Acid-Base Balance Mechanisms Quiz

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Questions and Answers

What is the normal pH range for maintaining acid-base balance in the extracellular compartment?

  • 6.8 to 7.8
  • 7.2 to 7.4
  • 7.35 to 7.45 (correct)
  • 7.0 to 7.5

Which mechanism is primarily responsible for rapid compensation in acid-base balance?

  • Hormonal regulation
  • Renal function
  • Buffer systems (correct)
  • Immune response

What is the bicarbonate to carbonic acid ratio in the body's major extracellular buffer system?

  • 25:1
  • 20:1 (correct)
  • 15:1
  • 10:1

What happens to the pH if the bicarbonate and carbonic acid ratio deviates from 20:1?

<p>It leads to acid-base imbalance. (B)</p> Signup and view all the answers

How does the body compensate when it becomes too acidic?

<p>It removes excess hydrogen ions. (B)</p> Signup and view all the answers

Which of the following is NOT a mechanism for maintaining acid-base balance?

<p>Muscles (D)</p> Signup and view all the answers

What indicator is primarily used to assess acid-base balance in the blood?

<p>Hydrogen ion concentration (B)</p> Signup and view all the answers

When carbon dioxide levels increase, what happens to carbonic acid levels?

<p>They increase (C)</p> Signup and view all the answers

Which action do the kidneys take in response to metabolic acidosis?

<p>Excrete hydrogen ions (A), Conserve bicarbonate ions (D)</p> Signup and view all the answers

What occurs in the lungs during metabolic alkalosis?

<p>Decreased respiratory rate to retain CO2 (D)</p> Signup and view all the answers

What is the primary characteristic of metabolic acidosis?

<p>Low pH and low plasma bicarbonate concentration (D)</p> Signup and view all the answers

What does the anion gap indicate in plasma?

<p>Unmeasured anions such as phosphates and sulfates (C)</p> Signup and view all the answers

Which equation is typically used to calculate the anion gap?

<p>Anion gap = NA+ - (Cl- + HCO3-) (D)</p> Signup and view all the answers

What is the normal range for the anion gap without potassium in the equation?

<p>8 to 12 mEq/L (A)</p> Signup and view all the answers

How do the kidneys respond to respiratory alkalosis?

<p>Excrete bicarbonate ions and retain hydrogen ions (B)</p> Signup and view all the answers

Which of the following buffers is classified as an intracellular buffer?

<p>Hemoglobin (C)</p> Signup and view all the answers

What urine chloride concentration level indicates hypovolemia and hypochloremia?

<p>Less than 15 mEq/L (D)</p> Signup and view all the answers

Which of the following conditions is NOT associated with low urine chloride concentrations?

<p>Mineralocorticoid excess (A)</p> Signup and view all the answers

Which treatment is primarily aimed at correcting metabolic alkalosis?

<p>Administering sodium chloride fluids (C)</p> Signup and view all the answers

What is the primary cause of respiratory acidosis?

<p>Inadequate ventilation leading to CO2 retention (A)</p> Signup and view all the answers

What urine chloride concentration level may indicate mineralocorticoid excess or alkali loading?

<p>Exceeds 40 mEq/L (A)</p> Signup and view all the answers

Which medication can help decrease metabolic alkalosis associated with gastric suction?

<p>H2 receptor antagonists (C)</p> Signup and view all the answers

How is respiratory acidosis defined in terms of pH and PaCO2 levels?

<p>pH less than 7.35 and PaCO2 greater than 42 mm Hg (D)</p> Signup and view all the answers

What must be monitored carefully in patients with metabolic alkalosis to prevent further complications?

<p>Fluid intake and output (D)</p> Signup and view all the answers

What is the consequence of chronic PaCO2 levels being higher than 50 mm Hg?

<p>Hypoxemia becomes the major drive for respiration (A)</p> Signup and view all the answers

What is indicated when arterial blood gas analysis reveals a pH lower than 7.35?

<p>Respiratory acidosis (C)</p> Signup and view all the answers

Which diagnostic measure is essential for suspected respiratory infections?

<p>Chest x-ray (B)</p> Signup and view all the answers

What is a primary goal of the medical management of respiratory acidosis?

<p>Improving ventilation (C)</p> Signup and view all the answers

What should be monitored to avoid complications of mechanical ventilation?

<p>Fraction of inspired oxygen (FiO2) (C)</p> Signup and view all the answers

What is the primary treatment for clearing the respiratory tract of mucus?

<p>Pulmonary hygiene measures (C)</p> Signup and view all the answers

In patients with chronic respiratory acidosis, why should oxygen be administered cautiously?

<p>It may remove the stimulus of hypoxemia. (B)</p> Signup and view all the answers

What is the recommended position to facilitate chest wall expansion in respiratory acidosis?

<p>Semi-Fowler’s position (A)</p> Signup and view all the answers

What is the recommended initial treatment for respiratory alkalosis caused by anxiety?

<p>Breathe more slowly or into a closed system (A)</p> Signup and view all the answers

Which condition cannot exist as a mixed acid-base disorder?

<p>Mixed respiratory acidosis and alkalosis (B)</p> Signup and view all the answers

How do the lungs compensate for metabolic disturbances?

<p>By increasing CO2 excretion (B)</p> Signup and view all the answers

Which of the following best describes the role of the kidneys in respiratory alkalosis?

<p>Increasing bicarbonate excretion (C)</p> Signup and view all the answers

What is the primary purpose of blood gas analysis?

<p>To identify specific acid-base disturbances and the degree of compensation (C)</p> Signup and view all the answers

Which statement about compensation for acid-base disorders is accurate?

<p>Lungs compensate for metabolic imbalances rapidly, while kidneys take longer. (D)</p> Signup and view all the answers

During which scenario is metabolic acidosis likely to be compensated by increasing ventilation rate?

<p>Lactic acid build-up from vigorous exercise (D)</p> Signup and view all the answers

Which of the following best describes a normal compensation ratio of bicarbonate to carbonic acid?

<p>20:1 (C)</p> Signup and view all the answers

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