Chapter 3 Flashcards

1
Q

the total water isloss per day in the adult is approximately

a. 0.8 L
b. 1,2 L
c. 1.8 L
d. 2.2 L
e. 2.8 L

A

2.8 L

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2
Q

Of the 60% of the body weight made up of water about 3 L

a. extracellular water
b. intracellular water
c. intravascular water
d. interstitial water

A

Intravascular water

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3
Q

Sodium is responsible for

a. intracellular fluid (ICF) omotic balance
b. extracellular fluid (ECF) osmotic balance
c. total body water (TBW) osmolality
d. osmotic equilibrium

A

Extracellular osmotic balance

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4
Q

A milliequivalent is a unit of:

a. mass
b. physical activity
c. chemical activity
d. osmotic concentration

A

chemical activity

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5
Q

The principle osmotic neutrality means that

a. The number of anions and ions in the body must be equal.
b. intravascular molecules of protein are without charge
c. the sodium ions must be united with the chloride ions.
d. The positive and negative charges in blood plasma must be equal to each other

A

The positive and negative charges in blood plasma must be equal to each other

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6
Q

Aldosterone controls ECF volume by

a. carbohydrate, fat, and protein catabolism
b. sodium reabsorption
c. potassium reabsorption
d. inhibition of chloride reabsorption

A

sodium reabsorption

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7
Q

The release of ADH is stimulated by

a. decreased plasma osmolality
b. increased circulating blood volume
c. increased blood pressure
d. increased plasma osmolality
e. decreased plasma volume

A

Increased osmolality

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8
Q
Laboratory studies of an adult reveal the following:
Plasma Na+ = 110 MeQ/L
CL: 100 MeQ/L
K: 4.8 MeQ/L
Ca: 9 MeQ/L
Hco3: 26 MeQ/L 
The most likely alteration is
A

Hyponatremia

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9
Q
An individual has weakness, dizziness, irritability, and intestinal cramps. Laboratory studies reveal the following:
Na: 138
K 6.8
Ph: 7.38
Hco3: 25
EKG shows a peaked twave
A

hyperkalemia

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10
Q

an acid is which of the following

a. an anion
b. a cation
c. a substance/chemical that combines with a hydrogen ion to lower ph
d. a substance/chemical that donates a hydrogen ion or a proton

A

a substance/chemical that donates a H ion or a proton

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11
Q

The most significant consequence of hyperkalemia is

a. muscular weakness
b. paralytic ileus
c. depressed cardiac conductivity or arrest
d. metabolic acidosis

A

a depressed cardiac conductivity or arrest

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12
Q

the blood ph is maintained near 7.4 by buffer systems. The sequence from the fast acting compensation to the slowest acting compensation is respectively

a. lungs, kidneys, blood buffers
b. blood buffers,lungs kidneys
c. blood buffers, kidneys, lungs
d. lungs, blood buffers, kidneys

A

blood buffers, lungs, kidneys

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13
Q

the ph of saliva is about 7 and the ph of gastric juice is about 2. how many times more concentrated is the hydrogen ion in gastric juice than in saliva

a. 5
b. 50
c. 100
d. 10,000
e. 100,000

A

100,000

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14
Q

if a hypotonic solution is infused intravenously into a patient, fluid movement will

a. be from vascular to interstitial
b. not occur
c. be from intracellular to extracellular
d. occur from the interstitial to vascular compartment

A

be from vascular to interstitial

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15
Q
a young female became quite agitated and apprehensive and eventually lost consciousness. at the hospital emergency department, the following laboratory values were obtained:
na: 137
k: 5
ph: 7.53
co2: 22
hco3: 24
her immediate diagnosis was
a. hypokalemia
b. metabolic acidosis
c. metabolic alkalosis
d. respiratory acidosis
e. respiratory alkalosis
A

respiratory alkalosis

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16
Q

as hc03 shifts form the red blood cell to the blood plasma it is expected that the plasma

a. Na increases
b. CL shifts into the red blood cell
c. K+ increases
d. ph decreases

A

chloride (CL) shifts into the red blood cell

17
Q

an elevated anion gap is associated with an accumulation of

a. chloride anions
b. lactate anions
c. high bicarbonate levels
d. sodium cations

A

lactate anions

18
Q

hydrostatic pressure

a. water/pulling effect of plasma proteins
b. pressure of blood within the capillaries

A

pressure of blood within the capillaries

19
Q

oncotic/osmotic pressure

a. pressure of blood within the capillaries
b. water/pulling effect of plasma proteins

A

water/pulling effect of plasma proteins

20
Q

respiratory acidosis (acid base imbalance & probably cause)

a. severe anxiety
b. diabetes
c. chronic diarrhea
d. emphysema

A

emphysema

21
Q

respiratory alkalosis (acid base imbalance & probably cause)

a. severe anxiety
b. diabetes
c. chronic diarrhea
d. emphysema

A

severe anxiety

22
Q

metabolic alkalosis (acid base imbalance & probably cause)

a. severe anxiety
b. excessive baking soda ingestion
c. chronic diarrhea
d. emphysema

A

excessive baking soda ingestion

23
Q

respiratory acidosis (acid base imbalance with its compensatory mechanism)

a. Kidneys retain H+ and excrete HC03
b. kidneys excrete H+ and retain HCO3
c. Respirations increase and more CO2 is eliminated

A

kidneys excrete H+ and retain HCO3

24
Q

Respiratory Alkalosis

a. Kidneys retain H+ and excrete HC03
b. kidneys excrete H+ and retain HCO3
c. Respirations increase and more CO2 is eliminated

A

Kidneys retain H+ and excrete HC03

25
Q

Metabolic Acidosis

a. Kidneys retain H+ and excrete HC03
b. kidneys excrete H+ and retain HCO3
c. Respirations increase and more CO2 is eliminated

A

Respirations increase and more CO2 is eliminated