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Study Area Chapter 26 Fluid, Electrolyte, and Acid-Base Balance

front 1

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

back 1

a rise in plasma osmolality

front 2

Acidosis results in increasing levels of what ion?

phosphorus
calcium
hydrogen
sodium
chloride

back 2

hydrogen

front 3

What is the most abundant cation in intracellular fluid?

magnesium
bicarbonate
calcium
potassium
sodium

back 3

potassium

front 4

Normal arterial blood pH is __________.

slightly acidic
highly acidic
slightly alkaline
strongly alkaline
neutral

back 4

slightly alkaline

front 5

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

back 5

enhances release of calcium from bone

front 6

The condition in which sodium levels are too low is referred to as __________.

hypokalemia
hyponatremia
Cushing’s syndrome
aldosteronism
hypernatremia

back 6

hyponatremia

front 7

The largest percentage of body water is located in what compartment?

interstitial fluid
intracellular fluid
blood plasma
extracellular fluid

back 7

intracellular fluid

front 8

The major source of water loss from the body is __________.

urine
insensible respiratory loss
feces
insensible skin loss
sweat

back 8

urine

front 9

The most prevalent electrolyte in the extracellular fluid is __________.

sodium
magnesium
chloride
phosphate
calcium
potassium

back 9

sodium

front 10

The only organ(s) of the body that can remove excess nonvolatile fixed acids is/are the __________.

lungs
sweat glands
liver
kidney
spleen

back 10

kidney

front 11

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

back 11

aldosterone levels increase

front 12

Which condition would cause a drop in pH?

hyperventilation
hypoventilation
hypokalemia
hypernatremia

back 12

hypoventilation

front 13

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.

back 13

Weak acids only dissociate partially in solution.

front 14

The only cation exerting significant osmotic pressure in the ECF is __________.

Fe2+
K+
Ca2+
Mg2+
Na+

back 14

Na+

front 15

The most important buffer system in the intracellular fluid compartment (ICF) is the __________ buffer system.

bicarbonate
chloride
phosphate
protein
sulfate

back 15

protein

front 16

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

back 16

the inefficiency of infant kidneys

front 17

Which of the following tissues is the least hydrated?

muscle tissue
nervous tissue
adipose tissue
bone

back 17

adipose tissue

front 18

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

back 18

an infant

front 19

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

back 19

decreased sodium and water reabsorption

front 20

Water lost through expired air is referred to as __________.

water of oxidation
metabolic water
water intake
insensible water loss

back 20

insensible water loss

front 21

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

back 21

production of large amounts of urine

front 22

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

back 22

hypotonic extracellular fluid

front 23

Diuresis peaks __________ after drinking water.

ten minutes
half an hour
one hour
three hours

back 23

one hour

front 24

Edema is the accumulation of fluid in the __________.

interstitial space
intracellular space
plasma
organelles

back 24

interstitial space

front 25

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

back 25

iron

front 26

Electrolyte balance in the body usually refers to the balance of __________.

lipids
proteins
carbohydrates
salts

back 26

salts

front 27

The most important buffer system of extracellular fluid, such as plasma, is the __________ buffer system.

hemoglobin
bicarbonate
phosphate
protein

back 27

bicarbonate

front 28

Renal acid-base control mechanisms are coupled to __________.

ADH secretion
plasma protein levels
Na+ transport
water intake

back 28

Na+ transport

front 29

Estrogens are chemically similar to __________ and are therefore associated with water retention.

ANP
aldosterone
rennin
ADH

back 29

aldosterone

front 30

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

back 30

7.0 and 7.35

front 31

Most fluid in the body is in the extracellular fluid (ECF) compartment.
True
False

back 31

False

front 32

Which of the following is NOT an electrolyte?

chloride
sodium
potassium
glucose

back 32

glucose

front 33

The most abundant cation in extracellular fluid is potassium.
True
False

back 33

False

front 34

Most water is excreted via the __________.

intestines
lungs
skin
kidneys

back 34

kidneys

front 35

Antidiuretic hormone (ADH) acts on the __________ to __________ water excretion.

kidneys; decrease
kidneys; increase
intestines; decrease
intestines; increase

back 35

kidneys; decrease

front 36

Which of the following is associated with a swelling of cells?

dehydration
hypoproteinemia
hypotonic hydration
edema

back 36

hypotonic hydration

front 37

Which of the following would increase sodium excretion?

progesterone
aldosterone
estrogens
glucocorticoids

back 37

progesterone

front 38

Parathyroid hormone (PTH) increases Ca2+ deposition in the bones.
True
False

back 38

False

front 39

Most of the hydrogen ions in the body come from acidic substances in the foods we ingest.
True
False

back 39

False

front 40

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

back 40

the concentration of K+ in the ECF

front 41

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

back 41

the phosphate buffer system

front 42

Hyperventilation can lead to __________.

metabolic acidosis
respiratory acidosis
metabolic alkalosis
respiratory alkalosis

back 42

respiratory alkalosis

front 43

One way the kidneys maintain HCO3– balance is by __________.

reabsorbing H+
generating Na+ ions
generating new HCO3–
reabsorbing CO2

back 43

generating new HCO3 –

front 44

Someone who is suffocating would develop __________.

respiratory acidosis
respiratory alkalosis
metabolic acidosis
metabolic alkalosis

back 44

respiratory acidosis

front 45

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

back 45

their inefficient kidneys