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Part 1 of 1 Question 1 of 26

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Patients with diabetic acidosis are usually NOT deficient in which of the following?
A. Na+ B. H+ C. K+ D. H2O Answer Key: B
Question 2 of 26

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Excessive amounts of aldosterone often produce which of the following?
A. Hypokalemic alkalosis B. Respiratory alkalosis, with metabolic compensation C. Hyperkalemic acidosis D. Normokalemic alkalosis Answer Key: A
Question 3 of 26

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Metabolic alkalosis may be produced by all of the following EXCEPT:
A. Losses of potassium B. Vomiting C. Hyperventilation D. Aldosterone administration Answer Key: C
Question 4 of 26

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Given a patient with pH = 7.31, [HCO3] = 16, and pCO2

= 33 mmHg, what is your diagnosis?

A. Metabolic acidosis with respiratory compensation. B. Respiratory acidosis with metabolic compensation. C. Metabolic alkalosis with respiratory compensation. D. Respiratory alkalosis with metabolic compensation

Titration of luminal HCO3 by secretion of H+ and subsequent formation of CO2 and H2O C.Answer Key: A Question 5 of 26 0. Decreased excretion of H+.0 Points Bicarbonate absorption in the proximal convoluted tubule is accomplished primarily by which of the following? A.exchange Answer Key: B Question 7 of 26 0. HCO3 / Cl. with resulting increase in plasma HCO3C. D.24 PCO2 = 24 mmHg HCO3 = 10 mEq/L Which is the most likely condition? A. Thick ascending limb.0 Points If a patient develops an increase in the partial pressure of carbon dioxide in his body. Proximal tubule C.0 Points The majority of filtered bicarbonate ion is reabsorbed in the: A. Thin limb B.0/ 1.0/ 1. Combined Metabolic and Respiratory Acidosis D. Collecting tubule Answer Key: B Question 6 of 26 0. the kidneys will respond by doing which of the following? A. Direct HCO3 pumping out of the lumen B. Direct Na+/HCO3 exchange pump D. with resulting decrease in plasma HCO3 . Decreased excretion of H+ with resulting increase in plasma HCO3 B. Increased excretion of H+.0 Points A patient has the following values: pH = 7.0/ 1. Combined Metabolic Alkalosis and Respiratory Acidosis Answer Key: B Question 8 of 26 0. Respiratory Acidosis B. Metabolic Acidosis C.0/ 1.

HCO3 10 Answer Key: A Question 10 of 26 0. Na+ 135. Answer Key: B Question 11 of 26 0.103. None of these. B. with resulting decrease in plasma HCO3 Answer Key: B Question 9 of 26 0.([Cl ion] + [bicarbonate ion]) .0. Ketoacidosis.0. = [Na ion] . Cl. K+ 5.130.0 Points The anion gap is conventionally defined as: A. HCO3 10 D. K+ 4. K+ 5. D.100. Ammonium ion concentration. Na+ 135. (the amount of H+ carried on phosphate and other urine buffers) C.0 Points Which of the following electrolyte patterns is consistent with lactic acidosis? (in mEq/L) A.D. HCO3 5 B. HCO3 25 C.113.0 Points Which of the following may result in metabolic acidosis with an elevated anion gap? A. Na+ 140.0/ 1. Cl. Cl.5.0/ 1. Increased excretion of H+. Titratable acid concentration. All of the above Answer Key: D Question 12 of 26 0. C. Na+ 135.0/ 1. Bicarbonate ion concentration.0/ 1.5. A defect in bicarbonate resorption in the proximal tubule B. A defect in distal tubule hydrogen ion secretion causing renal tubualr acidosis D. Cl. K+ 4.0 Points The amount of acid eliminated from the body in the urine is a function of which of the following? A.

Answer Key: A Question 15 of 26 0.0 Points Which buffer system plays the largest role in the body's ability to maintain pH? A. = [Na ion] + ([Cl ion] + [bicarbonate ion] + [K ion]) D. None of these Answer Key: A Question 16 of 26 0.0 Points A patient in the emergency room has arterial blood gas values: pH 7. Ammonia synthesis increases. Potassium shifted into the cells from the extracellular space.13 PCO2 54 mmHg HCO3 17 mEq/L.([Na ion] + [bicarbonate ion]) C. C.0/ 1. D. None of the above.0 Points Acidemia can result in which one of the following? A.0/ 1. These values represent: . Hyponatremia Answer Key: A Question 14 of 26 0.B.0/ 1. Bicarbonate/ carbonic acid system B.0 Points During acidosis: A. Bicarbonate ion excretion increases. C.( [Cl ion] + [bicarbonate ion]) Answer Key: A Question 13 of 26 0. An increase in serum bicarbonate concentration. D. = ([Na ion] + [K ion]) . Potassium shifted from the cells to the extracellular space B. B. = [Cl ion] . Phosphate/ phosphoric acid system C. Hemoglobin D. Ammonia synthesis decreases.0/ 1.

Metabolic acidosis and respiratory acidosis C. lactic acidosis from low blood pressure (shock) Answer Key: C 0. Laboratory error Answer Key: B Question 17 of 26 0." The patient is found with an empty pill bottle and is brought to the ER. having heard that "first you go to sleep and then you stop breathing. Metabolic acidosis and respiratory alkalosis B. [HCO3]= 27 mEq.0 Points Which one of the following types of acidosis is associated with a normal anion gap? A. Metabolic alkalosis and respiratory alkalosis D. ketoacidosis from untreated diabetes B.0 Points A 70 kg patient with chronic renal disease and acidemia is being prepared for surgery. 5 ampules B. Respiratory alkalosis D. Your patient Question 18 of 26 suffers from which of the following? A. Metabolic alkalosis and respiratory acidosis E.L.0/ 1. Respiratory acidosis C. 1 ampule C. Metabolic acidosis B.0 Points A 25 year old person attempts suicide with an overdose of barbiturates. pCO2=80 mm Hg. pCO2=27 mm Hg. 2 ampules . acidosis from diarrhea D.0/ 1. About how many 50 mEq ampules of bicarbonate (given as sodium bicarbonate) would be required to bring Question 19 of 26 the patient's bicarbonate up to around 18 mEq/L? A.12.27.A. None of the above Answer Key: B 0. You obtain the following arterial blood gas values: pH: 7. [HCO3]=12 mEq/L. ketoacidosis following cessation of heavy alcohol use C.0/ 1. The following values are obtained: pH 7.

Respiratory acidosis C.0 Points Pure metabolic alkalosis is associated with which of the following plasma chemistries? .0 Points Figure out what the PCO2 would be for following arterial "blood gas" values: [HCO3] =16 mEq/L.0/ 1. 40 mm Hg C. 27 mm Hg D. Metabolic acidosis B.40. Increased "anion gap" above the normal 10-14 mEq/l. you obtain the following arterial blood gas values: A.0 Points A 75 year old woman remains at home despite persistent vomiting which she knows is due to a duodenal ulcer obstructing the outlet from her stomach.0 Points Acidemia due to buildup of ketoacids in a young diabetic who neglects to take insulin for 3 days would be associated with: A. 53 mm Hg B. Neither of the above Answer Key: D Question 22 of 26 0.0/ 1. PCO2 = ? A. pH = 7. 10 ampules Answer Key: A Question 20 of 26 0.D.0/ 1.0/ 1. 20 mm Hg Answer Key: C Question 23 of 26 0. pCO2 reduced below the normal 40 mmHg C. Both Answer Key: C Question 21 of 26 0. When her family finally brings her to the hospital. Both of the above D. B.

H+ excretion in the urine in a patient taking furosemide B. which has arrived in a sealed capsule.7 Answer Key: B .0 Points You are brought to a secret military base to examine a living alien.3) A.0 Points Metabolic alkalosis is NOT likely to be associated with which of the following? A. Vomiting C.A. Increased hydrogen ion excretion Answer Key: A Question 26 of 26 0.1 C. 7. Low bicarbonate Answer Key: B Question 24 of 26 0. Hyperaldosteronism D. Decreased ventilation B. Increased ammonia excretion C.0/ 1.0/ 1.6 E. 7.0/ 1. 7. 7. Diarrhea Answer Key: D Question 25 of 26 0.3 D. Body fluid PCO2 is 200 mm Hg and body fluid HCO3 concentration is 60 mEq/l. High PO2 B. The creature's pH is about: (remember the logarithm of 2 is about 0.0 Points A response to an acid load would include all BUT which of the following? A. Buffering of hydrogen ion by RBC's D. High bicarbonate C. you can't tell B. Low PCO2 D.