Exam 2 Flashcards

1
Q

Hyperkalemia may be caused by

A

Acute or chronic renal failure, hypoaldosteronism, sample hemolysis

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2
Q

Which of the following may occur with prolonged vomiting

A

Ionization of chloride

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3
Q

Hemolysis of a patient sample will have the greatest effect on which of the following electrolytes

A

Potassium and magnesium

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4
Q

Serum calcium concentration is controlled by the antagonistic relationship between

A

Calcitonin and pth

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5
Q

A blood gas specimen is stored on Ice if it cannot be performed immediately after collection in order to

A

Inhibit glycolysis

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6
Q

In the plasma, and access in the concentration of bicarbonate with no Exchange in the dissolved CO2 from normal will result in

A

Metabolic alkalosis

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7
Q

What has an effect on pth in bone and or kidney

A

In bone activates the bone reabsorption process, in kidney it preserves calcium by increasing tubular reabsorption of calcium, in kidney stimulate renal production of active vitamin D

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8
Q

The biologically active form of vitamin D is

A

1, 25 dihydroxycholecalciferol

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9
Q

The term chloride shift indicates

A

Bicarbonate diffuses out of the South while chloride diffuses in

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10
Q

Circumstances under which metabolic acidosis can occur

A

Late stage of salicylate poisoning, uncontrolled diabetes mellitus, renal failure, diuretic therapy

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11
Q

In red blood cells, the enzyme Carbonic anhydrase CA catalyzes the

A

Formation of carbonic acid from CO2 and H2O

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12
Q

What condition causes an increase in the release of oxygen by hemoglobin

A

Increase pco2

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13
Q

The second largest fraction of anions in plasma

A

Bicarbonate

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14
Q

The most serious the effect or symptom of hyperkalemia is

A

Cardiac arrhythmia

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15
Q

Hypernatremia may be caused by which of the following disorders

A

Dehydration

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16
Q

The oxygen dissociation curve is graphed by plotting which parameters

A

02 HB saturation vs oxygen tension po2

17
Q

Levels of chloride will passively follow which of the following when being reabsorbed by the kidneys

18
Q

The most valuable clinical information with regard to calcium determinations is provided by

A

Ionized calcium

19
Q

An osmometry method used in some Laboratories is based on which colligative property

A

Freezing point

20
Q

Which hormone is released by the hypothalamus and primarily response to changes in serum osmolality

21
Q

What is the normal ratio of carbonic acid to bicarbonate in blood

A

1 to 20 ratio

22
Q

What is the normal ratio of bicarbonate to carbonic acid in blood

A

20 to 1 ratio

23
Q

Hypomagnesemia may lead to a decrease in each of the following ions

A

Calcium, potassium, sodium

24
Q

A patient with a fever of Unknown Origin what exhibit in oxygen dissociation curve that is

A

Shifted to the right

25
The hormone that causes sodium reabsorption in the distal convoluted tubule is
Aldosterone
26
The main regulatory mechanism for maintaining plasma protein levels is
The kidney and cell Exchange
27
Generally speaking, water will follow
Sodium
28
Which anticoagulant is best recommended for analysis of blood gases
Lyophilized heparin. Dry
29
Respiratory acidosis physiological responses
Enhanced urinary excretion of acid, retention of sodium, retention of bicarbonate
30
Valniomycin enhances the selectivity of the electrode used to quantitate
Potassium
31
Blood pco2 may be measured by
A self-contained potentiometric electrode
32
How is respiratory acidosis characterized
Buy decreases in PH and increases in CO2, pco2, hco3