Pathophysiology Module 3 Mcqs Pathophysiology Module 3 Mcqs 1. THE LEADING FACTOR IN DEVELOPMENT OF NEPHRITIC EDEMA IS secondary hyperaldosteronism decrease of osmotic pressure in the blood increase of hydrostatic pressure in the vascular system increase of vascular permeability decrease of oncotic pressure2. INADEQUATE (EXCESSIVE) PRODUCTION OF ANTIDIURETIC HORMONE WILL LEAD TO THE DEVELOPMENT OF hypotonic hyponatremia with extracellular dehydration hypotonic hyponatremia with extracellular hyperhydration hypotonic hyponatremia with normal extracellular fluid volume3. Respiratory acidosis is characterized by: increase of pCO2 decrease of pCO24. THE DEVELOPMENT OF RESPIRATORY ACIDOSIS IS DUE TO hypoventilation hyperventilation fibrillation5. THE PRODUCTION OF ALDOSTERONE IN ADRENAL GLANDS IS STIMULATED BY hypernatremia is a increase of sodium in the blood hyponatremia is a decrease of sodium in the blood hypervolemia the increase of oncotic pressure the decrease of renal blood flow hypokalaemia is a decrease of potassium in the blood) hyperkalaemia is an increase of potassium in the blood)6. PRIMARY CHANGES OF THE BICARBONATE BUFFER IN THE RESPIRATORY ALKALOSIS ARE DUE TO increase of pCO 2 decrease of pCO 2 increase of [HCO3] decrease of [HCO3]7. FACTORS WHICH LEAD TO DEVELOPMENT OF EDEMA ARE increase of oncotic pressure decrease of oncotic pressure increase of venous pressure increase of blood osmotic pressure8. The development of respiratory acidosis may be due to: hypoventilation hyperventilation9. HYPERKALEMIA IS TYPICAL FOR FOLLOWING DISORDER acidosis alkalosis10. THE COMPENSATORY MECHANISM OF RESPIRATORY ALKALOSIS IS hypoventilation hyperventilation increase of the urinary excretion of ammonium chloride increase of the urinary excretion of hydrocarbonate flow into the cells of hydrogen ions in exchange for potassium ion11. HYPOCHLOREMIA IS TYPICAL FOR FOLLOWING DISORDER metabolic acidosis metabolic alkalosis respiratory acidosis respiratory alkalosis12. ALKALOSIS OCCURS DUE TO increase of HCO 3 – in the blood decrease of HCO 3 – in the blood increase of pCO 2 in the blood decrease of pCO 2 in the blood13. The development of respiratory alkalosis may be due to: hypoventilation hyperventilation14. FOR ISOOSMOLAR REDUCTION OF THE TOTAL VOLUME OF EXTRACELLULAR FLUID ARE CHARACTERISTIC THE FOLLOWING SIGNS decrease of arterial and venous pressure tachycardia tendency to orthostatic collapse increase of blood viscosity humidity of mucous membranes decrease of body temperature reduction of deep tendon reflexes stupor and coma15. ACIDOGENESIS IN RENAL TUBULES IN INCREASED PRODUCTION OF ALDOSTERONE it increases it decreases it does not change16. DECREASE OF THE BLOOD HYDROSTATIC PRESSURE IS LEADING FACTOR IN THE DEVELOPMENT OF FOLLOWING TYPES OF EDEMAS inflammatory congestive toxic cardiac17. PRIMARY CHANGES OF THE BICARBONATE BUFFER IN THE RESPIRATORY ACIDOSIS ARE DUE TO increase of pCO2 decrease of pCO2 decrease of [HCO3] increase of [HCO3]18. THE PROXIMAL RENAL TUBULAR ACIDOSIS, «SALT- LOSING» KIDNEY AND DIURETICS LEADS TO DEVELOPMENT OF hypo osmolar dehydration hyperosmolar dehydration iso osmolar dehydration19. CAUSES OF RESPIRATORY ALKALOSIS ARE hypokalemia Kussmaul breathing hypoventilation overdose of sodium bicarbonate mechanical ventilation multiple fractures of ribs overdose of trisamine fast running20. THE CONCENTRATION OF HYDROGEN IONS IN ALKALOSIS it increases it decreases it does not change21. THE ONCOTIC FACTOR PLAYS A LEADING ROLE IN THE PATHOGENESIS OF FOLLOWING EDEMAS allergic hungry toxic nephritic22. HYPERCHLOREMIA IS TYPICAL FOR FOLLOWING DISORDER metabolic acidosis metabolic alkalosis respiratory acidosis respiratory alkalosis23. METABOLIC ALKALOSIS DEVELOPS IN THE FOLLOWING CONDITIONS diabetes mellitus the diuretics – carbonic anhydrase inhibitors hypercortisolism methanol poisoning renal failure24. THE USE OF «LOOP DIURETICS» MAY LEAD TO metabolic acidosis metabolic alkalosis respiratory acidosis respiratory alkalosis25. ODEMAS AS A RESULT OF HEART FAILURE, RENAL FAILURE, LIVER CIRRHOSIS DEVELOP DUE TO iso osmolar hyperhydration hypo osmolar hyperhydration hyperosmolar hyperhydration26. THE BLOOD VOLUME DURING CARDIAC EDEMA it increases it decreases it does not change27. THE LEADING FACTOR IN THE DEVELOPMENT OF INFLAMMATORY EDEMAS IS increase of hydrostatic pressure in the vascular system hypoproteinaemia increase of vascular permeability increase of the blood osmotic pressure increase of oncotic pressure in tissues increase of osmotic pressure in tissues28. FOLLOWING PROCESSES PARTICIPATE IN COMPENSATED RESPIRATORY ACIDOSIS activation of acido- and ammoniagenesis in kidneys increased reabsorption of hydrocarbonate in renal tubules decreased reabsorption of hydrocarbonate in renal tubules binding of excess of H + with deoxygenated hemoglobin hypokalaemia release of Na+ and K+ from proteins and their binding with H + ion29. THE RESORPTION FROM TISSUES INTO VESSELS IS DECREASED DUE TO increase of hydrostatic pressure in blood vessels increase of colloid-osmotic pressure in tissues decrease of colloid-osmotic pressure in blood vessels lymph stasis increase of vascular permeability)30. THE MEMBRANE FACTOR PLAYS A KEY ROLE IN THE PATHOGENESIS OF FOLLOWING EDEMAS cardiac allergic toxic nephritic31. MECHANISMS OF COMPENSATION IN HYPOOSMOLAR DEHYDRATION ARE thirst increase of secretion of antidiuretic hormone activation of renin-angiotensin-aldosterone system decrease of glomerular filtration rate32. THE MOST EFFECTIVE MECHANISM OF COMPENSATION IN ISOOSMOLAR HYPERHYDRATION IS increase of secretion of antidiuretic hormone increase of glomerular filtration rate activation of renin-angiotensin-aldosterone system thirst33. THE REABSORPTION OF HCO 3 – IN KIDNEYS IN THE HYPOKALEMIA it increases it decreases it does not change34. THE CHLORIDE ION CONCENTRATION IN THE BLOOD IN RESPIRATORY ALKALOSIS it increases it decreases it does not change35. FOLLOWING PROCESSES PARTICIPATE IN COMPENSATED RESPIRATORY ALKALOSIS hyperkalemia binding proteins with cations and release of hydrogen ions release Н+ in the blood from cells in the exchange for potassium ions decrease of release the hydrocarbonate in the urine increase of excretion of hydrocarbonate in the urine flow of Н+ into blood from bone in exchange for Na + and Ca ++36. THE LEADING FACTOR IN THE DEVELOPMENT OF ALLERGIC EDEMAS IS increase of hydrostatic pressure hypoproteinaemia increase of vascular permeability increase of the blood osmotic pressure37. METABOLIC ACIDOSIS DEVELOPS IN THE FOLLOWING CONDITIONS diabetes mellitus diuretics – carbonic anhydrase inhibitors hypercortisolism methanol poisoning renal failure38. The main factor of the development of nephrotic edema is: increased hydrostatic pressure decreased oncotic pressure increased vascular permeability39. The main factor of the development of cardiac edema is: increased hydrostatic pressure , decreased minute blood volume hypoproteinemia increased vascular permeability40. THE TRIGGERING FACTOR IN THE DEVELOPMENT OF «HUNGRY» EDEMAS IS increase of hydrostatic pressure hypoproteinaemia increase of vascular permeability increase of the blood osmotic pressure41. THE CONCENTRATION OF HYDROGEN IONS IN ACIDOSIS it increases it decreases it does not change42. MECHАNISMS OF COMPENSATION IN HYPEROSMOLAR DEHYDRATION ARE thirst activation of renin-angiotensin-aldosterone system decrease of glomerular filtration rate increase of secretion of antidiuretic hormone43. CHANGES OF pH OF THE BLOOD IN THE DECOMPENSATED ACIDOSIS ARE CHARACTERISED BY decrease of pH increase of pH normal рН44. THE REABSORPTION OF HCO 3 – IN KIDNEYS IS STIMULATED BY hypercapnia hypocapnia45. THE LEADING FACTOR IN THE DEVELOPMENT OF TOXIC EDEMAS IS increase of hydrostatic pressure hypoproteinaemia increase of vascular permeability increase of the blood osmotic pressure46. Hyper-K+emia is typical sign of the following disorder: acidosis alkalosis47. THE DEVELOPMENT OF PULMONARY EDEMA IS A RESULT OF THE FAILURE OF left ventricle right ventricle48. THE CHLORIDE ION CONCENTRATION IN THE BLOOD IN RESPIRATORY ACIDOSIS it increases it decreases it does not change49. The main factor of the development of allergic edema is: increased hydrostatic pressure hypoproteinemia increased vascular permeability50. THE TRIGGERING FACTOR IN THE DEVELOPMENT OF «NEPHROTIC» EDEMAS IS increase of hydrostatic pressure hypoproteinaemia increase of vascular permeability increase of the blood osmotic pressure51. Metabolic acidosis is characterized by: decrease of [HCO3] increase of [HCO3]52. PRIMARY CHANGES OF THE BICARBONATE BUFFER IN THE METABOLIC ACIDOSIS ARE DUE TO decrease of pCO 2 increase of pCO 2 decrease of [HCO3] increase of [HCO3]53. THE SEVERE DIARRHEA, INCREASED SWEATING LEAD TO DEVELOPMENT OF hypo osmolar dehydration hyperosmolar dehydration iso osmolar dehydration54. Compensatory mechanism of isoosmolar hyperhydration is: increased ADH secretion increased GFR activation of RAAS thirst55. NEUROMUSCULAR EXCITABILITY IN DECOMPENSATED RESPIRATORY ALKALOSIS it increases it decreases it does not change56. Hypo-K+emia is typical sign of the following disorder: acidosis alkalosis57. The main mechanisms of edema development are: increased hydrostatic pressure decreased oncotic pressure increased oncotic pressure increased vascular permeability decreased hydrostatic pressure decreased vascular permeability impaired lymphatic drainage58. pCO 2 IN THE BLOOD WILL DECREASE IN respiratory acidosis respiratory alkalosis metabolic acidosis metabolic alkalosis59. THE DEVELOPMENT OF RESPIRATORY ALKALOSIS IS DUE TO hypoventilation hyperventilation fibrillation60. THE COMPENSATORY MECHANISM OF RESPIRATORY ACIDOSIS IS hypoventilation hyperventilation decrease of the urinary excretion of hydrocarbonate increase of the urinary excretion of hydrocarbonate decrease of the urinary excretion of ammonium chloride use the protein buffer system for binding of hydrogen ions61. THE INITIAL STAGE OF PULMONARY EDEMA LEADS TO metabolic acidosis metabolic alkalosis respiratory acidosis respiratory alkalosis62. THE ALBUMIN-GLOBULIN INDEX OF PLASMA (WHEN TOTAL CONTENT OF PROTEIN IS NORMAL) FOR OCCURRENCE OF HYPOONKIA (DECREASE OF ONCOTIC PRESSURE) MUST decrease increase63. MECHANISMS OF COMPENSATION IN ISOOSMOLAR DEHYDRATION ARE increase of secretion of antidiuretic hormone activation of renin-angiotensin-aldosterone system decrease of glomerular filtration rate thirst increase of glomerular filtration rat64. Respiratory alkalosis is characterized by: increase of pCO2 decrease of pCO265. THE MOST TYPICAL LOCATION OF RENAL EDEMAS IS lower extremities face ascites66. pCO 2 IN THE BLOOD WILL INCREASE IN respiratory alkalosis metabolic alkalosis respiratory acidosis metabolic acidosis67. CHANGES OF pН OF THE BLOOD IN DECOMPENSATED ALKALOSIS INCLUDE decrease of pH increase of pH normal pH68. ACIDOSIS OCCURS DUE TO increase of HCO 3 – in the blood decrease of HCO 3 – in the blood increase of pCO 2 in the blood decrease of pCO 2 in the blood69. HYPOKALEMIA IS TYPICAL FOR FOLLOWING DISORDER acidosis alkalosis70. Metabolic alkalosis is characterized by: decrease of [HCO3] increase of [HCO3]71. THE INTRAVASCULAR VOLUME DURING DECREASE OF THE BLOOD COLLOID-OSMOTIC PRESSURE it increases it decreases it does not change72. THE TRIGGERING FACTOR IN THE DEVELOPMENT OF CONGESTIVE EDEMAS IS increase of hydrostatic pressure hypoproteinemia increase of vascular permeability secondary hyperaldosteronism decrease in minute volume of the blood73. All of the following are compensatory mechanisms of metabolic acidosis, except: activation of acido- and ammoniagenesis in kidneys ncreased reabsorption of hydrocarbonate in renal tubules hyperkalemia hypokalemia74. BLOOD LOSS LEADS TO THE DEVELOPMENT OF hypo osmolar dehydration hyperosmolar dehydration iso osmolar dehydration75. THE LIQUID FILTRATION FROM VESSELS INTO TISSUES IS INCREASED DUE TO increase of colloid-osmotic pressure in blood vessels increase of colloid-osmotic pressure in tissues increase of hydrostatic pressure in blood vessels increase of vascular permeability increase of the lymph flow76. THE COMPENSATORY MECHANISM OF RESPIRATORY ALKALOSIS IS hypoventilation hyperventilation increase of the urinary excretion of ammonium chloride increase of the urinary excretion of hydrocarbonate77. INTRODUCTION OF BICARBONATE IN RESPIRATORY ACIDOSIS IS NECESSARY Yes No78. THE MOST EFFECTIVE MECHANISM OF COMPENSATION IN PRIMARY HYPERALDOSTERONISM IS increase of secretion of antidiuretic hormone activation of renin-angiotensin-aldosterone system thirst increase of glomerular filtration rate natriuretic effect of kidneys («escape phenomenon»)79. Compensatory mechanism of hyperosmolar hyperhydration is: decrease of the glomerular filtration rate activation of the renin-angiotensin-aldosterone system thirst natriuretic effect of kidneys80. PRIMARY CHANGES OF THE BICARBONATE BUFFER IN THE METABOLIC ALKALOSIS ARE DUE TO increase of pCO 2 decrease of pCO 2 decrease of [HCO3] increase of [HCO3]81. DEVELOPMENT OF OSTEOPOROSIS OCCURS IN THE FOLLOWING CASES acute metabolic acidosis chronic metabolic acidosis metabolic alkalosis chronic respiratory acidosis chronic respiratory alkalosis82. THE DECREASED SYNTHESIS OF ACIDS AND AMMONIUM IN RENAL TUBULES LEADS TO DEVELOPMENT OF respiratory acidosis metabolic acidosis respiratory alkalosis metabolic alkalosis83. EDEMAS OF EXTREMITIES DEVELOP AS A RESULT OF THE FAILURE OF left ventricle right ventricle84. Compensatory mechanism of hypoosmolar dehydration is: decreased secretion of antidiuretic hormone activation of the renin-angiotensin-aldosterone system reduced water consumption85. HYPO-ONCOTIC EDEMAS ARE heart oedema toxic oedema allergic oedema nephritic oedema nephrotic oedema oedema in starvation (hunger)86. DECREASE OF THE BLOOD CONCOTIC PRESSURE IS LEADING FACTOR IN THE DEVELOPMENT OF FOLLOWING TYPES OF EDEMAS nephrotic hungry inflammatory when liver cirrhosis87. THE ACTIVATION OF RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM IS LEADING FACTOR IN THE DEVELOPMENT OF FOLLOWING TYPES OF EDEMAS inflammatory nephritic cardiac congestive hungry88. CAUSES OF METABOLIC ALKALOSIS ARE hypokalemia Kussmaul breathing hypoventilation overdose of sodium bicarbonate mechanical ventilation multiple fractures of ribs overdose of trisamine fast running89. HIDDEN (LATENT) TETANY OCCURS IN respiratory alkalosis metabolic acidosis metabolic alkalosis the correct answer – only 1 the correct answer – 1 and 390. THE MAIN FACTOR IN THE DEVELOPMENT OF CARDIAC EDEMAS IS increase of hydrostatic pressure hypoproteinaemia increase of vascular permeability secondary hyperaldosteronism decrease in minute volume of the blood91. THE USE OF CARBONIC ANHYDRASE INHIBITORS MAY LEAD TO metabolic acidosis metabolic alkalosis respiratory acidosis respiratory alkalosis92. HYDROSTATIC PRESSURE IS LEADING FACTOR IN THE DEVELOPMENT OF FOLOWING EDEMAS nephritic hungry congestive cardiac93. THE BLOOD ONCOTIC PRESSURE DECREASES DUE TO heart failure nephritic syndrome starvation liver cirrhosis allergy Loading …Is fire hot or cold?