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18 Cards in this Set

  • Front
  • Back
pH - what does it mean?

a. equal numbers of [H+] ions and [OH-] ions.
b. the negative logarithm of the hydrogen ion concentration
c. the sum of the major anions and the major cation
b. the negative logarithm of the hydrogen ion concentration
Anion Gap:

a. equal numbers of [H+] ions and [OH-] ions.
b. the negative logarithm of the hydrogen ion concentration
c.The difference between the sum of the major anions and the major cation
d. Na+ + K+ - Cl- - HCO3-
e. c & d only
e. c & d only
(The difference between the sum of the major anions and the major cations & Na+ + K+ - Cl- - HCO3-)
The body maintains the blood at pH:

a. 7.4
b. 7.5
c. 7.3
a. 7.4
Henderson-Hasselbalch Equation:

a. pka = log ( [HCO3-] / [CO2] )
b. pH = log +pk ( [HCO3-] / [CO2] )
c. pH = pK + log ( [HCO3-] / [CO2] )
c. pH = pK + log ( [HCO3-] / [CO2] )
Which of the 5 parameters of the ABG is measured? Which are calculated?
a. PaO2
b. PaCO2
c. HCO3
d. pH
e. Base Excess
measured:
a. PaO2
b. PaCO2
d. pH

calculated:
c. HCO3
e. Base Excess
The three electrodes that are responsible for ABG analysis: match the name with the item it measures:

a. Sanz Glass elctrode
b. Clark Electrode
c. Severinghaus Electrode
___O2 ___CO2 ___pH
a. Sanz Glass elctrode
b. Clark Electrode
c. Severinghaus Electrode
_b__O2 _c__CO2 _a__pH

(emily's hint: "my boyfriend went to the Clark building and I said OOOO!" and Harry Potter's Severing is a dark (blood) character.)
Definition of an acid:

a. negatively charged ions in solution
b. molecule that accepts H+ ions
c. molecule that gives up H+ ions
c. molecule that gives up H+ ions (with dissociation)
True or false:
Acids may have positive, negative, or neutral charges.
True
Which are the Intracellular and which are the extracellular buffers:

___ PO4
___Plasma proteins
___Proteins
___Bicarb Buffer System
___Hgb
_E__ PO4
_E__Plasma proteins
_I__Proteins
_E__Bicarb Buffer System (#1- 50%)
_E__Hgb (#2 35%)
the main route for removal of modest H+ loads is:
a. kidneys
b. liver
c. lungs
c. lungs (via the H2CO3 Bicarb buffer system)
True or false:
Acute acidosis is efficiently handles by the kidneys.
False: Chronic disturbances are handled by the kidneys. The lungs are responsible for Acute events with a 1-5min response time-- but is usually not complete.
Renal buffer system is all but which one:
a. Bicarbonate buffer
b. Phosphate buffer
c. Ammonia buffer
d. all of the above are renal buffers
d. all of the above are renal buffers
* Phosphate buffer: H2PO4(-) HPO4(2-) + H+

* Bicarbonate buffer: H2CO3 HCO3(-) + H+

* Ammonia buffer: NH4(+) NH3 + H+
CO2 transport in the body:

a. bound to HGB
b. Dissolved in blood
c. Bound to plasma proteins
d. as bicarbonate ions
e. all of the above
f. a,b and d only
e. all of the above

- 10% bound to HGB and plasma proteins
- 5% Dissolved in blood
- 85% as bicarbonate ions
What is the range of pH that is compatible with life?

a. 6.8- 7.8
b. 6.0 - 8.0
c. 7.2 - 7.8
a. 6.8- 7.8

--plasma proteins stop working outside of this range
what is the number 7.4 (-log)?

a. 74,000,000,000
b. 7.4
c. 0.00000004
d. 0.00000074
c. 0.00000004
(7.4 -log = decimal followed by 7 zeros and a 4)
ex: log 1000 = 3
log 1.0 = 0
-log 0.0001 = -3
what is the significance of 7.4 -log?(more than one answer)

a. it is a cool number
b. it is the normal ECF H+ concentration
c. it is an acidotic H+ concentration
d. it is pH neutral
e. 0.00000004 moles/liter of H+ concentration
b. it is the normal ECF H+ concentration
d. it is pH neutral
e. 0.00000004 moles/liter of H+ concentration
How many H+ ions are in blood ph of 7.3?
a. 24
b. 30
c. 40
d. 50
d. 50
-- a decrease in pH of 0.10 untis increases the H+ concentration 20% or 1.25 x the starting concentration (7.4 = 40nmol/l)
How many H+ ions are in a blood pH of 7.6?
a. 24
b. 30
c. 40
d. 50
a. 24
--an increase in pH of 0.10 units reduces the H= concentration by 20% or 0.8 x the starting concentration.