Metabolic Acidosis Causes and Classification

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is the primary mechanism for the development of respiratory acidosis?

  • Decreased respiratory drive leading to decreased CO2 clearance (correct)
  • Impaired distal tubular function in the kidney
  • Decreased renal excretion of phosphoric acid and ammonium
  • Increased CO2 production due to hyperventilation

In the distal renal tubule, which of the following processes is responsible for the excretion of excess H+ during metabolic acidosis?

  • Resorption of phosphoric acid
  • Filtration of H+ ions
  • Secretion of ammonium ions (correct)
  • Reabsorption of bicarbonate

What is the primary role of the medullary chemoreceptors in the control of ventilation?

  • To detect changes in arterial $CO_2$ levels and stimulate ventilation (correct)
  • To detect changes in blood pH and stimulate ventilation
  • To detect changes in renal H+ excretion and stimulate ventilation
  • To detect changes in arterial $O_2$ levels and stimulate ventilation

Which of the following is the most common cause of metabolic acidosis?

<p>Diabetic ketoacidosis leading to excessive ketone production (A)</p> Signup and view all the answers

In a patient with respiratory acidosis, which of the following would be the appropriate treatment?

<p>Increase ventilation to decrease $CO_2$ levels (C)</p> Signup and view all the answers

Which of the following is a common cause of high anion gap metabolic acidosis?

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

What is the primary compensatory mechanism for a metabolic acidosis?

<p>Increased respiratory rate (A)</p> Signup and view all the answers

Which of the following is NOT a common cause of high anion gap metabolic acidosis?

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

In metabolic acidosis, what is the role of the kidneys in compensating for acid-base disturbances?

<p>Increased reabsorption of bicarbonate (C)</p> Signup and view all the answers

What is the primary mechanism of compensation for a metabolic acidosis that occurs over hours to days?

<p>Renal retention of bicarbonate (D)</p> Signup and view all the answers

What is the primary compensatory mechanism for metabolic acidosis?

<p>Decreased clearance of endogenous acids (D)</p> Signup and view all the answers

In metabolic acidosis, what does the loss of bicarbonate primarily result from?

<p>Renal tubular acidosis (D)</p> Signup and view all the answers

What is the significance of the anion gap in metabolic acidosis?

<p>It identifies unmeasured anions present in the body (C)</p> Signup and view all the answers

How does aldosterone impact blood pressure in the context of acidosis?

<p>Raises blood pressure by promoting sodium and water reabsorption (A)</p> Signup and view all the answers

What does a widened anion gap in metabolic acidosis suggest?

<p>Additional unmeasured anions in the body (C)</p> Signup and view all the answers

What is the primary cause of the acid-base disturbance in the 65-year-old patient described in the text?

<p>Respiratory acidosis due to COPD exacerbation (B)</p> Signup and view all the answers

Which of the following best explains the acid-base disturbance in the 55-year-old patient described in the text?

<p>Respiratory acidosis due to worsening of obstructive sleep apnea (D)</p> Signup and view all the answers

What is the likely primary cause of the acid-base disturbance in the 22-year-old patient described in the text?

<p>Respiratory alkalosis due to anxiety-induced hyperventilation (B)</p> Signup and view all the answers

What is the primary cause of the acid-base disturbance in the 33-year-old patient described in the text?

<p>Metabolic acidosis due to diabetic ketoacidosis (A)</p> Signup and view all the answers

What is the likely primary cause of the acid-base disturbance in the 72-year-old patient described in the text?

<p>Metabolic alkalosis due to diuretic therapy (A)</p> Signup and view all the answers

Flashcards are hidden until you start studying

More Like This

Use Quizgecko on...
Browser
Browser