Try it
Physiology · Acid-base physiology
Sample itemWhat is the renal compensation for chronic respiratory acidosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Increase bicarbonate reabsorption
With chronic carbon dioxide retention, kidneys compensate by retaining bicarbonate and increasing acid excretion, partially correcting the fall in extracellular pH.
Option by option
A. Lower ammonium production
Ammonium production rises to support acid excretion.
B. Excrete more bicarbonate
Bicarbonate excretion would worsen acidemia.
C. Stop hydrogen secretion
Hydrogen secretion increases rather than stops.
D. Increase bicarbonate reabsorption (correct)
Correct: renal bicarbonate retention compensates chronic respiratory acidosis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More Physiology questions
- Acid-base physiologyWhat is the major extracellular buffer system?
- Acid-base physiologyHow does the lung compensate for metabolic acidosis?
- Acid-base physiologyWhat acid-base disorder follows sustained vomiting of gastric acid?
- Acid-base physiologyWhich primary disturbance is present in acute hypoventilation from opioid overdose?