The initial event in respiratory acidosis is (A) Decrease in pH (B) Increase in pCO2 (C) Increase in plasma bicarbonate (D) Decrease in plasma bicarbonate

The initial event in respiratory acidosis is (A) Decrease in pH (B) Increase in pCO2 (C) Increase in plasma bicarbonate (D) Decrease in plasma bicarbonate
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The primary event in respiratory alkalosis is (A) Rise in pH (B) Decrease in pCO2 (C) Increase in plasma bicarbonate (D) Decrease in plasma chloride

Description : The primary event in respiratory alkalosis is (A) Rise in pH (B) Decrease in pCO2 (C) Increase in plasma bicarbonate (D) Decrease in plasma chloride

Last Answer : Answer : B

A young child presents with respiratory distress, worsening over 2 days. Blood gases show a pH of 7.25, a PCO2 of 7.5kPa, a PO2 of 8.5kPa, and a base excess of -4. Which of the following interpretations is correct? 1) Results are consistent with bronchopulmonary dysplasia. 2) Blood gases suggest type 1 respiratory failure. 3) Immediate intubation is required. 4) Results are consistent with late severe asthma. 5) Bicarbonate may be necessary to correct the acidosis.

Description : A young child presents with respiratory distress, worsening over 2 days. Blood gases show a pH of 7.25, a PCO2 of 7.5kPa, a PO2 of 8.5kPa, and a base excess of -4. Which of the ... required. 4) Results are consistent with late severe asthma. 5) Bicarbonate may be necessary to correct the acidosis.

Last Answer : Answers-4 In interpreting blood gas results, the following sequence may be useful: Inspect the pH: Is it low, normal or high? Inspect the CO2: Is it low, normal or high? Inspect the PO2: Is ... excess and normal pH. Bicarbonate is usually only considered if the base deficit exceeds about -8 or 00.

Blood chemistry shows the following changes in compensated respiratory acidosis: (A) Increased pCO2 (B) Increased bicarbonate (C) Decreased chloride (D) All of these

Description : Blood chemistry shows the following changes in compensated respiratory acidosis: (A) Increased pCO2 (B) Increased bicarbonate (C) Decreased chloride (D) All of these

Last Answer : Answer : D

All the following features are found in blood chemistry in uncompensated lactic acidosis except (A) pH is decreased (B) Bicarbonate is decreased (C) pCO2 is normal (D) Anion gap is normal

Description : All the following features are found in blood chemistry in uncompensated lactic acidosis except (A) pH is decreased (B) Bicarbonate is decreased (C) pCO2 is normal (D) Anion gap is normal

Last Answer : Answer : D

Respiratory acidosis is caused by (A) Increase in carbonic acid relative to bicarbonate (B) Decrease in bicarbonate fraction (C) Increase in bicarbonate fraction (E) Decrease in the carbonic acid fraction

Description : Respiratory acidosis is caused by (A) Increase in carbonic acid relative to bicarbonate (B) Decrease in bicarbonate fraction (C) Increase in bicarbonate fraction (E) Decrease in the carbonic acid fraction

Last Answer : Answer : A

If the body experiences acidosis the respiratory center located in the medulla gets the information and induces the increase of the respiratory frequency. The increment of the respiratory frequency makes the body eliminate more carbon dioxide and to shift the equilibrium of the formation of bicarbonate towards the spending of more hydrogen ions and thus the blood pH raises.

Description : If the body experiences acidosis the respiratory center located in the medulla gets the information and induces the increase of the respiratory frequency. The increment of the respiratory frequency makes the ... of bicarbonate towards the spending of more hydrogen ions and thus the blood pH raises.

Last Answer : How does the breathing process correct alkalosis?

Plasma bicarbonate is increased in (A) Respiratory alkalosis (B) Metabolic alkalosis (C) Respiratory acidosis (D) Metabolic acidosis

Description : Plasma bicarbonate is increased in (A) Respiratory alkalosis (B) Metabolic alkalosis (C) Respiratory acidosis (D) Metabolic acidosis

Last Answer : Answer : B

Plasma bicarbonate is decreased in (A) Respiratory alkalosis (B) Respiratory acidosis (C) Metabolic alkalosis (D) Metabolic acidosis

Description : Plasma bicarbonate is decreased in (A) Respiratory alkalosis (B) Respiratory acidosis (C) Metabolic alkalosis (D) Metabolic acidosis

Last Answer : Answer : D

Which of the following features are present in blood chemistry in uncompensated metabolic alkalosis except? (A) Increased pH (B) Increased bicarbonate (C) Normal chloride (D) Normal pCO2

Description : Which of the following features are present in blood chemistry in uncompensated metabolic alkalosis except? (A) Increased pH (B) Increased bicarbonate (C) Normal chloride (D) Normal pCO2

Last Answer : Answer : D

All the following changes in blood chemistry can occur in severe diarrhoea except (A) Decreased pH (B) Decreased bicarbonate (C) Increased pCO2 (D) Increased chloride WATER AND ELECTROLYTE BALANCE 287

Description : All the following changes in blood chemistry can occur in severe diarrhoea except (A) Decreased pH (B) Decreased bicarbonate (C) Increased pCO2 (D) Increased chloride WATER AND ELECTROLYTE BALANCE 287

Last Answer : Answer : C

Respiratory acidosis results from (A) Retention of carbon dioxide (B) Excessive elimination of carbon dioxide (C) Retention of bicarbonate (D) Excessive elimination of bicarbonate

Description : Respiratory acidosis results from (A) Retention of carbon dioxide (B) Excessive elimination of carbon dioxide (C) Retention of bicarbonate (D) Excessive elimination of bicarbonate

Last Answer : Answer : A

All the following statements about renal tubular acidosis are correct except (A) Renal tubules may be unable to reabsorb bicarbonate (B) Renal tubules may be unable to secrete hydrogen ions (C) Plasma chloride is elevated (D) Anion gap is decreased

Description : All the following statements about renal tubular acidosis are correct except (A) Renal tubules may be unable to reabsorb bicarbonate (B) Renal tubules may be unable to secrete hydrogen ions (C) Plasma chloride is elevated (D) Anion gap is decreased

Last Answer : Answer : D

Which of the following statements about respiratory acidosis are true? A. Compensation occurs by a shift of chloride out of the red blood cells. B. Renal compensation occurs rapidly. C. Retention of bicarbonate and increased ammonia formation are normal compensatory mechanisms. D. Narcotic administration is an unusual cause of respiratory acidosis. E. The ratio of bicarbonate to carbonic acid is less than 20:1.

Description : Which of the following statements about respiratory acidosis are true? A. Compensation occurs by a shift of chloride out of the red blood cells. B. Renal compensation occurs rapidly. C. Retention of ... of respiratory acidosis. E. The ratio of bicarbonate to carbonic acid is less than 20:1.

Last Answer : Answer: CE DISCUSSION: Renal compensation for acute hypoventilation is relatively slow. Depression of the respiratory center by morphine can lead to respiratory acidosis. Renal retention of bicarbonate, ... into red cells combine to increase the ratio of bicarbonate to carbonic acid to 20:1

Respiratory alkalosis is caused by (A) An increase in carbonic acid fraction (B) A decrease in bicarbonic fraction (C) A decrease in the carbonic acid fraction (D) An increase in bicarbonate fraction

Description : Respiratory alkalosis is caused by (A) An increase in carbonic acid fraction (B) A decrease in bicarbonic fraction (C) A decrease in the carbonic acid fraction (D) An increase in bicarbonate fraction

Last Answer : Answer : C

A 45-year-old solicitor had an onset of severe, crushing, substernal chest pain while attending a football match. He collapsed on his way to the car. Bystander Cardiorespiratory Resuscitation was begun immediately and continued until arrival in Casualty where an endotracheal tube was inserted and ventilation was maintained on 100% oxygen. Investigations revealed: pH 7.13 PaO2 560 mmHg PaCO2 18 mmHg Bicarbonate 5.8 SaO2 98% Based on these laboratory values, which of the following statements best describes his current pathophysiology? 1) He is demonstrating a primary respiratory alkalosis 2) He probably developed a large right to left intracardiac shunt 3) His anion gap is probably normal 4) His oxyhemoglobin curve is shifted to the left 5) His pulmonary artery pressure is probably elevated

Description : A 45-year-old solicitor had an onset of severe, crushing, substernal chest pain while attending a football match. He collapsed on his way to the car. Bystander Cardiorespiratory Resuscitation ... His oxyhemoglobin curve is shifted to the left 5) His pulmonary artery pressure is probably elevated

Last Answer : Answers-5 This young patient with severe central chest pain has probably arrested due to myocardial infarction and arrhythmia. His gases reveal high PO2 following 100% O2 but severe acidosis ... no left to right shunting and high pulmonary pressures would be expected after this arrest scenario.

Which of the following is true concerning a 68 year old male with type 2 diabetes diagnosed with type IV renal tubal acidosis? 1) Aminoaciduria would be expected. 2) Fludrocortisone treatment is effective 3) Increased Glomerular filtration rate is expected. 4) Increased urinary bicarbonate would be expected. 5) Normal renal handling of K+ and H+

Description : Which of the following is true concerning a 68 year old male with type 2 diabetes diagnosed with type IV renal tubal acidosis? 1) Aminoaciduria would be expected. 2) Fludrocortisone treatment is effective ... 4) Increased urinary bicarbonate would be expected. 5) Normal renal handling of K+ and H+

Last Answer : Answers-2 H+ secretion, sodium reabsorption and ammonia production diminishes. RTA 4 is in effect hyporeninaemic hypoaldosteronism or failure of aldosterone action and thus helped treated with ... particularly. Aminoaciduria and increased urine bicarbonate are features of RTA types 1 and 2.

If the body undergoes alkalosis the respiratory center located in the medulla gets the information and induces the lowering of the respiratory frequency. The reduction of the respiratory frequency makes the body retain more carbon dioxide and to shift the equilibrium of the formation of bicarbonate towards the production of more hydrogen ions and thus the blood pH lowers.

Description : If the body undergoes alkalosis the respiratory center located in the medulla gets the information and induces the lowering of the respiratory frequency. The reduction of the respiratory frequency makes ... of bicarbonate towards the production of more hydrogen ions and thus the blood pH lowers.

Last Answer : What is the difference between respiratory acidosis and metabolic acidosis and what is the difference between respiratory alkalosis and metabolic alkalosis?

Salicylate poisoning can cause (A) Respiratory acidosis (B) Metabolic acidosis with normal anion gap (C) Metabolic acidosis with increased anion gap (D) Metabolic alkalosis

Description : Salicylate poisoning can cause (A) Respiratory acidosis (B) Metabolic acidosis with normal anion gap (C) Metabolic acidosis with increased anion gap (D) Metabolic alkalosis

Last Answer : Answer : C

Respiratory acidosis can occur in all of the following except (A) Pulmonary oedema (B) Hysterical hyperventilation (C) Pneumothorax (D) Emphysema

Description : Respiratory acidosis can occur in all of the following except (A) Pulmonary oedema (B) Hysterical hyperventilation (C) Pneumothorax (D) Emphysema

Last Answer : Answer : B

Hypercholremia is associated with (A) Hyponatremia (B) Hypernatremia (C) Metabolic alkalosis(D) Respiratory acidosis

Description : Hypercholremia is associated with (A) Hyponatremia (B) Hypernatremia (C) Metabolic alkalosis(D) Respiratory acidosis

Last Answer : Answer : B

Salicylate poisoning in early stages causes (A) Metabolic acidosis (B) Respiratory acidosis (C) Metabolic alkalosis (D) Respiratory alkalosis

Description : Salicylate poisoning in early stages causes (A) Metabolic acidosis (B) Respiratory acidosis (C) Metabolic alkalosis (D) Respiratory alkalosis

Last Answer : Answer : D

Morphine poisoning causes (A) Metabolic acidosis (B) Respiratory acidosis (C) Metabolic alkalosis (D) Respiratory alkalosis

Description : Morphine poisoning causes (A) Metabolic acidosis (B) Respiratory acidosis (C) Metabolic alkalosis (D) Respiratory alkalosis

Last Answer : Answer : B

Respiratory acidosis occurs in (A) Any disease which impairs respiration like emphysema (B) Renal disease (C) Poisoning by an acid (D) Pyloric stenosis

Description : Respiratory acidosis occurs in (A) Any disease which impairs respiration like emphysema (B) Renal disease (C) Poisoning by an acid (D) Pyloric stenosis

Last Answer : Answer : A

Meningitis and encephalitis cause (A) Metabolic alkalosis (B) Respiratory alkalosis (C) Metabolic acidosis (D) Respiratory acidosis

Description : Meningitis and encephalitis cause (A) Metabolic alkalosis (B) Respiratory alkalosis (C) Metabolic acidosis (D) Respiratory acidosis

Last Answer : Answer : B

Total CO2 is increased in (A) Respiratory acidosis (B) Metabolic alkalosis (C) Both respiratory acidosis and metabolic alkalosis (D) Respiratory alkalosis

Description : Total CO2 is increased in (A) Respiratory acidosis (B) Metabolic alkalosis (C) Both respiratory acidosis and metabolic alkalosis (D) Respiratory alkalosis

Last Answer : Answer : C

Hypoglycemia depresses insulin secretion and thus increases the rate of (A) Hydrolysis (B) Reduction (C) Gluconeogenesis (D) Respiratory acidosis

Description : Hypoglycemia depresses insulin secretion and thus increases the rate of (A) Hydrolysis (B) Reduction (C) Gluconeogenesis (D) Respiratory acidosis

Last Answer : Answer : C

Reduction in pH of blood will (a) decrease the affinity of haemoglobin with oxygen (b) release bicarbonate ions by the liver (c) reduce the rate of heartbeat (d) reduce the blood supply to the brain.

Description : Reduction in pH of blood will (a) decrease the affinity of haemoglobin with oxygen (b) release bicarbonate ions by the liver (c) reduce the rate of heartbeat (d) reduce the blood supply to the brain.

Last Answer : (a) decrease the affinity of haemoglobin with oxygen

In patients receiving massive blood transfusion for acute blood loss, which of the following is/are correct? A. Packed red blood cells and crystalloid solution should be infused to restore oxygen-carrying capacity and intravascular volume. B. Two units of FFP should be given with every 5 units of packed red blood cells in most cases. C. A “six pack” of platelets should be administered with every 10 units of packed red blood cells in most cases. D. One to two ampules of sodium bicarbonate should be administered with every 5 units of packed red blood cells to avoid acidosis. E. One ampule of calcium chloride should be administered with every 5 units of packed red blood cells to avoid hypocalcemia.

Description : In patients receiving massive blood transfusion for acute blood loss, which of the following is/are correct? A. Packed red blood cells and crystalloid solution should be infused to restore oxygen ... should be administered with every 5 units of packed red blood cells to avoid hypocalcemia.

Last Answer : Answer: A DISCUSSION: Patients who are suffering from acute blood loss require crystalloid resuscitation as the initial maneuver to restore intravascular volume and re-establish vital signs. If 2 to 3 liters ... when the infusion of blood proceeds at a rate exceeding 1 to 2 units every 5 minutes

Which of the following concerning the pH of urine is correct? 1) is a useful indicator of the acid/base balance of the blood 2) rises on a vegetarian diet 3) is determined by the concentration of ammonium 4) is lower than 5.5 in renal tubular acidosis 5) would be above 7.0 after prolonged and severe vomiting

Description : Which of the following concerning the pH of urine is correct? 1) is a useful indicator of the acid/base balance of the blood 2) rises on a vegetarian diet 3) is determined by the concentration of ... lower than 5.5 in renal tubular acidosis 5) would be above 7.0 after prolonged and severe vomiting

Last Answer : Answers-2 c - excretion of ammonium occurs when an acid urine is produced but the pH of urine is of course determined by the concentration of H+ ions d-unable to lower the pH to ... and distal nephron and this perpetuates the metabolic alkalosis until the fluid balance is restored with IV fluids.

During compensation of respiratory alkalosis, all the following changes occur except (A) Decreased secretion of hydrogen ions by renal tubules (B) Increased excretion of sodium in urine (C) Increased excretion of bicarbonate in urine (D) Increased excretion of ammonia in urine

Description : During compensation of respiratory alkalosis, all the following changes occur except (A) Decreased secretion of hydrogen ions by renal tubules (B) Increased excretion of sodium in urine (C) Increased excretion of bicarbonate in urine (D) Increased excretion of ammonia in urine

Last Answer : Answer : D

Anion gap of plasma can be due to the presence of all the following except (A) Bicarbonate (B) Lactate (C) Pyruvate (D) Citrate

Description : Anion gap of plasma can be due to the presence of all the following except (A) Bicarbonate (B) Lactate (C) Pyruvate (D) Citrate

Last Answer : Answer : A

Anion gap is the difference in the plasma concentrations of (A) (Chloride) – (Bicarbonate) (B) (Sodium) – (Chloride) (C) (Sodium + Potassium) – (Chloride + Bicarbonate) (D) (Sum of cations) – (Sum of anions)

Description : Anion gap is the difference in the plasma concentrations of (A) (Chloride) – (Bicarbonate) (B) (Sodium) – (Chloride) (C) (Sodium + Potassium) – (Chloride + Bicarbonate) (D) (Sum of cations) – (Sum of anions)

Last Answer : Answer : C

Quantitatively, the most significant buffer system in plasma is (A) Phosphate buffer system (B) Carbonic acid-bicarbonate buffer system (C) Lactic acid-lactate buffer system (D) Protein buffer system

Description : Quantitatively, the most significant buffer system in plasma is (A) Phosphate buffer system (B) Carbonic acid-bicarbonate buffer system (C) Lactic acid-lactate buffer system (D) Protein buffer system

Last Answer : Answer : B

At pH 7.4, the ratio of bicarbonate : dissolved CO2 is (A) 1 : 1 (B) 10 : 1 (C) 20 : 1 (D) 40 : 1

Description : At pH 7.4, the ratio of bicarbonate : dissolved CO2 is (A) 1 : 1 (B) 10 : 1 (C) 20 : 1 (D) 40 : 1

Last Answer : Answer : C

Chloride shift is (A) H ions leaving the RBC in exchange of Cl- (B) Cl– leaving the RBC in exchange of bicarbonate (C) Bicarbonate ion returns to plasma and exchanged with chloride which shifts into the cell (D) Carbonic acid to the plasma

Description : Chloride shift is (A) H ions leaving the RBC in exchange of Cl- (B) Cl– leaving the RBC in exchange of bicarbonate (C) Bicarbonate ion returns to plasma and exchanged with chloride which shifts into the cell (D) Carbonic acid to the plasma

Last Answer : Answer : C

Important buffer system of extracellular fluid is (A) Bicarbonate/carbonic acid (B) Disodium hydrogen phosphate/sodium dihydrogen phosphate (C) Plasma proteins (D) Organic Phosphate

Description : Important buffer system of extracellular fluid is (A) Bicarbonate/carbonic acid (B) Disodium hydrogen phosphate/sodium dihydrogen phosphate (C) Plasma proteins (D) Organic Phosphate

Last Answer : Answer : A

At the pH of blood 7.4, the ratio between the carbonic acid and bicarbonate fractions is (A) 1 : 10 (B) 1 : 20 (C) 1 : 30 (D) 1 : 40

Description : At the pH of blood 7.4, the ratio between the carbonic acid and bicarbonate fractions is (A) 1 : 10 (B) 1 : 20 (C) 1 : 30 (D) 1 : 40

Last Answer : Answer : B

Respiratory acidosis?

Description : Respiratory acidosis?

Last Answer : DefinitionRespiratory acidosis is a condition that occurs when the lungs cannot remove all of the carbon dioxide the body produces. This disrupts the body's acid-base balance causing body ... deflateDrugs that suppress breathing (including powerful pain medicines, such as narcotics, and "downers,

Which of the following may precipitate an asthma attack? (a) Respiratory acidosis (b) Viran and bacterial infections (c) Respiratory alkalosis (d) Cranberry jiuce (e) Chocolate or Coca Cola

Description : Which of the following may precipitate an asthma attack? (a) Respiratory acidosis (b) Viran and bacterial infections (c) Respiratory alkalosis (d) Cranberry jiuce (e) Chocolate or Coca Cola

Last Answer : Ans: B

The toxicity spectrum of aspirin does not include (a) Increased risk of encephalopathy in children with viral infections (b) Increased risk of peptic ulcers (c) Hyperprothrombinemia (d) Metabolic acidosis (e) Respiratory alkalosis

Description : The toxicity spectrum of aspirin does not include (a) Increased risk of encephalopathy in children with viral infections (b) Increased risk of peptic ulcers (c) Hyperprothrombinemia (d) Metabolic acidosis (e) Respiratory alkalosis

Last Answer : Ans: C

Which one of the following effects does not occur in salicylate intoxication ? (a) Hyperventilation (b) Hypothemia (c) Metabolic acidosis (d) Respiratory alkalosis (e) Tinnitus

Description : Which one of the following effects does not occur in salicylate intoxication ? (a) Hyperventilation (b) Hypothemia (c) Metabolic acidosis (d) Respiratory alkalosis (e) Tinnitus

Last Answer : Ans: B

The oxygen dissociation curve is shifted to the right with: a. polycythaemia b. pyrexia c. respiratory acidosis d. sickle cell anaemia

Description : The oxygen dissociation curve is shifted to the right with: a. polycythaemia b. pyrexia c. respiratory acidosis d. sickle cell anaemia

Last Answer : pyrexia

Name the chronic respiratory disorder caused mainly by cigarette smoking. (a) Respiratory acidosis (b) Respiratory alkalosis (c) Emphysema (d) Asthma

Description : Name the chronic respiratory disorder caused mainly by cigarette smoking. (a) Respiratory acidosis (b) Respiratory alkalosis (c) Emphysema (d) Asthma

Last Answer : (c) Emphysema

Metabolic effects that generally attend antiinflammatory doses of aspirin include the following except: A. Increased CO2 production B. Hepatic glycogen depletion C. Metabolic acidosis D. Compensated respiratory alkalosis

Description : Metabolic effects that generally attend antiinflammatory doses of aspirin include the following except: A. Increased CO2 production B. Hepatic glycogen depletion C. Metabolic acidosis D. Compensated respiratory alkalosis

Last Answer : C. Metabolic acidosis

Acidosis is the condition in which the blood pH is abnormally low. Alkalosis is the condition in which the blood pH is abnormally high. Normal pH levels for the human blood are between 7.35 and 7.45 - slightly alkaline.

Description : Acidosis is the condition in which the blood pH is abnormally low. Alkalosis is the condition in which the blood pH is abnormally high. Normal pH levels for the human blood are between 7.35 and 7.45 - slightly alkaline.

Last Answer : How does the breathing process correct acidosis?

A high concentration of PTH in blood causes (A) Increase in plasma calcium and inorganic phosphorous (B) Decrease in plasma calcium and inorganic phosphorous (C) Increase in plasma calcium and decrease in plasma inorganic phosphorous (D) Decrease in plasma calcium and increase in plasma inorganic phosphorous

Description : A high concentration of PTH in blood causes (A) Increase in plasma calcium and inorganic phosphorous (B) Decrease in plasma calcium and inorganic phosphorous (C) Increase in plasma calcium ... in plasma inorganic phosphorous (D) Decrease in plasma calcium and increase in plasma inorganic phosphorous

Last Answer : Answer : C

Which of the following complications of TPN are appropriately managed with the listed treatment? a. Air embolism—place patient in reverse Trendelenburg and the left lateral decubitus position and aspirate venous air b. Hyperchloremic metabolic acidosis—give sodium and potassium as acetate salts c. Carbon dioxide retention—decrease glucose calories and replace with fat d. Line sepsis—intravenous antibiotics

Description : Which of the following complications of TPN are appropriately managed with the listed treatment? a. Air embolism-place patient in reverse Trendelenburg and the left lateral decubitus position ... dioxide retention-decrease glucose calories and replace with fat d. Line sepsis-intravenous antibiotics

Last Answer : Answer: b, c A number of complications of TPN can occur which can be divided into three types: mechanical, metabolic, and infectious

The Most common admixture used to accelerate the initial setting of concrete is a) Gypsum b) Calcium chloride* c) Calcium carbonate d) Calcium bicarbonate

Description : The Most common admixture used to accelerate the initial setting of concrete is a) Gypsum b) Calcium chloride* c) Calcium carbonate d) Calcium bicarbonate

Last Answer : b) Calcium chloride*

Is carbon dioxide transported in the blood by plasma hemoglobin and bicarbonate ions?

Description : Is carbon dioxide transported in the blood by plasma hemoglobin and bicarbonate ions?

Last Answer : Need answer