This MCQ tests understanding of basic priciples relating to kidney anatomy (microanatomical structure) and function (ex. main functions of the kidney).
Peer reviewed by Jonathan Loomes-Vrdoljak on 5 August 2019
Intro to the Kidney MCQ
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Question 1 |
Inulin is one of the most accurate measures of urinary excretion rate, why is this?
It is filtered and partially reabsorbed so it accurately reflects what happens to substances in the filtrate | |
It is filtered only, so its concentration in the urine is proportionate to the amount in the blood | |
It is filtered and secreted, accurately representing how the kidney processes multiple substances as a whole | |
It is filtered and completely reabsorbed, reflecting how glucose is handled by the kidney |
Question 2 |
Which is not one of the four ways a substance is handled by the kidney?
Filtered | |
Filtered and partially reabsorbed | |
Filtered and completely reabsorbed | |
None of the above
|
Question 2 Explanation:
These are all ways in which the kidney handles substances
Question 3 |
How is urinary excretion rate altered by a high reabsorption rate?
It is increased | |
It is decreased | |
It does not alter urinary excretion rate | |
It is not part of the equation |
Question 4 |
Outline, in sequence, the blood supply for the kidney beginning from renal artery to venous supply
Renal artery, segmental artery, interlobar artery, arcuate artery, interlobular artery, afferent arteriole, glomerulus, efferent arteriole, peritubular capillaries/vasa recta. | |
Renal artery, interlobular artery, interlobar artery, arcuate artery, segmental artery, afferent arteriole, glomerulus, peritubular capillaries/vasa recta efferent arteriole | |
Renal artery, segmental artery, interlobular artery, arcuate artery, interlobar artery, afferent arteriole, glomerulus, peritubular capillaries/vasa recta, efferent arteriole | |
Renal artery, segmental artery, interlobular artery, arcuate artery, interlobular artery, afferent arteriole, glomerulus, efferent arteriole, peritubular capillaries/vasa recta. |
Question 5 |
Which of the following is not a function of the kidney?
Calcium homeostasis | |
Regulation of ECF sodium | |
Synthesis of ADH | |
Regulation of body fluid volume |
Question 5 Explanation:
ADH is synthesised in the hypothalamus
Question 6 |
What would be the most likely long-term consequence of chronic kidney disease?
Anaemia of chronic disease | |
Liver cirrosis | |
Portal hypertension | |
Cancer |
Question 6 Explanation:
In chronic kidney disease endocrine functions of the kidney are reduced/impaired, including its ability to produce EPO, which normally promotes the formation of red blood cells.
Question 7 |
Which of the following is not produced by the kidney?
EPO | |
1-alpha hydroxylase | |
Angiotensin converting enzyme (ACE) | |
Renin |
Question 7 Explanation:
Angiotensin converting enzyme is produced in the lungs
Question 8 |
What property of the epithelium in the proximal convoluted tubule is related to its function?
The thin layer of the simple squamous epithelium allows important molecules to diffuse more easily | |
The brush border of cuboidal epithelium maximises the surface area for absorption of molecules | |
The columnar epithelium ensure quick active transport of a high concentration of important molecules across the membrane | |
The stratified squamous epithelium helps to resist the wear and tear of high volume filtrate entering the PCT
|
Question 9 |
A patient has nephrogenic diabetes insipidus. Which part of the uriniferous tubule is most likely to be affected?
Proximal convoluted tubule | |
Collecting duct | |
Thick ascending loop of Henle | |
Thick descending loop of Henle |
Question 9 Explanation:
ADH acts on the distal convoluted tubule and collecting duct to promote the expression of Aquaporin 2, which reabsorbs water from the filtrate, leading to more concentrated urine and increased hydration.
Question 10 |
What type of cell is present in the thick ascending loop of Henle?
Simple squamous | |
Simple cuboidal | |
Ciliated simple cuboidal | |
Simple columnar |
Question 10 Explanation:
Simple cuboidal cells differ from simple squamous cells in that they have a larger cell volume. Functionally, this indicates that there is increased production or absorption of certain substances by the cell.
The thick ascending loop of Henle is a major absorption site for potassium, sodium and calcium ions, in contrast to the thin ascending loop where no ion absorption takes place (the cells are thus simple squamous here)
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