Friday 5 February 2016

Respiratory acidosis MCQ


A respiratory acidosis that results in an increase in the concentration of hydrogen ion in arterial blood from 40 meq\L (PH 7.4) to 50 meq\L (PH 7.3) would 

A. Stimulate the peripheral chemoreceptors
B. Decrease the amount of ammonium excreted in the urine 
C. Inhibit the central chemoreceptors 
D. Increase the pH of the urine


The Answer is A. Increasing arterial pH stimulates both the central and peripheral chemore­ceptors. The increased arterial hydrogen ion concentration increases H+ secretion by the distal tubule, lowering the pH of the urine and increasing the excretion of NH+4 excretions. The excretion of H+ is accompanied by the generation of new bicarbonate, causing the plasma HCO3- to increase.