Study Area Chapter 26 Fluid, Electrolyte, and Acid-Base Balance
A major stimulus for the release of antidiuretic hormone is
__________.
stimulation of the baroreceptors
a rise
in plasma osmolality
an increase in ECF water
concentration
inhibition of the osmoreceptors
an increase
in potassium levels in the ICF
a rise in plasma osmolality
Acidosis results in increasing levels of what ion?
phosphorus
calcium
hydrogen
sodium
chloride
hydrogen
What is the most abundant cation in intracellular fluid?
magnesium
bicarbonate
calcium
potassium
sodium
potassium
Normal arterial blood pH is __________.
slightly
acidic
highly acidic
slightly alkaline
strongly
alkaline
neutral
slightly alkaline
Parathyroid hormone __________.
results in a lower blood
calcium level
is released when aldosterone levels climb
activates osteoblasts
targets the thyroid gland
enhances
release of calcium from bone
enhances release of calcium from bone
The condition in which sodium levels are too low is referred to as
__________.
hypokalemia
hyponatremia
Cushing’s syndrome
aldosteronism
hypernatremia
hyponatremia
The largest percentage of body water is located in what
compartment?
interstitial fluid
intracellular
fluid
blood plasma
extracellular fluid
intracellular fluid
The major source of water loss from the body is __________.
urine
insensible respiratory loss
feces
insensible skin loss
sweat
urine
The most prevalent electrolyte in the extracellular fluid is
__________.
sodium
magnesium
chloride
phosphate
calcium
potassium
sodium
The only organ(s) of the body that can remove excess nonvolatile
fixed acids is/are the __________.
lungs
sweat
glands
liver
kidney
spleen
kidney
When the concentration of Na+ in the ECF decreases, __________.
aldosterone levels increase
a person experiences increased
thirst
osmoreceptors are stimulated
ANP levels
increase
more ADH is released
aldosterone levels increase
Which condition would cause a drop in pH?
hyperventilation
hypoventilation
hypokalemia
hypernatremia
hypoventilation
Which statement about acids is true?
Weak acids only
dissociate partially in solution.
When high in the body, they
cause alkalosis.
They have little physiological effect on
chemical reactions in cells.
Our bodies have few ways to deal
with excess amounts of acids.
Most acid is a result of ingestion
with food.
Weak acids only dissociate partially in solution.
The only cation exerting significant osmotic pressure in the ECF is
__________.
Fe2+
K+
Ca2+
Mg2+
Na+
Na+
The most important buffer system in the intracellular fluid
compartment (ICF) is the __________ buffer system.
bicarbonate
chloride
phosphate
protein
sulfate
protein
Infants are more likely to experience problems regulating acid-base
balance because of several factors, including __________.
decreased surface area relative to body volume
the
inefficiency of infant kidneys
low rate of insensible water loss
from skin
high residual volume of infant lungs
lower amount
of fluid intake and output in infants
the inefficiency of infant kidneys
Which of the following tissues is the least hydrated?
muscle tissue
nervous tissue
adipose tissue
bone
adipose tissue
Which of the following individuals would have the most body
water?
an infant
a healthy young female
an
older obese person
a healthy young male
an infant
When atrial natriuretic peptide is released by the heart because of
increased blood pressure, it causes __________.
decreased
sodium and water reabsorption
increased antidiuretic-hormone
secretion
increased renin secretion
vasoconstriction
decreased sodium and water reabsorption
Water lost through expired air is referred to as __________.
water of oxidation
metabolic water
water
intake
insensible water loss
insensible water loss
All of the following would occur if there were an increase in plasma
osmolality EXCEPT __________.
concentrated
urine
release of ADH
thirst
production of large amounts
of urine
production of large amounts of urine
All of the following factors would stimulate the hypothalamic thirst
center EXCEPT __________.
decreased saliva
production
hypotonic extracellular fluid
a decline in
blood volume
increased angiotensin II secretion
hypotonic extracellular fluid
Diuresis peaks __________ after drinking water.
ten
minutes
half an hour
one hour
three hours
one hour
Edema is the accumulation of fluid in the __________.
interstitial space
intracellular space
plasma
organelles
interstitial space
Pica, the desire to consume substances that are not normally
considered food, such as chalk or clay, may be triggered by a
deficiency of __________.
iron
calcium
water
sodium
iron
Electrolyte balance in the body usually refers to the balance of
__________.
lipids
proteins
carbohydrates
salts
salts
The most important buffer system of extracellular fluid, such as
plasma, is the __________ buffer system.
hemoglobin
bicarbonate
phosphate
protein
bicarbonate
Renal acid-base control mechanisms are coupled to __________.
ADH secretion
plasma protein levels
Na+
transport
water intake
Na+ transport
Estrogens are chemically similar to __________ and are therefore
associated with water retention.
ANP
aldosterone
rennin
ADH
aldosterone
Any arterial pH between __________ is considered physiological
acidosis.
6.5 and 7.0
6.5 and 7.35
7.0 and
7.35
7.35 and 7.45
7.0 and 7.35
Most fluid in the body is in the extracellular fluid (ECF)
compartment.
True
False
False
Which of the following is NOT an electrolyte?
chloride
sodium
potassium
glucose
glucose
The most abundant cation in extracellular fluid is potassium.
True
False
False
Most water is excreted via the __________.
intestines
lungs
skin
kidneys
kidneys
Antidiuretic hormone (ADH) acts on the __________ to __________ water
excretion.
kidneys; decrease
kidneys;
increase
intestines; decrease
intestines; increase
kidneys; decrease
Which of the following is associated with a swelling of cells?
dehydration
hypoproteinemia
hypotonic
hydration
edema
hypotonic hydration
Which of the following would increase sodium excretion?
progesterone
aldosterone
estrogens
glucocorticoids
progesterone
Parathyroid hormone (PTH) increases Ca2+ deposition in the
bones.
True
False
False
Most of the hydrogen ions in the body come from acidic substances in
the foods we ingest.
True
False
False
The most important factor that influences K+ secretion is
__________.
the concentration of Na+ in blood
plasma
water balance in the body
the level of aldosterone
in the plasma
the concentration of K+ in the ECF
the concentration of K+ in the ECF
Which of the following has the LEAST influence over the pH of blood
plasma?
the bicarbonate buffer system
respiratory
rate
the phosphate buffer system
the protein buffer system
the phosphate buffer system
Hyperventilation can lead to __________.
metabolic
acidosis
respiratory acidosis
metabolic alkalosis
respiratory alkalosis
respiratory alkalosis
One way the kidneys maintain HCO3– balance is by __________.
reabsorbing H+
generating Na+ ions
generating new
HCO3–
reabsorbing CO2
generating new HCO3 –
Someone who is suffocating would develop __________.
respiratory acidosis
respiratory alkalosis
metabolic
acidosis
metabolic alkalosis
respiratory acidosis
Which of the following puts infants at increased risk for
dehydration?
their inefficient kidneys
their high
residual lung volume
their low surface area to volume
ratio
their low metabolic rate
their inefficient kidneys