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Раздел 44 / 99
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10. TYPICAL DISTURBANCES OF ACID-BASE BALANCE

I. Which of the following pathological conditions are accompanied by elevated PaCO2?

1. Diabetes mellitus.

2. Cardiac insufficiency.

3. Respiratory insufficiency.

4. Vomiting.

5. Diarrhea.

6. Lung arteriolar-venous bypass.

II. Select the pair with which respiratory acidosis is associated.

1. Increased [HCO-3] and normal PaCO2.

2. Increased [HCO-3] and increased PaCO2.

3. Decreased [HCO-3] and decreased PaCO2.

4. Increased [HCO-3] and decreased PaCO2.

5. Decreased [HCO-3] and normal PaCO2.

III. Compared to normal the urinary excretion of acids in metabolic acidosis is best characterized by the following patterns:

1. Increased [HCO-3], increased NH+4, increased titratible acid.

2. Decreased [HCO-3], increased NH+4, decreased titratible acid.

3. Decreased [HCO-3], increased NH+4, increased titratible acid.

4. Decreased [HCO-3], decreased NH+4, increased titratible acid.

5. Decreased [HCO-3], decreased NH+4, decreased titratible acid.

IV. Normal value of the ratio of [HCO-3] to dissolved CO2 in arterial blood is:

1. 5:1.

2. 10:1.

3. 20:1.

4. 30:1.

V. What data are most probable in a patient who suffered from severe diarrhea for about 1.5 hours?

1. pH=7.32, PaCO2=32 mm Hg, enhanced titrable acidity, increased NH+ excretion.

2. pH=7.42, PaCO2=46, normal titrable acidity, normal NH+ excretion.

3. pH=7.50, PaCO2=32, decreased titrable acidity, decreased NH+ excretion.

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