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Define hypokalemia and hyperkalemia.


A) Hypokalemia is defined as blood Na+ levels below 136 mEq/L and hyperkalemia is defined as blood Na+ levels above 145 mEq/L.
B) Hypokalemia is defined as blood Na+ levels above 145 mEq/L and hyperkalemia is defined as blood Na+ levels below 136 mEq/L.
C) Hypokalemia is defined as blood K+ levels below 3.5 mEq/L and hyperkalemia is defined as blood K+ levels above 5.0 mEq/L.
D) Hypokalemia is defined as blood K+ levels above 5.0 mEq/L and hyperkalemia is defined as blood K+ levels below 3.5 mEq/L.
E) Hypokalemia is defined as blood pH below 7.35 and hyperkalemia is defined as blood pH above 7.45.

F) A) and B)
G) B) and D)

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Which of the following descriptions best fits the acid-base disorder respiratory acidosis?


A) consequence of hyperventilation,for example in fever or mental illness
B) consequence of prolonged vomiting
C) consequence of reduced alveolar ventilation,for example due to emphysema
D) consequence of tissue hypoxia,for example in ischemic conditions

E) A) and C)
F) A) and B)

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With regard to fluid balance,water gains occur primarily in the


A) cardiopulmonary system.
B) digestive tract.
C) kidneys.
D) lungs.
E) liver.

F) A) and E)
G) None of the above

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Which buffers/buffer system exist(s) only in intracellular fluid?


A) plasma protein buffers
B) the hemoglobin buffer system
C) amino acid buffers
D) the carbonic acid-bicarbonate buffer system
E) the phosphate buffer system

F) A) and E)
G) A) and D)

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A(n) ________ consists of a combination of a weak acid and its associated anion.


A) water balance
B) exchange pump
C) leak channel
D) fixed acid
E) buffer system

F) A) and B)
G) A) and D)

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When water is lost,but electrolytes are retained,


A) the osmolarity of the extracellular fluid falls.
B) osmosis moves water from the intracellular fluid to the extracellular fluid.
C) both the extracellular fluid and the intracellular fluid become more dilute.
D) there is an increase in the volume of the intracellular fluid.
E) None of the answers is correct.

F) B) and E)
G) A) and E)

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Prolonged vomiting can result in


A) respiratory acidosis.
B) respiratory alkalosis.
C) metabolic acidosis.
D) metabolic alkalosis.

E) None of the above
F) C) and D)

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The principal cation in cytoplasm is


A) sodium.
B) potassium.
C) calcium.
D) magnesium.
E) chloride.

F) D) and E)
G) B) and E)

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Identify routes of fluid loss from the body.


A) Water can be lost during the production of saliva and gastric secretions,and by urination and in feces.
B) Water can be lost during anabolism,and in the production of bile and gastric secretions.
C) Water can be lost during urination,evaporation at skin and lungs,and in feces.
D) Water can be lost during catabolism and anabolism.
E) Water can be lost during catabolism,by evaporation at skin and lungs,and by urination.

F) A) and B)
G) None of the above

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Fred has emphysema,a form of chronic obstructive pulmonary disease.Blood tests show that his pH is low but almost normal,yet his bicarbonate levels are elevated significantly.How can this be? What would urinalysis show?

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Emphysema limits ventilation in the alve...

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Which organs are primarily responsible for regulating the potassium ion concentration in the ECF?


A) lungs
B) kidneys
C) adrenal glands
D) lymph nodes
E) intestines

F) B) and E)
G) A) and B)

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A person who consumes large amounts of sodium bicarbonate ("baking soda") to settle an upset stomach risks


A) respiratory acidosis.
B) respiratory alkalosis.
C) metabolic acidosis.
D) metabolic alkalosis.

E) B) and C)
F) None of the above

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Which body system is not involved in fluid,electrolyte,and acid-base balance?


A) cardiovascular
B) muscular
C) integumentary
D) endocrine
E) All systems produce metabolic wastes and therefore are involved in fluid and electrolyte balance.

F) A) and D)
G) None of the above

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Why does potassium concentration rise in patients with acidosis? What is this called? What effects does it have?

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When pH is low,hydrogen ion levels in th...

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Antidiuretic hormone does not


A) inhibit water intake.
B) increase thirst.
C) cause water to shift out of the ICF.
D) increase ECF volume.
E) increase ECF sodium concentration.

F) A) and D)
G) A) and B)

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Small amounts of ________ acids are generated during the catabolism of amino acids and compounds that contain phosphate groups


A) fixed
B) organic
C) volatile

D) A) and B)
E) A) and C)

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Excess hydrogen ion is eliminated from the body largely by


A) sweating.
B) the kidneys.
C) the liver.
D) the feces.
E) buffers.

F) C) and D)
G) D) and E)

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What would happen to the blood PCO2 of a patient who has an airway obstruction?


A) Blood PCO2 would increase,resulting in respiratory acidosis.
B) Blood PCO2 would increase,resulting in respiratory alkalosis.
C) Blood PCO2 would decrease,resulting in respiratory acidosis.
D) Blood PCO2 would decrease,resulting in respiratory alkalosis.
E) Blood PCO2 would increase,resulting in metabolic acidosis.

F) None of the above
G) A) and D)

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When the pH of the extracellular fluid drops,the kidneys


A) excrete more hydrogen ions.
B) excrete more bicarbonate ions.
C) reabsorb bicarbonate ions.
D) excrete more hydrogen ions and excrete more bicarbonate ions.
E) excrete more hydrogen ions and reabsorb bicarbonate ions.

F) A) and D)
G) A) and C)

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Define ECF and ICF.

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The ECF,or extracellular fluid...

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