Physiology Quiz on Electrolytes and Acid-Base Balance

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Questions and Answers

What would be the expected condition with hypochloremia?

  • Hyperkalemia
  • Respiratory alkalosis
  • Metabolic alkalosis (correct)
  • Metabolic acidosis

What is the primary mechanism causing respiratory alkalosis?

  • Hyperventilation (correct)
  • Deficient alveolar diffusion
  • Deficient pulmonary perfusion
  • Parasympathetic inhibition

What would cause an increased anion gap?

  • Renal failure (correct)
  • Hyperkalemia
  • Diarrhea
  • Hypoaldosteronism

What is a condition resulting in acidosis?

<p>Cystic fibrosis (B)</p>
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What is associated with an increase in ionized calcium (Cai) in the blood?

<p>Alkalosis (C)</p>
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What laboratory result is consistent with primary hypoparathyroidism?

<p>Low calcium; high inorganic phosphorus Pi (D)</p>
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What is the anticoagulant of choice for blood gas studies?

<p>Lithium heparin 100 U/mL blood (C)</p>
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A patient's blood gas results are pH = 7.26, dCO2 = 2.0 mmol/L, HCO3– = 29 mmol/L. What would be the classification of these results?

<p>Metabolic acidosis (C)</p>
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A patient's blood gas results are pH = 7.50, PCO2 = 55 mm Hg, HCO3– = 40 mmol/L. What do these results indicate?

<p>Metabolic alkalosis (A)</p>
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Which set of results is consistent with uncompensated respiratory alkalosis?

<p>pH 7.66, HCO3 22 mmol/L, PCO2 20 mm Hg (C)</p>
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What would shift the O2 dissociation curve to the left?

<p>Alkalosis (A)</p>
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In which circumstance would the reporting of calculated oxygen saturation of hemoglobin be in error?

<p>Carbon monoxide poisoning (D)</p>
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What is a characteristic of pseudohyponatremia?

<p>It occurs when undiluted samples are measured (D)</p>
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Which of the following is true about potassium levels in heparinized plasma versus serum?

<p>Potassium levels are slightly higher in heparinized plasma (C)</p>
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What is the effect of hypoalbuminemia on total calcium levels?

<p>It decreases total calcium levels (A)</p>
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Which of the following laboratory results is associated with cystic fibrosis?

<p>Sweat chloride greater than 60 mmol/L (A)</p>
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Which of the following statements is true about enzyme activity?

<p>Apoenzyme + prosthetic group = holoenzyme (C)</p>
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What is the most common analytical error in sweat chloride collection?

<p>Leaving the preweighed gauze on the inside of the arm exposed to air during collection (B)</p>
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Flashcards

What condition is expected with hypochloremia?

A condition where the blood has a higher than normal pH, often due to reduced acid levels or increased bicarbonate.

Primary mechanism causing respiratory alkalosis?

Hyperventilation, which leads to excessive exhalation of carbon dioxide.

What causes an increased anion gap?

Renal failure, due to the kidneys' inability to excrete waste products properly.

What condition results in acidosis?

Cystic fibrosis, a genetic disorder that affects the lungs and digestive system, leading to an imbalance in acid-base levels.

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Associated with increased ionized calcium (Cai) in the blood?

Alkalosis, because increased pH enhances calcium binding to proteins, increasing ionized calcium levels.

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Lab results consistent with primary hypoparathyroidism?

Low calcium and high inorganic phosphorus levels in the blood.

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Anticoagulant of choice for blood gas studies?

Lithium heparin at a concentration of 100 U/mL of blood.

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Classification of blood gas results: pH=7.26, dCO2=2.0, HCO3–=29?

Metabolic acidosis.

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What do these blood gas results indicate: pH=7.50, PCO2=55, HCO3–=40?

Metabolic alkalosis.

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Results consistent with uncompensated respiratory alkalosis?

pH 7.66, HCO3 22 mmol/L, PCO2 20 mm Hg.

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What shifts the O2 dissociation curve to the left?

Alkalosis.

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Circumstance where calculated oxygen saturation reporting would be in error?

Carbon monoxide poisoning.

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Characteristic of pseudohyponatremia?

It occurs when undiluted samples are measured.

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Potassium levels in heparinized plasma vs serum?

Potassium levels are slightly higher in heparinized plasma.

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Effect of hypoalbuminemia on total calcium levels?

It decreases total calcium levels.

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Lab result associated with cystic fibrosis?

Sweat chloride greater than 60 mmol/L.

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Enzyme activity equation?

Apoenzyme + prosthetic group = holoenzyme

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Most common analytical error in sweat chloride collection?

Leaving the preweighed gauze on the inside of the arm exposed to air during collection.

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