In the kidney, where are the mechanisms found that are responsible for increasing urine concentration?
Calyx.
Proximal convoluted tubule.
Renal pelvis.
The loop of Henle.
The Correct Answer is D
The loop of Henle, a critical structure within the nephron of the kidney, plays a key role in the concentration of urine through the process of countercurrent multiplication. Here's why option D is the correct choice:
A) Calyx:
The calyx is a structure in the kidney that collects urine from the renal papillae and channels it into the renal pelvis. It does not directly participate in the concentration of urine.
B) Proximal convoluted tubule:
The proximal convoluted tubule primarily reabsorbs water, electrolytes, and nutrients from the glomerular filtrate, but it does not contribute significantly to the concentration of urine.
C) Renal pelvis:
The renal pelvis is a funnel-shaped structure that collects urine from the calyces and funnels it into the ureter. It is not directly involved in the concentration of urine.
D) The loop of Henle:
Correct. The loop of Henle is the nephron segment responsible for generating a hypertonic medullary interstitium, which creates the osmotic gradient necessary for urine concentration. The loop of Henle achieves this through countercurrent multiplication, where the descending limb allows passive reabsorption of water, while the ascending limb actively pumps out sodium and chloride ions. This creates an osmotic gradient that allows for further water reabsorption in the collecting ducts, leading to concentrated urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Leukotrienes are inflammatory mediators derived from arachidonic acid metabolism, primarily produced by leukocytes (white blood cells) such as mast cells, eosinophils, and basophils. In the context of asthma, leukotrienes play a significant role in the pathophysiology of the disease by contributing to airway inflammation and bronchoconstriction. Here's a breakdown of their immune response:
A) Produce the sensation of itching:
Leukotrienes are not directly involved in producing the sensation of itching. Itching is often associated with histamine release rather than leukotrienes.
B) Tighten airway and produce mucous:
Correct. Leukotrienes are potent bronchoconstrictors that cause smooth muscle contraction in the airways, leading to narrowing (constriction) of the bronchioles. Additionally, they stimulate the secretion of mucus from goblet cells in the airway epithelium, contributing to airway obstruction and mucus production, which are characteristic features of asthma exacerbations.
C) Causes formation of bradykinin:
Bradykinin is a peptide mediator that is generated from the plasma protein kininogen and is involved in vasodilation, pain sensation, and inflammation. Leukotrienes are not directly responsible for the formation of bradykinin.
D) Serves as a receptor for antigen:
Leukotrienes do not serve as receptors for antigens. Instead, they are lipid mediators released in response to various stimuli, including allergens, infections, and irritants, and they act on specific receptors (e.g., leukotriene receptors) to exert their effects, such as bronchoconstriction and inflammation
Correct Answer is B
Explanation
Parkinson's disease (PD) is a neurodegenerative disorder characterized by the progressive degeneration of dopaminergic neurons in the substantia nigra of the basal ganglia. This degeneration leads to a deficiency of dopamine, a neurotransmitter involved in the regulation of movement and coordination. The inability to express oneself, as seen in the client's mumbling, can be attributed to the motor symptoms of PD, particularly bradykinesia (slowness of movement) and hypomimia (reduced facial expression), which result from dopaminergic neuron degeneration.
A) Damage to Broca's area in the temporal lobe of the brain:
Damage to Broca's area typically results in expressive aphasia, which is characterized by difficulty speaking and forming coherent sentences. While speech difficulties can occur in PD, they are primarily due to motor dysfunction rather than damage to specific language centers in the brain.
B) Degeneration of dopaminergic neurons of the basal ganglia:
Correct. Degeneration of dopaminergic neurons in the basal ganglia, particularly the substantia nigra, is the primary pathological factor in Parkinson's disease. This degeneration leads to motor symptoms such as bradykinesia, tremor, and rigidity, which can affect the client's ability to speak clearly and express himself.
C) Brain atrophy with diffuse amyloid plaques disposition:
This description is more characteristic of Alzheimer's disease, a different neurodegenerative disorder characterized by brain atrophy and the deposition of amyloid plaques. While cognitive impairment can occur in PD, the primary motor symptoms are related to dopaminergic neuron degeneration rather than amyloid plaque deposition.
D) Paralysis of the pharyngeal and epiglottal area:
Paralysis of the pharyngeal and epiglottal area can lead to dysphagia (difficulty swallowing) rather than difficulty expressing oneself verbally. While dysphagia can occur in PD, it is not typically the primary factor contributing to speech difficulties in this condition.
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