The phosphate buffer system plays a significant role in buffering intracellular fluid and helps stabilize the pH of urine.
True
False
The Correct Answer is A
True: This system consists of dihydrogen phosphate and monohydrogen phosphate ions, which are highly concentrated within the cytoplasm. It serves as a vital internal buffer because its pKa is 6.8, which is close to physiological pH. It also functions as the primary chemical buffer for renal tubular fluid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. By increasing water content in tissues: Dehydration is characterized by a systemic deficit in total body water, leading to cellular and interstitial depletion. Increasing tissue water content would resolve the state rather than act as a prompt for intake. This choice contradicts the physiological reality of volume depletion.
B. Through stimulation of the thirst response: Osmoreceptors in the hypothalamus detect increased plasma osmolality and trigger a conscious desire for fluid. This behavioral drive is the primary homeostatic mechanism for restoring water balance. It ensures that the individual seeks external sources to correct the deficit.
C. By producing more urine: Dehydration triggers the release of antidiuretic hormone to conserve water, resulting in concentrated urine and oliguria. Producing more urine would exacerbate the fluid deficit and lead to hemodynamic collapse. The renal system works to minimize further losses during periods of insufficiency.
D. By lowering the body temperature: Dehydration can actually lead to hyperthermia because there is insufficient fluid for evaporative cooling via perspiration. Lowering temperature is not a signaling mechanism for thirst. Thermal regulation and fluid balance are linked, but hypothermia is not a symptom of water loss.
Correct Answer is C
Explanation
A. Promote calcium excretion by the kidneys: While calcitonin can have a mild phosphaturic effect, its primary physiological target for blood calcium reduction is the bone. Renal excretion of calcium is more significantly regulated by parathyroid hormone levels. Calcitonin primarily functions to inhibit osteoclast-mediated bone breakdown.
B. Enhance calcium absorption from the gut: Increased intestinal absorption would elevate serum calcium levels, contradicting the goal of calcitonin during hypercalcemia. Calcitriol is the hormone responsible for upregulating calcium-binding proteins in the enterocytes. Calcitonin does not stimulate the synthesis of active Vitamin D.
C. Encourage calcium deposition into bone: This hormone, secreted by parafollicular C cells of the thyroid, inhibits osteoclast activity and stimulates osteoblastic mineral deposition. It effectively shifts ionized calcium from the plasma into the hydroxyapatite matrix. This decreases the circulating concentration of calcium.
D. Stimulate bone resorption: Bone resorption releases calcium and phosphate into the bloodstream, which would worsen a state of hypercalcemia. Parathyroid hormone is the agent that triggers this process to raise blood calcium. Calcitonin acts as a functional antagonist by suppressing bone mineral release.
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