The drug Diamox is sometimes used to treat mountain sickness. Diamox inhibits the action of carbonic anhydrase in the proximal convoluted tubule. Polyuria (excessive urine production resulting in frequent urination) is a side effect associated with the medication. Why does polyuria occur?
26. Fluid and Electrolyte Balance, Acid Base Balance
Acid-Base Balance
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David’s grandfather suffers from hypertension. His doctor tells him that part of his problem stems from renal arteriosclerosis. Why would this cause hypertension?
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The most important factor affecting the pH of body tissues is the concentration of:
(a) Lactic acid
(b) Ketone bodies,
(c) Metabolic acids
(d) Carbon dioxide
(e) Hydrochloric acid
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While visiting a foreign country, Milly inadvertently drinks some water, even though she had been advised not to. She contracts an intestinal disease that causes severe diarrhea. How would you expect her condition to affect her blood pH, urine pH, and pattern of ventilation?
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Write the missing names and molecular formulas for the following reactions between the carbonic acid–bicarbonate buffer system and the bicarbonate reserve.
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a. ___
b. ___
c. ___
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Changes in the pH of body fluids are compensated for by all of the following except:
(a) An increase in urine output
(b) The carbonic acid–bicarbonate buffer system
(c) The phosphate buffer system
(d) Changes in the rate and depth of breathing
(e) Protein buffers
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When the pH of body fluids begins to decrease, free amino acids and proteins will
(a) Release a hydrogen from the carboxyl group
(b) Release a hydrogen from the amino group
(c) Release a hydrogen at the carboxyl group
(d) Bind a hydrogen at the amino group
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In a protein buffer system, if the pH increases:
(a) The protein acquires a hydrogen ion from carbonic acid
(b) Hydrogen ions are buffered by hemoglobin molecules
(c) A hydrogen ion is released and a carboxylate ion is formed
(d) A chloride shift occurs
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Define and give an example of:
(a) A volatile acid
(b) A fixed acid, and
(c) A metabolic acid
Which represents the greatest threat to acid-base balance? Why?
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Define and give an example of:
(b) A fixed acid, and
Which represents the greatest threat to acid-base balance? Why?
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Define and give an example of:
(c) A metabolic acid.
Which represents the greatest threat to acid-base balance? Why?
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What are the three major buffer systems in body fluids? How does each system work?
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Respiratory acidosis develops when the blood pH is:
(a) Increased due to a decreased blood P𝒸ₒ₂ level
(b) Decreased due to an increased blood P𝒸ₒ₂ level
(c) Increased due to an increased blood P𝒸ₒ₂ level
(d) Decreased due to a decreased blood P𝒸ₒ₂ level
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Metabolic alkalosis occurs when:
(a) Bicarbonate ion concentrations become elevated
(b) A severe bicarbonate loss occurs
(c) The kidneys fail to excrete hydrogen ions
(d) Ketone bodies are generated in abnormally large quantities
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Distinguish between respiratory and metabolic disorders that disturb acid-base balance.
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