Chapter 13: Acid-Base Balance

Egan's Fundamentals of Respiratory Care 10th Edition By Kacmarek - Stoller

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Chapter 13: Acid-Base Balance

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The primary goal of acid-base homeostasis is to maintain which of the following?
a. normal HCO3
b. normal PCO2
c. normal pH
d. normal PO2

 

 

ANS:  C

Acid-base balance refers to physiological mechanisms that keep the H+ ion concentration of body fluids in a range compatible with life.

 

DIF:    Recall             REF:   p. 295            OBJ:   1

 

  1. What is the normal arterial blood pH range?
a. 7.25 to 7.35
b. 7.35 to 7.45
c. 7.45 to 7.55
d. 7.55 to 7.65

 

 

ANS:  B

To sustain life, the body must maintain the pH of fluids within a narrow range, from 7.35 to 7.45.

 

DIF:    Recall             REF:   p. 291            OBJ:   1

 

  1. Which of the following is a volatile acid of physiologic significance?
a. hydrochloric
b. carbonic
c. phosphoric
d. lactic

 

 

ANS:  B

The only volatile acid of physiologic significance in the body is carbonic acid (H2CO3), which is in equilibrium with dissolved CO2.

 

DIF:    Recall             REF:   p. 295            OBJ:   1

 

  1. What are the major mechanisms responsible for maintaining a stable pH despite massive CO2 production?
  2. isohydric buffering
  3. gastrointestinal secretion
  4. pulmonary ventilation
a. 2 and 3
b. 1 and 2
c. 1, 2, and 3
d. 1 and 3

 

 

ANS:  D

Isohydric buffering and ventilation are the two major mechanisms responsible for maintaining a stable pH in the face of massive CO2 production.

 

DIF:    Application    REF:   p. 291            OBJ:   1

 

  1. Fixed acids are produced primarily from the catabolism of which of the following?
a. carbohydrates
b. fats
c. proteins
d. simple sugars

 

 

ANS:  C

Catabolism of proteins continually produces fixed (nonvolatile) acids such as sulfuric and phosphoric acids.

 

DIF:    Recall             REF:   p. 291            OBJ:   1

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