Final Chapters 25, 26 And Others

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Final Chapters 25, 26 And Others - Quiz


Final week 4


Questions and Answers
  • 1. 

    Which of the following is true about interstitial fluid, plasma, lymph and transcellular fluid?

    • A.

      Contain no electrolytes

    • B.

      Protein-free fluids

    • C.

      Classified as extracellular

    • D.

      PH less than 6 (highly acidic)

    Correct Answer
    C. Classified as extracellular
    Explanation
    these are all classified as extracellular fluid compartments. the fluid in these compartments is alkaline (not acidic) and contains electrolytes and protein.

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  • 2. 

    Which of the following forms the greatest extracellular fluid compartment?

    • A.

      Lymph

    • B.

      Interstitial

    • C.

      Plasma

    • D.

      Transcelular

    Correct Answer
    B. Interstitial
    Explanation
    most extracellular fluid is located within the interstitial space

    Rate this question:

  • 3. 

    Which fluid compartment is located between the cells and is also called tissue fluid?

    • A.

      Lymph

    • B.

      Plasma

    • C.

      Interstitial

    • D.

      Transcellular

    Correct Answer
    C. Interstitial
    Explanation
    fluid located between the cells is called interstitial fluid or tissue fluid

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  • 4. 

    Which of the following is descriptive of normal saline?

    • A.

      Distailed water

    • B.

      0.9% sodium chloride

    • C.

      Highly acidic

    • D.

      Contains albumin

    Correct Answer
    B. 0.9% sodium chloride
    Explanation
    normal saline is 0.9% NaC1 (it resembles the concentration of plasma)

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  • 5. 

    Which of the following is most likely to occur when output exceeds intake?

    • A.

      Diuresis

    • B.

      Polyuria

    • C.

      Hematuria

    • D.

      Dehydration

    Correct Answer
    D. Dehydration
    Explanation
    when water output exceeds water intake, the person is most apt to become dehydrated

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  • 6. 

    Water and chloride usually follow the movement of this cation

    • A.

      Bicarbonate

    • B.

      Sodium

    • C.

      Potassium

    • D.

      Albumin

    Correct Answer
    B. Sodium
    Explanation
    water and the anion (C1-) follow the movement of sodium (Na+)

    Rate this question:

  • 7. 

    Poor skin turgor is most indicative of

    • A.

      Cystitis

    • B.

      Acidosis

    • C.

      Edema

    • D.

      Dehydration

    Correct Answer
    D. Dehydration
    Explanation
    poor skin turgor is due to a deficiency of water in the interstitial compartment and is indicative of dehydration

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  • 8. 

    Kaliuresis refers to the urinary loss of 

    • A.

      Water

    • B.

      Albumin

    • C.

      Potassium

    • D.

      Sodium

    Correct Answer
    C. Potassium
    Explanation
    kaliuresis refers to the urinary excretion of potassium K+

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  • 9. 

    K+

    • A.

      Is a cation

    • B.

      Is an acid

    • C.

      Neutralizes H+

    • D.

      Is the chief extracellular cation

    Correct Answer
    A. Is a cation
    Explanation
    Potassium (K+) is a cation, a positively charged ion; it is the cheif intracellular cation

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  • 10. 

    Bicarbonate (HCO-3) is considered an anion because it

    • A.

      Contains hydrogen

    • B.

      Contains carbon

    • C.

      Contains oxygen

    • D.

      Contains a negative charge

    Correct Answer
    D. Contains a negative charge
    Explanation
    bicarbonate is an anion because it carries a negative charge

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  • 11. 

    Which of the following can be defined as an H+ donor?

    • A.

      Ion

    • B.

      Tincture

    • C.

      Acid

    • D.

      Bicarbonate

    Correct Answer
    C. Acid
    Explanation
    an acid is defined as a substance that donates H+ upon dissolving (as in HC1 dissociating to H+ and C1-)

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  • 12. 

    Which of the following acts as a base?

    • A.

      H+

    • B.

      OH-

    • C.

      Calcium ion

    • D.

      Gastric juice

    Correct Answer
    B. OH-
    Explanation
    a base removes H+ from solution, as in OH- combining with H+ (acid) to form water (H20)

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  • 13. 

    Excess diuresis is most likely to cause

    • A.

      Edema

    • B.

      Overhydration

    • C.

      Blood volume depletion

    • D.

      Acidosis

    Correct Answer
    C. Blood volume depletion
    Explanation
    excess diuresis causes excess loss of water, thereby causing dehydration and a decrease in blood volume

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  • 14. 

    Which of the following is most likely to occur when output is less than intake?

    • A.

      Dehydration

    • B.

      Edema

    • C.

      Hypovolemia

    • D.

      Polyuria

    Correct Answer
    B. Edema
    Explanation
    when water output is less than water intake, the person is likely to develop edema (fluid retention)

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  • 15. 

    Hypoventilation is most likely to cause

    • A.

      Acidosis

    • B.

      Edema

    • C.

      Renal excretion of bicarbonate

    • D.

      Hypokalemia

    Correct Answer
    A. Acidosis
    Explanation
    hypoventilation causes CO2 retention and the formation of H+ , thereby causing respiratory acidosis

    Rate this question:

  • 16. 

    Which of the following is not a function of the lungs?

    • A.

      Oxygenation of blood

    • B.

      Excretion of carbon dioxide

    • C.

      Secretion of aldosterone and the regulation of Na+

    • D.

      Regulation of blood pH

    Correct Answer
    C. Secretion of aldosterone and the regulation of Na+
    Explanation
    the lungs oxygenate blood, excrete CO2, and help regulate blood pH. they do not secrete aldosterone and control Na+

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  • 17. 

    Hyperventilation is most likely to cause 

    • A.

      A blood pH greater than 7.45

    • B.

      Diuresis

    • C.

      Edema

    • D.

      Acidosis

    Correct Answer
    A. A blood pH greater than 7.45
    Explanation
    hyperventilation causes the excretion of CO2 and a decrease in [H+], thereby causing alkalosis (a pH greater than 7.45)

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  • 18. 

    Metabolic acidosis such as diabetic ketoacidosis is most likely to cause

    • A.

      Hypoventilation

    • B.

      Kussmaul respirations

    • C.

      The renal excretion of bicarbonate

    • D.

      The renal retention of H+

    Correct Answer
    B. Kussmaul respirations
    Explanation
    metabolic acidosis stimulates Kussmaul respirations in an attempt to increase pH toward normal

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  • 19. 

    Most body water is located within which space?

    • A.

      Interstitial

    • B.

      Intravascular

    • C.

      Intracellular

    • D.

      Transcellular

    Correct Answer
    C. Intracellular
    Explanation
    Most body water is located within the intracellular compartment. Transcellular, intravascular, and interstitial fluids are extracellular compartments.

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  • 20. 

    Which of the following is not true of extracellular fluid?

    • A.

      Most body water is extracellular

    • B.

      Plasma is extracellular

    • C.

      Transcellular fluid is extracellular

    • D.

      Ther is more interstitial fluid than intravascular fluid

    Correct Answer
    A. Most body water is extracellular
    Explanation
    most body water is located within the intracellular compartment

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  • 21. 

    Which ion determines pH?

    • A.

      Sodium

    • B.

      Hydrogen

    • C.

      Bicarbonate

    • D.

      Potassium

    Correct Answer
    B. Hydrogen
    Explanation
    the hydrogen ion (h+) determines pH. pH is defined as -log [H+]

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  • 22. 

    Hyperkalemia refers to an increase in the blood levels of which ion?

    • A.

      Hydrogen

    • B.

      Bicarbonate

    • C.

      Calcium

    • D.

      Potassium

    Correct Answer
    D. Potassium
    Explanation
    hyperkalemia refers to an increase in potassium (K+) in the blood

    Rate this question:

  • 23. 

    Retention of the ion causes water retention and edema formation

    • A.

      Potassium

    • B.

      Hydrogen

    • C.

      Sodium

    • D.

      Bicarbonate

    Correct Answer
    C. Sodium
    Explanation
    retention of sodium (Na+) causes water retention and edema. Na+ "holds" water

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  • 24. 

    More than 99% of this cation is stored in the bones and teeth

    • A.

      Potassium

    • B.

      Hydrogen

    • C.

      Chloride

    • D.

      Calcium

    Correct Answer
    D. Calcium
    Explanation
    more than 99% of the calcium is stored within the bones and teeth

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  • 25. 

    This is the chief extracellular cation

    • A.

      Chloride

    • B.

      Calcium

    • C.

      Sodium

    • D.

      Potassium

    Correct Answer
    C. Sodium
    Explanation
    the chief extracellular cation (positively charged ion) is sodium (Na+)

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  • 26. 

    This ion determines the resting membrane potential of nerve and muscle

    • A.

      Sodium

    • B.

      Calcium

    • C.

      Hydrogen

    • D.

      Potassium

    Correct Answer
    D. Potassium
    Explanation
    the resting membrane potential of nerve and muscle is determined by potassium (K+)

    Rate this question:

  • 27. 

    Most diuretics increase urine production by blocking the effects of this cation

    • A.

      Calcium

    • B.

      Bicarbonate

    • C.

      Chloride

    • D.

      Sodium

    Correct Answer
    D. Sodium
    Explanation
    Most diuretics increase urine production by blocking the tubular reabsorption of Na+. the excretion of Na+ is accompanied by the excretion of water as urine (diuresis)

    Rate this question:

  • 28. 

    Which hormone causes the kidneys to retain sodium and to excrete potassium?

    • A.

      ADH

    • B.

      Erythropoietin

    • C.

      Aldosterone

    • D.

      PTH

    Correct Answer
    C. Aldosterone
    Explanation
    the adrenal cortical hormone, aldosterone, stimulates the distal tubule to reabsorb Na+ and to excrete K+

    Rate this question:

  • 29. 

    Which hormone stimulates the kidneys to reabsorb calcium and to excrete phosphate?

    • A.

      ADH

    • B.

      Aldosterone

    • C.

      Parathyroid hormone

    • D.

      Erythropoietin

    Correct Answer
    C. Parathyroid hormone
    Explanation
    PTH (parathyroid hormone) stimulates the tubules to reabsorb calcium and to excrete phosphate (its phosphaturic effect)

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  • 30. 

    Respiratory rate is most sensitive to the effects of this ion

    • A.

      Na+

    • B.

      K+

    • C.

      H+

    • D.

      C1-

    Correct Answer
    C. H+
    Explanation
    respiratory rate is most sensitive to the effects of H+: excess H+ stimulates the respiratory rate (as in Kussmaul respirations)

    Rate this question:

  • 31. 

    Which of the following anions buffers H+?

    • A.

      Ca2+

    • B.

      HCO-3

    • C.

      Na+

    • D.

      K+

    Correct Answer
    B. HCO-3
    Explanation
    bicarbonate, an anion, buffers H+, calcium, Na+ and K+ are cations (positively charged ions)

    Rate this question:

  • 32. 

    Which of the following is a characteristic of acidosis?

    • A.

      PH of 7.55

    • B.

      A decrease in the concentration of hydrogen ion in the blood

    • C.

      Urinary excretion of bicarbonate

    • D.

      PH less than 7.35

    Correct Answer
    B. A decrease in the concentration of hydrogen ion in the blood
    Explanation
    acidosis is characterized by decreased pH (less than 7.35). a decreased pH reflects an accumulation of H+ in the blood

    Rate this question:

  • 33. 

    Which of the following is most likely to develop in a patient who hyporventilates because of a chronic respiratory disease, such as emphysema?

    • A.

      Kussmaul respirations

    • B.

      A decrease in the plasma concentration of hydrogen ion

    • C.

      An increase in plasma pH

    • D.

      Acidosis

    Correct Answer
    D. Acidosis
    Explanation
    Hypoventilation causes CO2 retention, an accumulation of H+ in the blood, and acidosis

    Rate this question:

  • 34. 

    Which of the following is most likely to develop in an anxious hyperventilation patient?

    • A.

      Respiratory acidosis

    • B.

      Alkalosis

    • C.

      A decrease in plasma pH

    • D.

      Ketoacidosis

    Correct Answer
    B. Alkalosis
    Explanation
    Hyperventilation decreases H+ concentration and causes alkalosis

    Rate this question:

  • 35. 

    Which condition is caused by vomiting stomach contents?

    • A.

      Hyperkalemia

    • B.

      Hypernatremia and blood volume expansion

    • C.

      Hypocalcemic tetany

    • D.

      Alkalosis

    Correct Answer
    D. Alkalosis
    Explanation
    vomiting of stomach contents causes a loss of H+ (HC1 in the stomach) and alkalosis

    Rate this question:

  • 36. 

    Which condition stimulates Kussmaul respirations?

    • A.

      Respiratory acidosis

    • B.

      Respiratory alkalosis

    • C.

      Ketoacidosis

    • D.

      Hypocalcemic tetany

    Correct Answer
    C. Ketoacidosis
    Explanation
    ketoacidosis (increased H+) stimulates respiratory activity (Kussmaul respirations)

    Rate this question:

  • 37. 

    Which of the following is a buffer pair?

    • A.

      PTH, aldosterone

    • B.

      ADH, ANF

    • C.

      HCO-3, H2CO3

    • D.

      Sodium, potassium

    Correct Answer
    C. HCO-3, H2CO3
    Explanation
    bicarbonate and carbonic acid are an important buffer pair. the bicarbonate can remove H+ while the carbonic acid can donate H+

    Rate this question:

  • 38. 

    What does urinary specific gravity measure?

    • A.

      Plasma H+ concentration

    • B.

      Hydration status of the body

    • C.

      Plasma potassium

    • D.

      The buffering capacity of the blood

    Correct Answer
    B. Hydration status of the body
    Explanation
    urinary specific gravity is a measure of the hydration status of the body. an elevated SG is indicative of dehydration; a low SG indicated blood volume expansion

    Rate this question:

  • 39. 

    A patient is admitted with severe emphysema and a PO2 of 85. He also has a blood pH of 7.25 and a serum bicarbonate of 40. Which of the following is the accurate description?

    • A.

      Metabolic acidosis and respiratory compensation

    • B.

      Metabolic alkalosis with a respiratory compensation

    • C.

      Respiratory alkalosis with a renal compensation

    • D.

      Respiratory acidosis with a renal compensation

    Correct Answer
    D. Respiratory acidosis with a renal compensation
    Explanation
    Hypoventilation (emphysema) causes an increase in [H+] and a decreased pH; this is called respiratory acidosis. The kidneys attempt to correct the acidosis by making and reabsorbing filtered bicarbonate

    Rate this question:

  • 40. 

    Which group is incorrect?

    • A.

      Cations; sodium, potassium, calcium

    • B.

      Acid-base imbalances; acidosis and alkalosis

    • C.

      Lines of defense against acid-base imbalance: buffers, lungs, kidneys

    • D.

      Transcellular fluids: aqueous humor, cerebrospinal fluid, plasma

    Correct Answer
    D. Transcellular fluids: aqueous humor, cerebrospinal fluid, plasma
    Explanation
    plasma is not considered transcellular fluid; it is an extracellular fluid

    Rate this question:

  • 41. 

    Which group is incorrect?

    • A.

      Anions: bicarbonate, chloride, phosphate

    • B.

      Lines of defense against acid-base imbalance: buffers, lungs, kidneys

    • C.

      Transcellular fluids: aqueous humor, cerebrospinal fluid, synovial fluid

    • D.

      Hormones: aldosterone, ADH, ANP, urea

    Correct Answer
    D. Hormones: aldosterone, ADH, ANP, urea
    Explanation
    Urea is not a hormone; it is a waste product that is eliminated in the urine

    Rate this question:

  • 42. 

    Which group is incorrect?

    • A.

      Ions: sodium, potassium, calcium, bicarbonate, chloride

    • B.

      Lines of defense against acid-base imbalance: buffers, lungs, kidneys

    • C.

      Extracellular fluid: intravascular, interstitial, transcellular

    • D.

      Substances that are normally found in a sample of urine: urea, creatine, glucose

    Correct Answer
    D. Substances that are normally found in a sample of urine: urea, creatine, glucose
    Explanation
    Under normal conditions, glucose does not appear in the urine; glucosuria develops in response to hyperglycemia, as in diabetes mellitus

    Rate this question:

  • 43. 

    The seminiferous tubules

    • A.

      Are located in the pelvic cavity

    • B.

      Are tightly coiled structures that produce sperm

    • C.

      Secrete testosterone

    • D.

      Are primarily concerned with ejaculation

    Correct Answer
    B. Are tightly coiled structures that produce sperm
    Explanation
    the seminiferous tubules, located in the testes, produce sperm. the surrounding interstitial cells secrete the testosterone that nourishes the sperm

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  • 44. 

    The scrotum

    • A.

      Makes sperm

    • B.

      Is a sac located between the thighs and holds the testicles

    • C.

      Secretes androgens

    • D.

      Contains the prostate gland and urethra

    Correct Answer
    B. Is a sac located between the thighs and holds the testicles
    Explanation
    the scrotum is a sac that contains the testicles; it is located outside the body for temperature reasons

    Rate this question:

  • 45. 

    This coilled structure sits on top of the testes; it is a place where sperm mature

    • A.

      Scrotum

    • B.

      Epididymis

    • C.

      Prostate gland

    • D.

      Prepuce

    Correct Answer
    B. Epididymis
    Explanation
    the epididymis, located within the scrotum, is a coiled tubular structure that sits on top of the testes; sperm mature here

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  • 46. 

    Which term refers to the penis and scrotum?

    • A.

      External genitals

    • B.

      Gonads

    • C.

      Gametes

    • D.

      Zygotes

    Correct Answer
    A. External genitals
    Explanation
    the penis and the scrotum are called the external genitals

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  • 47. 

    This piece of skin, also called the foreskin, is removed during circumcision

    • A.

      Scrotum

    • B.

      Penis

    • C.

      Epididymis

    • D.

      Prepuce

    Correct Answer
    D. Prepuce
    Explanation
    the foreskin is called the prepuce; it is removed during the surgical procedure, circumcision

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  • 48. 

    This structure carries both urine and semen

    • A.

      Vagina

    • B.

      Urethra

    • C.

      Ejaculatory duct

    • D.

      Vas deferens

    Correct Answer
    B. Urethra
    Explanation
    the ejaculatory duct and vas deferens are tubes that carry semen and sperm; they do not carry urine. The urethra carries semen and urine and is part of both the urinary tract and the male reproductive tract

    Rate this question:

  • 49. 

    This is the male copulatory organ

    • A.

      Penis

    • B.

      Vas deferens

    • C.

      Prostate glands

    • D.

      Testes

    Correct Answer
    A. Penis
    Explanation
    copulation refers to intercourse; the organ that participates in copulation is the penis

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  • 50. 

    These cells secrete testosterone

    • A.

      Prostate gland

    • B.

      Prepuce

    • C.

      Interstitial cells

    • D.

      Seminiferous tubules

    Correct Answer
    C. Interstitial cells
    Explanation
    the seminiferous tubules produce sperm; the interstitial cells secrete testosterone

    Rate this question:

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