UTA NURS 5315 MOD 6 PULM AND SHOCK
DR GONZALEZ TEST BANK 2026 UPDATED
QUESTIONS WITH ANSWERS GRADED A+
⩥ what enzyme converts CO2 to Carbonic acid H2CO3. Answer:
carbonic anhydrase
⩥ _________ is a byproduct of anaerobic metabolism of glucose.
Answer: lactic acid
⩥ end product of oxidation of sulfur containing amino acids. Answer:
sulfuric acid
⩥ end product of metabolism of phosphoproteins and ribonucleotides
which are used as an energy source. Answer: phosphoric acid
⩥ __________ binds with 40% of calcium. Answer: albumin
⩥ charge of albumin. Answer: negative
⩥ what happens with albumin and calcium in acidotic states. Answer:
There is an increased amount of H ions which causes albumin to bind to
,more H ions and less calcium ions causing calcium ions to become
displaced leading to a higher level of free calcium
⩥ what happens with albumin and calcium in alkalotic states. Answer:
There is a decreased amount of H ions causing a insufficient amount of
H ions to bind with albumin. This causes albumin to bind with more
calcium (due to H depletion) and causes a decreased amount of free
calcium
⩥ When the extracellular fluid volume is expanded it ____________ the
reabsorption of HCO3 in the ____________ ___________. Answer:
inhibits; proximal tubule
⩥ A deficit in ECF volume results in a __________ in the reabsorption
of HCO3. Answer: increase
⩥ What hormone does ECF volume deficit stimulate. Answer: RAAS
⩥ How does RAAS affect bicarb. Answer: Angiotension II stimulates
the Na-H exchanger in the proximal tubule --> increases HCO3
reabsorption
⩥ Angiotension II stimulates the Na-H exchanger in the proximal tubule
--> increases HCO3 reabsorption --> what does this cause?. Answer:
, metabolic alkalosis (contraction alkalosis) secondary to volume
depletion- can occur with use of loop/thiazide diuretics
⩥ Where does the renal excretion of hydrogen occur?. Answer: distal
tubule and collecting ducts
⩥ What 2 active transport system are used to secrete H. Answer: H-
ATPase and H-K-ATPase
⩥ How do the 2 transport systems move H to be excreted. Answer: move
H into the lumen and move potassium from the lumen into the cells
⩥ once H is in the lumen what does it bind with?. Answer:
monohydrogen phosphate (HPO4)
⩥ what does mono hydrogen phosphate produce. Answer: H2PO4 -->
dihydrogen phosphate
⩥ once H2P04 is created what can happen with it?. Answer: it can be
excreted
⩥ what happens to the cell cycle when cancer develops?. Answer: cell
life cycle is unregulated and the cells grow and proliferate. cancer
cellular division is unregulated and malignant cells can invade local or
distant tissues
DR GONZALEZ TEST BANK 2026 UPDATED
QUESTIONS WITH ANSWERS GRADED A+
⩥ what enzyme converts CO2 to Carbonic acid H2CO3. Answer:
carbonic anhydrase
⩥ _________ is a byproduct of anaerobic metabolism of glucose.
Answer: lactic acid
⩥ end product of oxidation of sulfur containing amino acids. Answer:
sulfuric acid
⩥ end product of metabolism of phosphoproteins and ribonucleotides
which are used as an energy source. Answer: phosphoric acid
⩥ __________ binds with 40% of calcium. Answer: albumin
⩥ charge of albumin. Answer: negative
⩥ what happens with albumin and calcium in acidotic states. Answer:
There is an increased amount of H ions which causes albumin to bind to
,more H ions and less calcium ions causing calcium ions to become
displaced leading to a higher level of free calcium
⩥ what happens with albumin and calcium in alkalotic states. Answer:
There is a decreased amount of H ions causing a insufficient amount of
H ions to bind with albumin. This causes albumin to bind with more
calcium (due to H depletion) and causes a decreased amount of free
calcium
⩥ When the extracellular fluid volume is expanded it ____________ the
reabsorption of HCO3 in the ____________ ___________. Answer:
inhibits; proximal tubule
⩥ A deficit in ECF volume results in a __________ in the reabsorption
of HCO3. Answer: increase
⩥ What hormone does ECF volume deficit stimulate. Answer: RAAS
⩥ How does RAAS affect bicarb. Answer: Angiotension II stimulates
the Na-H exchanger in the proximal tubule --> increases HCO3
reabsorption
⩥ Angiotension II stimulates the Na-H exchanger in the proximal tubule
--> increases HCO3 reabsorption --> what does this cause?. Answer:
, metabolic alkalosis (contraction alkalosis) secondary to volume
depletion- can occur with use of loop/thiazide diuretics
⩥ Where does the renal excretion of hydrogen occur?. Answer: distal
tubule and collecting ducts
⩥ What 2 active transport system are used to secrete H. Answer: H-
ATPase and H-K-ATPase
⩥ How do the 2 transport systems move H to be excreted. Answer: move
H into the lumen and move potassium from the lumen into the cells
⩥ once H is in the lumen what does it bind with?. Answer:
monohydrogen phosphate (HPO4)
⩥ what does mono hydrogen phosphate produce. Answer: H2PO4 -->
dihydrogen phosphate
⩥ once H2P04 is created what can happen with it?. Answer: it can be
excreted
⩥ what happens to the cell cycle when cancer develops?. Answer: cell
life cycle is unregulated and the cells grow and proliferate. cancer
cellular division is unregulated and malignant cells can invade local or
distant tissues
