NGR 6172 FINAL SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
>> Acid-Base Balance
Answer: pH 7.35–7.45
>> Acidosis
Answer: pH < 7.35
>> Alkalosis
Answer: pH > 7.45
>> Respiratory Acidosis
Answer: ↑ PaCO■
>> Respiratory Alkalosis
Answer: ↓ PaCO■
>> Metabolic Acidosis
Answer: ↓ HCO■■
>> Metabolic Alkalosis
Answer: ↑ HCO■■
>> Compensation
Answer: Lungs or kidneys adjust
, >> Anion Gap
Answer: Na■ − (Cl■ + HCO■■)
>> High Anion Gap Acidosis
Answer: MUDPILES (methanol, uremia, DKA, paraldehyde, isoniazid,
lactic acidosis, ethylene glycol, salicylates)
>> Normal Anion Gap Acidosis
Answer: HARDUP (hyperalimentation, acetazolamide, renal tubular
acidosis, diarrhea, uretero-sigmoidostomy, pancreatic fistula)
>> Buffer Systems
Answer: Bicarbonate, hemoglobin, phosphate
>> Bicarbonate Buffer
Answer: Primary extracellular
>> Hemoglobin Buffer
Answer: Intracellular
>> Renal Compensation
Answer: H■ excretion, HCO■■ reabsorption/generation
>> Respiratory Compensation
Answer: Adjust ventilation
>> Kussmaul Breathing
Answer: Deep, rapid (metabolic acidosis)
>> Shock
WITH SOLUTIONS GRADED A+
>> Acid-Base Balance
Answer: pH 7.35–7.45
>> Acidosis
Answer: pH < 7.35
>> Alkalosis
Answer: pH > 7.45
>> Respiratory Acidosis
Answer: ↑ PaCO■
>> Respiratory Alkalosis
Answer: ↓ PaCO■
>> Metabolic Acidosis
Answer: ↓ HCO■■
>> Metabolic Alkalosis
Answer: ↑ HCO■■
>> Compensation
Answer: Lungs or kidneys adjust
, >> Anion Gap
Answer: Na■ − (Cl■ + HCO■■)
>> High Anion Gap Acidosis
Answer: MUDPILES (methanol, uremia, DKA, paraldehyde, isoniazid,
lactic acidosis, ethylene glycol, salicylates)
>> Normal Anion Gap Acidosis
Answer: HARDUP (hyperalimentation, acetazolamide, renal tubular
acidosis, diarrhea, uretero-sigmoidostomy, pancreatic fistula)
>> Buffer Systems
Answer: Bicarbonate, hemoglobin, phosphate
>> Bicarbonate Buffer
Answer: Primary extracellular
>> Hemoglobin Buffer
Answer: Intracellular
>> Renal Compensation
Answer: H■ excretion, HCO■■ reabsorption/generation
>> Respiratory Compensation
Answer: Adjust ventilation
>> Kussmaul Breathing
Answer: Deep, rapid (metabolic acidosis)
>> Shock