Primary FRCA Course Acid Base Physiology Exam Prep Questions Flashcards
(100 cards)
The mechanisms of respiratory system control:
A low PO2 in the blood directly stimulates medullary chemoreceptors
False.
The mechanisms of respiratory system control:
CO2 in the blood directly stimulates medullary chemoreceptors
False. Medullary chemoreceptors respond directly to CSF pH rather than CO2. However, CSF pH does change rapidly in response to CO2, which readily crosses the blood brain barrier and there is then minimal buffering in CSF.
The mechanisms of respiratory system control:
H+ ions the blood directly stimulate medullary chemoreceptors
False. H+ ions the blood cannot cross the blood brain barrier, but stimulate respiration via peripheral chemoreceptors.
The mechanisms of respiratory system control:
H+ ions the blood directly stimulate carotid body chemoreceptors
True.
Regarding acid-base balance in the body:
A pH of 7.0 equates to a hydrogen ion concentration of 100 nmol/L
True. A pH of 7.0 indicates a hydrogen ion concentration of 10^-7 mol/L or 100 nmol/L.
The mechanisms of respiratory system control:
The baroreceptor response to hypotension includes respiratory stimulation
True. In addition to the cardiovascular changes seen in response to the baroreceptor reflex, there is an increase in respiratory rate.
Regarding acid-base balance in the body:
pH is defined as the negative Log e of the hydrogen ion concentration in mol/L
False. pH calculation uses Log10 and not Log e.
Regarding acid-base balance in the body:
Albumin is an important intracellular buffer
False. Albumin is an extracellular buffer.
Regarding acid-base balance in the body:
Carbonic anhydrase catalyses the reaction between water and CO2
True. Carbonic anhydrase, present at many sites throughout the body, is essential for the reaction between water and CO2 to occur rapidly.
Regarding acid-base balance in the body:
Alkalosis lowers the free ionized calcium concentration
True. Alkalosis, e.g. from hyperventilation, encourages free Ca2+ ions to bind to proteins, and can lead to tetany.
The following represent typical oxygen content values that would be expected from each of these sites:
Renal vein - 125 mL/L
False. Google search indicates much lower than this.
The following represent typical oxygen content values that would be expected from each of these sites:
Coronary sinus - 90 mL/L
True.
The following represent typical oxygen content values that would be expected from each of these sites:
Radial artery - 200 mL/L
True.
The following represent typical oxygen content values that would be expected from each of these sites:
Umbilical vein - 130 mL/L
True.
The following represent typical oxygen content values that would be expected from each of these sites:
Pulmonary artery - 150 mL/L
True.
The following values would be compatible with a healthy person having lived at 5,000 m for 7 days:
[HCO3-] of 31 mmol/L
False. At 5,000 m the atmospheric pressure is approximately half that at sea level, which would produced a maximum PaO2 of around 5-6 kPa. This stimulates hyperventilation, lowering the PaCO2, and by day 7 there will have been metabolic compensation by excreting (rather than retaining) bicarbonate. A modest tachycardia would still be present and an increase in 2, 3 DPG moves the Hb-O2 dissociation curve to the right.
The following values would be compatible with a healthy person having lived at 5,000 m for 7 days:
PaO2 of 10.6 kPa
False. At 5,000 m the atmospheric pressure is approximately half that at sea level, which would produced a maximum PaO2 of around 5-6 kPa. This stimulates hyperventilation, lowering the PaCO2, and by day 7 there will have been metabolic compensation by excreting (rather than retaining) bicarbonate. A modest tachycardia would still be present and an increase in 2, 3 DPG moves the Hb-O2 dissociation curve to the right.
The following values would be compatible with a healthy person having lived at 5,000 m for 7 days:
PaCO2 of 3.9 kPa
True. At 5,000 m the atmospheric pressure is approximately half that at sea level, which would produced a maximum PaO2 of around 5-6 kPa. This stimulates hyperventilation, lowering the PaCO2, and by day 7 there will have been metabolic compensation by excreting (rather than retaining) bicarbonate. A modest tachycardia would still be present and an increase in 2, 3 DPG moves the Hb-O2 dissociation curve to the right.
The following values would be compatible with a healthy person having lived at 5,000 m for 7 days:
Resting heart rate of 95/min
True. At 5,000 m the atmospheric pressure is approximately half that at sea level, which would produced a maximum PaO2 of around 5-6 kPa. This stimulates hyperventilation, lowering the PaCO2, and by day 7 there will have been metabolic compensation by excreting (rather than retaining) bicarbonate. A modest tachycardia would still be present and an increase in 2, 3 DPG moves the Hb-O2 dissociation curve to the right.
The following values would be compatible with a healthy person having lived at 5,000 m for 7 days:
Right shift of Hb-O2 dissociation curve
True. At 5,000 m the atmospheric pressure is approximately half that at sea level, which would produced a maximum PaO2 of around 5-6 kPa. This stimulates hyperventilation, lowering the PaCO2, and by day 7 there will have been metabolic compensation by excreting (rather than retaining) bicarbonate. A modest tachycardia would still be present and an increase in 2, 3 DPG moves the Hb-O2 dissociation curve to the right.
Sodium 142 mmol/L. Potassium 4.7 mmol/L. Chloride 108 mmol/L. Bicarbonate 12 mmol/L. The above values for plasma concentrations would be compatible with:
A normal anion gap
False. These values show a metabolic acidosis with a raised anion gap (27), indicating an organic acid cause for the disturbance, such as DKA.
Sodium 142 mmol/L. Potassium 4.7 mmol/L. Chloride 108 mmol/L. Bicarbonate 12 mmol/L. The above values for plasma concentrations would be compatible with:
Stage 4 chronic kidney disease
False. These values show a metabolic acidosis with a raised anion gap (27), indicating an organic acid cause for the disturbance, such as DKA. There would a normal anion gap with CKD.
Sodium 142 mmol/L. Potassium 4.7 mmol/L. Chloride 108 mmol/L. Bicarbonate 12 mmol/L. The above values for plasma concentrations would be compatible with:
Diabetic ketoacidosis
True. These values show a metabolic acidosis with a raised anion gap (27), indicating an organic acid cause for the disturbance, such as DKA.
Sodium 142 mmol/L. Potassium 4.7 mmol/L. Chloride 108 mmol/L. Bicarbonate 12 mmol/L. The above values for plasma concentrations would be compatible with:
Hypoalbuminaemia
False. These values show a metabolic acidosis with a raised anion gap (27), indicating an organic acid cause for the disturbance, such as DKA. A low albumin reduces the anion gap as it is one of the main unmeasured anions.