogenous wastes from the fluid into the blood.
(c)Whole blood cells pass through the porous membrane into the dialysing fluid together with the wastes.
(d)Uremia means excess urea is in urine, so the patient's blood has no relevant urea to remove.
Show answer
(a) Nitrogenous wastes move from blood into the dialysing fluid, while blood cells remain in the blood path.
Uremia is harmful accumulation of urea in blood. Because nitrogenous wastes are absent outside the tube, they move out of blood across the porous membrane down their concentration gradients. The process clears the blood of wastes; it does not transfer whole blood cells into the fluid.
Question 13
In the NCERT chapter’s simplified haemodialysis model, a learner writes: “Uremia is urea accumulation in urine. Blood cells cross into dialysis fluid, anti-heparin is added before treatment, and heparin before return.” Which correction matches that model?
(a)Uremia is urea in blood; blood cells cross into the fluid; heparin is added before dialysis and anti-heparin before return.
(b)Uremia is urea in urine; nitrogenous wastes cross while blood cells remain; heparin is added before dialysis and anti-heparin before return.
(c)Uremia is urea in blood; nitrogenous wastes cross while blood cells remain; heparin is added before dialysis and anti-heparin before return.
(d)Uremia is urea in blood; nitrogenous wastes cross while blood cells remain; anti-heparin is added before dialysis and heparin before return.
Show answer
(c) Uremia is urea in blood; nitrogenous wastes cross while blood cells remain; heparin is added before dialysis and anti-heparin before return.
In the textbook dialysis model, uremia is accumulation of urea in blood when kidney function is impaired. Small waste molecules pass across the dialysis membrane down concentration gradients, while blood cells remain in the blood. The chapter describes heparin before blood enters the unit and an anti-heparin step before it returns. This is the simplified sequence tested here, not a complete clinical dialysis protocol.
Nitrogenous wastes, excretory modes and animal excretory structures
Question 14
For mammals, the process strip shows metabolic ammonia followed by a missing stage, release into blood and kidney excretion. What belongs at the missing stage?
(a)Direct elimination of unconverted ammonia without liver conversion
(b)Conversion of ammonia to urea in the liver
(c)Storage of ammonia in the urinary bladder before it enters blood
(d)Conversion of ammonia to uric acid at the gill surface
Show answer
(b) Conversion of ammonia to urea in the liver
mammals are listed as mainly ureotelic. Metabolic ammonia is converted to urea in the liver, released into blood and then filtered and excreted by the kidneys.
Question 15
A learner claims, ‘Ammonia is the least toxic and most water-conserving waste, and all fishes excrete it chiefly through their kidneys.’ Which one is fully correct?
(a)Ammonia is most toxic and needs much water; all fishes are ammonotelic and release it by diffusion.
(b)Ammonia is least toxic and needs minimum water; many bony fishes release it by diffusion, but marine fishes are ureotelic.
(c)Ammonia is most toxic and needs much water; ammonotelic animals remove it chiefly through their kidneys.
(d)Ammonia is most toxic and needs much water; many bony fishes release it by diffusion, but marine fishes are mainly ureotelic.
Show answer
(d) Ammonia is most toxic and needs much water; many bony fishes release it by diffusion, but marine fishes are mainly ureotelic.
Ammonia is the most toxic major nitrogenous waste and needs much water. Many bony fishes generally diffuse it across body or gill surfaces with no significant kidney role, while marine fishes are listed among mainly ureotelic animals.
Common misconception in Excretory Products and Their Elimination
Is everything filtered by the kidney lost in urine?
Wrong
All filtered glucose ends up in urine.
Why it feels right. Filtration sounds like a one-way removal step.
Right
The tubules reabsorb useful filtered substances.
Worked example
Glucose path
Blood→Filtrate→Reabsorbed in tubule→Blood
Filtered glucose enters the tubule first. Under normal conditions nearly all is transported back toward the blood.
Trace glucose from the blood into the filtrate.
In normal conditions most or all filtered glucose is taken back into the blood along the tubules.
Cookies
We use cookies, including Meta’s and, if a ChatGPT advert brought
you, OpenAI’s, to see how visitors find us.
They are never used on your child’s screens in the app. You can turn them
off here, and change your mind any time.
Privacy policy