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Acid-Base Balance and Blood Gas Analysis Quiz

#1

Which of the following is a primary buffer system in the human body?

Bicarbonate buffer system
Explanation

Regulates pH by balancing bicarbonate and carbonic acid.

#2

What is the normal pH range of arterial blood?

7.35 - 7.45
Explanation

Optimal pH range for normal physiological functioning.

#3

What is the normal range for arterial partial pressure of carbon dioxide (PaCO2)?

35-45 mmHg
Explanation

Typical range of CO2 pressure in arterial blood for normal function.

#4

Which of the following organs plays a primary role in regulating bicarbonate levels in the body?

Kidneys
Explanation

Regulates bicarbonate reabsorption and secretion.

#5

Which of the following is NOT a component of the arterial blood gas (ABG) analysis?

Partial pressure of nitrogen (PN2)
Explanation

Nitrogen is not directly measured in ABG.

#6

Which of the following is a characteristic of respiratory acidosis?

Hypoventilation
Explanation

Accumulation of CO2 due to inadequate ventilation.

#7

Which of the following conditions would lead to respiratory acidosis?

Hypoventilation
Explanation

Decreased ventilation causes carbon dioxide buildup, leading to acidity.

#8

What does a decrease in arterial carbon dioxide (CO2) concentration indicate?

Respiratory alkalosis
Explanation

Low CO2 levels cause alkalinity due to hyperventilation.

#9

What is the Henderson-Hasselbalch equation used for in acid-base physiology?

To relate the pH of a solution to the ratio of bicarbonate to carbonic acid
Explanation

Mathematical relationship between pH, bicarbonate, and carbonic acid.

#10

Which of the following is a compensatory response to metabolic acidosis?

Increased ventilation rate
Explanation

Body compensates by increasing breathing to remove CO2 and raise pH.

#11

Which of the following conditions is associated with a decreased anion gap?

Renal failure
Explanation

Impaired kidney function results in reduced anion gap due to loss of ions.

#12

What is the typical compensation mechanism for respiratory alkalosis?

Increased renal excretion of bicarbonate
Explanation

Kidneys excrete bicarbonate to balance pH during hyperventilation.

#13

Which of the following parameters is measured directly by a blood gas analyzer?

Partial pressure of oxygen (PO2)
Explanation

Direct measure of oxygen tension in arterial blood.

#14

What does an increased anion gap suggest in the context of acid-base balance?

Metabolic acidosis
Explanation

Indicates excess acid production or decreased bicarbonate.

#15

What is the primary role of carbonic anhydrase in acid-base balance?

To catalyze the synthesis of carbonic acid from water and carbon dioxide
Explanation

Converts CO2 and water into carbonic acid for pH regulation.

#16

What is the relationship between pH and hydrogen ion concentration?

Inversely proportional
Explanation

As pH decreases, hydrogen ion concentration increases.

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