Fluid Compartments and Ion Concentrations Quiz

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Questions and Answers

What is the normal hematocrit value in men?

  • 0.36
  • 0.65
  • 0.10
  • 0.40 (correct)

What is the normal hematocrit value in women?

  • 0.65
  • 0.36 (correct)
  • 0.40
  • 0.10

What is the fraction of the blood composed of red blood cells?

  • 40% (correct)
  • 65%
  • 60%
  • 10%

What causes the hematocrit to fall to as low as 0.10?

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

What causes polycythemia, leading to a rise in hematocrit to 0.65?

<p>Excessive production of red blood cells (C)</p> Signup and view all the answers

What is the main difference between plasma and interstitial fluid?

<p>$60 ext{%}$ protein content in plasma (A)</p> Signup and view all the answers

Why does plasma have a slightly greater concentration of positively charged ions than interstitial fluid?

<p>Due to the Donnan effect caused by plasma proteins (C)</p> Signup and view all the answers

What separates plasma and interstitial fluid?

<p>Highly permeable capillary membranes (B)</p> Signup and view all the answers

What fills the semicircular ducts and the ampulla?

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

What structure has a small crest called a crista ampullaris?

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

What causes the cupula to bend to one side?

<p>Inertia of the fluid in the semicircular ducts (A)</p> Signup and view all the answers

How are the three semicircular ducts arranged?

<p>At right angles to one another (A)</p> Signup and view all the answers

What happens when a person's head rotates in any direction?

<p>Fluid flows through the duct and ampulla, bending the cupula (A)</p> Signup and view all the answers

What excites the sensory organ of the ampulla?

<p>Flow of endolymph through the ampulla (B)</p> Signup and view all the answers

What is located on top of the small crest called a crista ampullaris?

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

What causes fluid to flow from the duct and through its ampulla?

<p>Inertia of the fluid in the semicircular ducts (B)</p> Signup and view all the answers

What is the main reason for the higher concentration of negatively charged ions (anions) in interstitial fluid compared with plasma?

<p>Repulsion by the negative charges of plasma proteins (B)</p> Signup and view all the answers

Why does the intracellular fluid contain only small quantities of sodium and chloride ions?

<p>Selective permeability of the cell membrane (C)</p> Signup and view all the answers

What determines the relative amounts of extracellular fluid distributed between the plasma and interstitial spaces?

<p>Balance of hydrostatic and colloid osmotic forces across the capillary membranes (B)</p> Signup and view all the answers

Why do intracellular compartments have a different distribution of fluids compared to extracellular compartments?

<p>Mainly due to the osmotic effect of smaller solutes acting across the cell membrane (C)</p> Signup and view all the answers

What makes cell membranes highly permeable to water but relatively impermeable to even small ions?

<p>Selective permeability of the cell membrane (B)</p> Signup and view all the answers

Which constituents have low concentrations in extracellular fluid but large amounts in intracellular fluid?

<p>Potassium and phosphate ions (C)</p> Signup and view all the answers

What is the primary factor determining the distribution of fluids between intra and extracellular compartments?

<p>Osmotic effect of smaller solutes acting across the cell membrane (D)</p> Signup and view all the answers

What causes the higher concentration of anions in interstitial fluid compared with plasma?

<p>Repulsion by the negative charges of plasma proteins (A)</p> Signup and view all the answers

What is the main purpose of the body fluid buffers?

<p>To neutralize the acids produced by the body (B)</p> Signup and view all the answers

How much H+ is ingested or produced each day by metabolism?

<p>About 80 milliequivalents (C)</p> Signup and view all the answers

Which buffer system is quantitatively the most important in the extracellular fluid?

<p>Bicarbonate buffer system (A)</p> Signup and view all the answers

What two ingredients make up the bicarbonate buffer system?

<p>Carbon dioxide and water (A)</p> Signup and view all the answers

Where is carbonic anhydrase enzyme especially abundant?

<p>In the walls of lung alveoli (B)</p> Signup and view all the answers

What reaction forms H2CO3 in the body?

<p>$CO_2 + H_2O \rightarrow H_2CO_3$ (C)</p> Signup and view all the answers

Where does CO2 react with H2O to form H2CO3?

<p>In the walls of lung alveoli (C)</p> Signup and view all the answers

What would happen without buffering in relation to acids produced by the body each day?

<p>$H^+$ concentration in body fluids would cause lethal changes (D)</p> Signup and view all the answers

What happens to H2CO3 formation if carbonic anhydrase is not present?

<p>$H_2CO_3$ formation decreases (B)</p> Signup and view all the answers

What are the main components of the bicarbonate buffer system?

<p>$NaHCO_3$ and $H_2CO_3$ (C)</p> Signup and view all the answers

What is the most common form of muscular dystrophy?

<p>Duchenne muscular dystrophy (C)</p> Signup and view all the answers

Which gene mutation is responsible for Duchenne muscular dystrophy?

<p>Mutation in the gene encoding dystrophin (C)</p> Signup and view all the answers

What effect does abnormal dystrophin have on muscle cells?

<p>Increases membrane permeability to calcium (C)</p> Signup and view all the answers

Which metabolic system is NOT important for understanding the limits of physical activity?

<p>Krebs cycle system (A)</p> Signup and view all the answers

What is the source of energy used to cause muscle contraction?

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

Which bonds in ATP are designated as high energy bonds and are removed successively to release energy?

<p>~ between the second and third phosphate radicals (D)</p> Signup and view all the answers

What happens when the first phosphate from ATP is removed?

<p>ADP is formed (B)</p> Signup and view all the answers

What happens when the second phosphate from ATP is removed?

<p>$AMP$ is formed (A)</p> Signup and view all the answers

Which of the following best describes a strong base?

<p>A base that reacts rapidly and strongly with H+ (D)</p> Signup and view all the answers

What is the normal blood H+ concentration?

<p>40 nEq/L (C)</p> Signup and view all the answers

In the context of acid–base regulation, which molecule is considered a weak base?

<p>HCO3− (B)</p> Signup and view all the answers

What term refers to the excess removal of H+ from the body fluids?

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

What is a characteristic of weak acids in terms of releasing H+?

<p>They are less likely to dissociate their ions and release H+ with less vigor (D)</p> Signup and view all the answers

What happens under extreme conditions to the blood H+ concentration?

<p>It can vary from as low as 10 nEq/L to as high as 160 nEq/L without resulting in death (C)</p> Signup and view all the answers

What is the main reason for referring to alkalosis as the excess removal of H+ from body fluids?

<p>Because it involves the rapid removal of H+ from body fluids (D)</p> Signup and view all the answers

What is a distinguishing factor between strong and weak acids?

<p>Weak acids are more likely to dissociate their ions and release H+ with less vigor (C)</p> Signup and view all the answers

What is the primary function of the kidneys in preventing the loss of bicarbonate in the urine?

<p>Reabsorption of HCO3− and excretion of H+ through the process of H+ secretion (D)</p> Signup and view all the answers

In alkalosis, what happens to the extracellular fluid H+ concentration?

<p>It increases towards normal (A)</p> Signup and view all the answers

What effect does acidosis have on the kidneys' secretion and reabsorption processes?

<p>The kidneys secrete more H+ and reabsorb all the filtered HCO3− (D)</p> Signup and view all the answers

What is the consequence of reducing the extracellular fluid H+ concentration back toward normal in alkalosis?

<p>Addition of more H+ to the extracellular fluid (B)</p> Signup and view all the answers

What is the role of secreted H+ in the process of reabsorbing filtered HCO3−?

<p>React with filtered HCO3− to form H2CO3 before its reabsorption (C)</p> Signup and view all the answers

What happens to the excretion of bicarbonate in alkalosis?

<p>It increases (B)</p> Signup and view all the answers

How do the kidneys respond in acidosis?

<p>Secrete additional H+ and produce new bicarbonate to reduce extracellular fluid H+ concentration back toward normal (A)</p> Signup and view all the answers

What reaction must occur to enable reabsorption of filtered bicarbonate?

<p>HCO3− must react with a secreted H+ to form H2CO3 before it can be reabsorbed (D)</p> Signup and view all the answers

What happens when a strong acid like HCl is added to the bicarbonate buffer solution?

<p>The H+ released from the acid reacts with HCO3− to form H2CO3, leading to increased CO2 and H2O production (D)</p> Signup and view all the answers

What occurs when a strong base like NaOH is added to the bicarbonate buffer solution?

<p>The OH− from NaOH combines with H2CO3 to form additional HCO3− (A)</p> Signup and view all the answers

What is the effect of adding a strong acid to the bicarbonate buffer solution on the production of CO2 and H2O?

<p>Increased production of CO2 and H2O (B)</p> Signup and view all the answers

What reaction forms additional HCO3− when a strong base like NaOH is added to the bicarbonate buffer solution?

<p>NaOH + HCO3− → NaHCO3 + OH− (B)</p> Signup and view all the answers

How does a strong acid like HCl affect the H+ concentration in the extracellular fluid?

<p>Increases the H+ concentration (C)</p> Signup and view all the answers

What is the result of a strong base like NaOH being added to the bicarbonate buffer solution?

<p>Increases the concentration of HCO3− (C)</p> Signup and view all the answers

How is the increased CO2 from strong acid addition eliminated from the extracellular fluid?

<p>Greatly stimulates respiration, which eliminates the excess CO2 (C)</p> Signup and view all the answers

What does the weak dissociation of H2CO3 result in?

<p>Extremely low H+ concentration (A)</p> Signup and view all the answers

How does a strong base like NaOH affect the formation of additional HCO3−?

<p>Forms additional HCO3− (C)</p> Signup and view all the answers

How is increased CO2 eliminated from the extracellular fluid after strong acid addition?

<p>Greatly stimulates respiration, which eliminates excess CO2 (C)</p> Signup and view all the answers

What is the net result of the decrease in H2CO3 concentration in the blood?

<p>A tendency for CO2 levels in the blood to decrease (A)</p> Signup and view all the answers

How is the rise in blood HCO3− concentration compensated for?

<p>By decreased renal excretion of HCO3− (B)</p> Signup and view all the answers

Why are proteins plentiful buffers in the body?

<p>Because of their high concentrations in the cells (C)</p> Signup and view all the answers

In what proportion does the pH of cells change in relation to extracellular fluid changes?

<p>Directly proportional (B)</p> Signup and view all the answers

What happens when a strong base like NaOH is added to the bicarbonate buffer solution?

<p>It affects the formation of additional HCO3− (B)</p> Signup and view all the answers

What occurs with the diffusion of H+ and HCO3− through the cell membrane?

<p>Requires several hours to reach equilibrium with the extracellular fluid (A)</p> Signup and view all the answers

Why does the decreased CO2 in the blood inhibit respiration?

<p>As a result of decreased CO2 expiration rate (B)</p> Signup and view all the answers

What is the primary purpose of the phosphocreatine system in muscle cells?

<p>To provide instant energy for muscle contraction (A)</p> Signup and view all the answers

In terms of energy content, how does the bond in phosphocreatine compare to that in ATP?

<p>The bond in phosphocreatine has more energy than that in ATP (C)</p> Signup and view all the answers

How long can the combined amounts of cell ATP and phosphocreatine provide maximal power for muscle contraction?

<p>8-10 seconds (B)</p> Signup and view all the answers

What is the main function of the glycogen-lactic acid system in muscle cells?

<p>To provide energy by splitting stored glycogen into glucose (D)</p> Signup and view all the answers

What is the immediate source of energy for muscle contraction during short bursts of maximal power?

<p>Phosphocreatine system (B)</p> Signup and view all the answers

What happens to phosphocreatine in order to release large amounts of energy?

<p>It decomposes to creatine and a phosphate ion (C)</p> Signup and view all the answers

Why is the amount of phosphocreatine important for muscle power?

<p>It provides instant energy for muscle contraction (A)</p> Signup and view all the answers

What happens when a hypertonic solution is added to the extracellular fluid?

<p>The extracellular osmolarity increases, causing osmosis of water out of the cells and into the extracellular compartment. (D)</p> Signup and view all the answers

What is the main effect of adding isotonic saline to the extracellular fluid compartment?

<p>An increase in extracellular fluid (B)</p> Signup and view all the answers

What occurs when a hypotonic solution is added to the extracellular fluid?

<p>The osmolarity decreases, and some of the extracellular water diffuses into the cells until both have the same osmolarity. (C)</p> Signup and view all the answers

Which solution is widely used for intravenous administration when people cannot ingest enough nutrition?

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

What is the effect of adding a hypertonic solution to the extracellular fluid on intracellular and extracellular volumes?

<p>An increase in extracellular volume and a decrease in intracellular volume (D)</p> Signup and view all the answers

Which type of solution causes a decrease in osmolarity when added to the extracellular fluid?

<p>Hypotonic solution (A)</p> Signup and view all the answers

What happens if a person cannot ingest enough nutrition?

<p>Intravenous administration of glucose solutions may be used (D)</p> Signup and view all the answers

What is the physiological effect of impairment of lung function on CO2 elimination?

<p>Decreased CO2 elimination leading to a buildup of CO2 in the extracellular fluid and/or respiratory acidosis (B)</p> Signup and view all the answers

How do the kidneys respond to metabolic acidosis?

<p>By excreting acidic urine to reduce the amount of acid in extracellular fluid (C)</p> Signup and view all the answers

What happens if more H+ is secreted than HCO3- is filtered by the kidneys?

<p>There will be a net loss of acid from the extracellular fluid (C)</p> Signup and view all the answers

What is the primary mechanism for removal of nonvolatile acids from the body?

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

How are large amounts of HCO3- filtered continuously into the tubules used by the kidneys?

<p>To remove base from the blood if excreted into the urine (C)</p> Signup and view all the answers

What is a distinguishing feature of nonvolatile acids?

<p>They are not H2CO3 and cannot be excreted by the lungs (A)</p> Signup and view all the answers

What is the role of renal control in acid–base balance?

<p>By excreting acidic or basic urine to regulate extracellular fluid pH (A)</p> Signup and view all the answers

How does impairment of lung function affect the ability to respond to metabolic acidosis?

<p>Prevents reductions in Pco2 that would normally occur by increased ventilation (D)</p> Signup and view all the answers

Why does excreting acidic urine reduce the amount of acid in extracellular fluid?

<p>It removes excess acid from extracellular fluid (C)</p> Signup and view all the answers

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Study Notes

Hematocrit Values

  • Normal hematocrit value in men: 0.40-0.54
  • Normal hematocrit value in women: 0.37-0.48
  • Hematocrit is the fraction of the blood composed of red blood cells

Causes of Hematocrit Changes

  • Hematocrit can fall to as low as 0.10 due to anemia or blood loss
  • Polycythemia can lead to a rise in hematocrit to 0.65

Plasma and Interstitial Fluid

  • Main difference between plasma and interstitial fluid: concentration of ions
  • Plasma has a slightly greater concentration of positively charged ions than interstitial fluid
  • Capillary wall separates plasma and interstitial fluid

Semicircular Ducts and Ampulla

  • Semicircular ducts and ampulla are filled with endolymph
  • Crista ampullaris is a small crest in the ampulla
  • Cupula bends to one side due to the flow of endolymph
  • Three semicircular ducts are arranged at right angles to each other
  • When a person's head rotates, the fluid in the ducts lags behind, causing the cupula to bend
  • The sensory organ of the ampulla is excited by the bending of the cupula

Body Fluid Compartments

  • Intracellular fluid contains only small quantities of sodium and chloride ions
  • Extracellular fluid is distributed between the plasma and interstitial spaces
  • Cell membranes are highly permeable to water but relatively impermeable to ions
  • Constituents with low concentrations in extracellular fluid but large amounts in intracellular fluid: potassium, magnesium, and phosphate
  • The primary factor determining the distribution of fluids between intra and extracellular compartments is the concentration of ions

Body Fluid Buffers

  • The main purpose of body fluid buffers is to maintain a stable pH
  • 50-100 mmol of H+ is ingested or produced each day by metabolism
  • The bicarbonate buffer system is the most important in the extracellular fluid
  • The bicarbonate buffer system consists of carbonic acid (H2CO3) and bicarbonate ions (HCO3-)
  • Carbonic anhydrase enzyme is especially abundant in red blood cells
  • The reaction that forms H2CO3 in the body is: CO2 + H2O → H2CO3
  • Without buffering, the concentration of H+ would increase, leading to acidosis

Muscular Dystrophy

  • The most common form of muscular dystrophy is Duchenne muscular dystrophy
  • Duchenne muscular dystrophy is caused by a mutation in the gene that codes for dystrophin
  • Abnormal dystrophin leads to muscle cell degeneration and weakness

Muscle Contraction

  • The source of energy used to cause muscle contraction is ATP
  • The bonds in ATP that are designated as high energy bonds are the phosphate bonds
  • When the first phosphate from ATP is removed, energy is released
  • When the second phosphate from ATP is removed, more energy is released

Acid-Base Regulation

  • A strong base is a compound that completely dissociates in water
  • The normal blood H+ concentration is 0.00004 mmol/L
  • Weak acids, such as bicarbonate, release H+ slowly
  • Under extreme conditions, the blood H+ concentration can increase or decrease
  • Alkalosis is characterized by an excess removal of H+ from the body fluids
  • The kidneys play a crucial role in preventing the loss of bicarbonate in the urine
  • In alkalosis, the extracellular fluid H+ concentration decreases
  • In acidosis, the kidneys increase secretion and reabsorption of H+ and HCO3-

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