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Factors that alter water balance will also alter electrolyte balance.

A) True
B) False

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Thirst is triggered when total body water decreases by as little as


A) 1%.
B) 10%.
C) 25%.
D) 58%.

E) A) and B)
F) C) and D)

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Heather donated the maximum allowed amount of blood at a blood drive, which is around 10% of her total blood volume. How will this affect her thirst mechanism?


A) Distension of her stomach by the loss of blood will trigger thirst.
B) Her loss of blood volume will stimulate the cardiovascular system to signal the thirst center and make her feel thirsty.
C) Her loss of blood volume will stimulate the cardiovascular system to signal the thirst center and stop her from feeling thirsty.
D) The renin-angiotensin system will release hormones to stop her from feeling thirsty.

E) None of the above
F) A) and D)

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The volume of urine produced is regulated mainly by the activity in the distal convoluted tubules and ________ ducts.

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One mole of the carbohydrate sucrose and two moles of the electrolyte potassium chloride (KCl) are placed in one liter of water. After dissolution of the particles, what is the osmolarity of the solution?


A) Six osmoles per liter
B) Three osmoles per liter
C) Four osmoles per liter
D) Five osmoles per liter

E) None of the above
F) A) and B)

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Hyperventilation leads to


A) respiratory acidosis.
B) respiratory alkalosis.
C) metabolic acidosis.
D) metabolic alkalosis.

E) B) and D)
F) All of the above

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A doctor is trying to help a woman get rid of arsenic found in her system. One way to do this is to force it to be excreted quickly in the urine. To promote this, the doctor should give her


A) ADH.
B) angiotensinogen.
C) renin.
D) a diuretic.

E) A) and B)
F) A) and C)

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Metabolic alkalosis may be caused by


A) prolonged vomiting of only stomach contents.
B) respiratory obstructions.
C) pneumonia.
D) prolonged diarrhea.

E) A) and B)
F) B) and D)

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Kidneys help to regulate acid-base balance of the blood by secreting OH⁻.

A) True
B) False

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Acid-base buffers are the first line of defense against shifts in pH because


A) they occur closest to the skin.
B) they are slow and prolonged.
C) they occur in everyone.
D) they are fast.

E) A) and B)
F) A) and C)

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Which of the following can be associated with hypernatremia?


A) Hypothermia
B) Low levels of ADH
C) Hot skin, lack of sweating, and kidney failure
D) Extreme retention of water

E) A) and B)
F) A) and D)

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Which of the following would be most helpful in treating hypocalcemia?


A) Removing the parathyroid glands
B) Administering high doses of vitamin D and calcium salts
C) Stimulating calcium excretion by the kidneys
D) Avoiding foods that are high in calcium

E) None of the above
F) A) and D)

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A person usually drinks about ________ milliliters a day.


A) 500
B) 1,000
C) 1,500
D) 2,500

E) None of the above
F) A) and D)

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In a healthy body, the volume of water remains relatively stable at all times.

A) True
B) False

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A growing child develops overactive parathyroid glands, leading to chronic hypercalcemia. Which of the following is most likely a symptom the child will experience?


A) Stunted growth due to constant osteoclast stimulation and release of calcium from bones
B) Cardiac arrhythmia caused by lack of calcium
C) High concentration of calcium excreted in the urine
D) High plasma phosphate concentration

E) A) and B)
F) B) and C)

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A nurse is administering a high-concentration potassium solution to a patient with a diet-based potassium deficiency. Unaware of the initial treatment, another nurse administers a drug that inhibits secretion of aldosterone to treat the same deficiency. Which of the following conditions will most likely occur as a result? 


A) Hypokalemia
B) Hypocalcemia
C) Hypercalcemia
D) Hyperkalemia

E) A) and C)
F) C) and D)

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Which of the following examples has a low water content? 


A) The intracellular environment
B) Adipose tissue
C) The biceps brachii muscle
D) The vitreous humor of the eye

E) C) and D)
F) A) and C)

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The greatest output of electrolytes normally is in urine.

A) True
B) False

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Which is the largest compartment of extracellular water?


A) Plasma
B) Lymph
C) Interstitial fluid
D) Transcellular fluid

E) B) and C)
F) B) and D)

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One of the main ingredients in a common antacid is sodium bicarbonate. Which of the following best explains the antacid properties of this ingredient?


A) The bicarbonate of sodium bicarbonate binds to hydrogen atoms in the environment of the stomach and raises the pH while neutralizing acid.
B) The sodium of sodium bicarbonate binds to OH⁻ in the environment of the stomach and raises the pH, neutralizing acid.
C) NaHCO₃ (sodium bicarbonate) dissociates into Na⁺ + HCO₃⁻. Then, HCO₃⁻ breaks down into  H⁺, CO₂, and C.
D) NaHCO₃ (sodium bicarbonate) dissociates into  Na⁺ and H₂CO₃. Then, H₂CO₃ breaks down into H⁺ and HCO₃⁻.

E) B) and C)
F) A) and B)

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