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Free hydrogen ions combine with _______________ to form ammonium.

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Metabolic acidosis refers to all types of acidosis that are not caused by excessive ammonia.

A) True
B) False

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What is the most common cause of metabolic acidosis?


A) asthma
B) morbid obesity
C) intestinal fistulas
D) diarrhea
E) overconsumption of coffee

F) A) and B)
G) A) and C)

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Nonvolatile acids include those inorganic acids that are formed during metabolism of carbohydrate, protein, and lipid.

A) True
B) False

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Carbonic _______________ inhibitors such as the drug acetazolamide can result in excessive loss of base while inhibiting production of carbonic acid in the kidney.

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What is the most predominant base involved in human acid-base balance?


A) bicarbonate
B) alkaline water
C) calcium carbonate
D) magnesium citrate
E) ammonia

F) C) and D)
G) A) and B)

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Lactic acidosis occurs as a result of increased production of lactate or ketoacids.

A) True
B) False

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Which medical condition occurs when the retention of carbon dioxide causes a decrease in the pH of the body?


A) metabolic alkalosis
B) metabolic acidosis
C) diabetic alkalosis
D) respiratory alkalosis
E) respiratory acidosis

F) A) and E)
G) D) and E)

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What is the most biochemically important volatile acid in the body?


A) hydrochloric acid
B) acetic acid
C) phosphoric acid
D) nitric acid
E) carbonic acid

F) None of the above
G) C) and D)

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Where is the respiratory center in the brain located?


A) pineal gland
B) pituitary gland
C) posterior cerebrum
D) pons
E) medulla

F) B) and D)
G) A) and B)

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Explain Kussmaul breathing.

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Kussmaul breathing is rapid, deep, and l...

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Water is considered neutral at pH _______________.

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Discuss the etiology of metabolic alkalosis.

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Clinical situations resulting in alkalos...

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What is the normal pH range of serum in humans?


A) 7.35-7.45
B) 6.15-6.75
C) 5.4-5.6
D) 8.55-8.59
E) 4.0-5.0

F) A) and B)
G) A) and E)

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What is the minimum pH of urine in humans?


A) 3.9
B) 3.2
C) 4.5
D) 5.8
E) 5.1

F) A) and B)
G) None of the above

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Catecholamines are drugs that can cause what type of acid-base imbalance?


A) physical acidosis
B) metabolic acidosis
C) metabolic alkalosis
D) respiratory acidosis
E) respiratory alkalosis

F) B) and C)
G) C) and E)

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The kidney uses _______________ and _______________ as buffers because the kidneys cannot excrete bicarbonate at the same time as hydrogen ions.

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dibasic ph...

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An important buffer system within red blood cells and tubules of the kidney is the protein buffer system.

A) True
B) False

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Which of the following buffer systems buffers both extracellular and intracellular fluids?


A) the phosphate buffer system
B) the protein buffer system
C) the hemoglobin buffer system
D) the bicarbonate-carbonic acid buffer system
E) the monosodium buffer system

F) D) and E)
G) C) and D)

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List three physiological means by which the body can accommodate all the hydrogen ions it constantly produces.

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The three physiological means ...

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