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Anatomy & Physiology for Myomassologists Urinary System Description: Functions of the Urinary System: Removal of wastes from the blood Regulates the content of blood Regulates blood pressure maintains water and pH balances The Kidneys: Located; superior to the waist, retro-peritoneal plane, between T12 & L3 Internal Structure – Renal Cortex – outer layer Renal medulla – inner layer Pyramids – divisions of the medulla Nephron – the ‘filter’ Renal pelvis – beginning of the ureter Urine formation: Glomerular filtration – Tubular reabsorption – Tubular secretion – Ureters – Drain urine from the kidneys to the urinary bladder Urinary Bladder – stores urine before voiding Urethra – duct/passageway from bladder out of the body. Randy Fillion NCTMB 1 Anatomy & Physiology for Myomassologists Urinary Multiple Choice Identify the letter of the choice that best completes the statement or answers the question. ____ 1. What is removal and release of solid waste products from food that cannot be digested or absorbed? a. Micturition b. Elimination c. Eradication d. Urination ____ 2. The inability to control urination or defecation, most often because of weak pelvic floor muscles or nerve damage is which of the following? a. Colostomy b. Colitis c. Micturition d. Incontinence ____ 3. What is the clinical term for urination, or voiding? a. Bowel movement b. Peristalsis c. Micturition d. Jejunum ____ 4. The mucous membrane that lines the abdominal cavity to prevent friction from the organs is which of the following? a. Peritoneum b. Periosteum c. Pericardium d. Perineurium ____ 5. While working on a client, he complains about lower right quadrant pain and nausea. He feels slightly warm but doesn’t have any other complaints. Which is the appropriate course of action? a. Massage to increase circulation to the lower limbs b. Immediate referral to the emergency department to assess for appendicitis c. Palpation assessment to the lower right quadrant and treatment with reflexology d. Massage application focused to support the lymphatic system Randy Fillion NCTMB 2 Anatomy & Physiology for Myomassologists ____ 6. Which of the following massage methods would have the most influence of the ____ movement of water in the body? a. Friction b. Gliding c. Rocking d. Stretching 7. A client runs every morning as part of her fitness program. During warm weather she sweats more. What should the massage therapist assess for with this client? a. Hydrostatic forces b. Osmotic pressure c. Dehydration d. pH balance ____ 8. Which of the following requires the most caution when applying massage methods that specifically target fluid movement in the body? a. Interstitial edema b. Kidney disease c. Incontinence d. Cystitis ____ 9. A client is in her third trimester. The massage therapist notices that there is a significant increase in edema in the legs. What should be done? a. Lymphatic drain to manage discomfort b. Immediate referral to a physician c. Increased fluid intake d. Referral to a physician with warning that miscarriage is possible ____ 10. The kidneys are located on the posterior abdominal wall at what spinal level? a. T-4 to T-8 b. T-8 to T-11 c. T-11 to L-3 d. L-3 to L-5 ____ 11. What two narrow tubes extend from the kidneys to the bladder? a. Nephrons b. Urethras c. Detrusors d. Ureters ____ 12. What is micturition? a. Inflammation of the cortex of the kidneys b. Parasympathetic action with voluntary control, known as urination c. Increase of nitrogen and ammonia in the urine d. Hormone produced by the kidneys that affects red blood cell production Randy Fillion NCTMB 3 Anatomy & Physiology for Myomassologists ____ 13. In men, what is the gland surrounding the urethra that produces an alkaline fluid? a. Prostate gland b. Seminal vesicle c. Bladder d. Bartholin gland ____ 14. What is the uterus? a. Flexible, fibromuscular tube about 3.5 inches long b. Hollow, muscular organ shaped like a pear c. Funnel-shaped tube about 4 inches long d. Solid gland that produces the hormones estrogen and progesterone Label the following structures: Kidney, Adrenal Gland, Ureter, Urinary Bladder, Renal Artery, Renal Vein Randy Fillion NCTMB 4