Which of the following represents the complete chemical reaction for the bicarbonate buffer system?
CO2 + H20 ⇌ H2CO3 ⇌ HCO3 - + H+
CO2 + H20 ⇌ HCO3 - + H+ ⇌ H2CO3
H2CO3 ⇌ CO2 + H20 ⇌ HCO3 - + H+
The Correct Answer is A
A. CO2 + H2O ⇌ H2CO3 ⇌ HCO3- + H+: This equation represents the primary equilibrium for maintaining physiological acid-base homeostasis. Carbon dioxide reacts with water to form carbonic acid, which subsequently dissociates into bicarbonate and hydrogen ions. It accurately depicts the reversible hydration of carbon dioxide catalyzed by carbonic anhydrase.
B. CO2 + H2O ⇌ HCO3- + H+ ⇌ H2CO3: This sequence incorrectly places the ionic dissociation products before the formation of the weak acid intermediate. Chemical equilibrium follows a specific pathway where the hydration of carbon dioxide must produce carbonic acid first. The arrangement does not reflect the standard biochemical progression of this buffer system.
C. H2CO3 ⇌ CO2 + H2O ⇌ HCO3- + H+: This arrangement suggests that carbonic acid is the primary precursor to both carbon dioxide and the dissociated ions simultaneously. While the reaction is reversible, the standard physiological representation starts with the respiratory gas component. This layout disrupts the logical flow of the carbon dioxide-bicarbonate equilibrium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Eosinophils: These granulocytes primarily function in the destruction of multicellular parasites and the modulation of inflammatory responses. While their granules contain various cytotoxic enzymes and cytokines, they are not the primary source of systemic histamine or heparin. Their role is more closely associated with IgE-mediated parasiticidal activity.
B. Basophils: These are the least abundant leukocytes and contain prominent cytoplasmic granules rich in histamine and heparin. Histamine acts as a potent vasodilator to increase blood flow to infected areas, while heparin functions as an anticoagulant to prevent localized clotting. These secretions facilitate the recruitment of other immune cells to the site of injury.
C. Neutrophils: These cells are the primary phagocytic responders to acute bacterial infections and utilize oxidative bursts to neutralize pathogens. Their primary granules contain myeloperoxidase and defensins rather than histamine or heparin. They focus on the direct destruction of microorganisms rather than the chemical modulation of vascular permeability.
D. Platelets: Also known as thrombocytes, these are cellular fragments essential for hemostasis and thrombus formation. While they release serotonin and clotting factors from their alpha and delta granules, they do not secrete heparin. In fact, platelets are involved in the coagulation cascade that heparin is designed to inhibit.
E. Monocytes: These agranulocytes serve as precursors to macrophages and lack the specific chemical-filled granules found in basophils. Their primary defensive contribution is through phagocytosis and the secretion of pro-inflammatory cytokines like tumor necrosis factor. They do not utilize histamine or heparin as their primary signaling or defense molecules.
Correct Answer is ["Erythropoietin"]
Explanation
In response to inadequate oxygen transport, the kidneys and liver increase the synthesis and secretion of the glycoprotein hormone erythropoietin (EPO). This hormone is released into the systemic circulation to act as a chemical messenger. It serves as the primary stimulus for the acceleration of red blood cell production.
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