EBK ANATOMY & PHYSIOLOGY
EBK ANATOMY & PHYSIOLOGY
5th Edition
ISBN: 9780321888013
Author: Hoehn
Publisher: VST
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Chapter 24, Problem 6CCS

Let’s return to Kyle Boulard, whom we met in the previous chapter. After two days in the hospital, Mr. After two days in the hospital, Kyle Boulard has recovered from his acute diabetic crisis and his type 1 diabetes is once again under control. The last update on his chart before he is discharged includes the following:

Chapter 24, Problem 6CCS, Lets return to Kyle Boulard, whom we met in the previous chapter. After two days in the hospital,

BP 150/95, HR 75, temperature 37 .2°C

Urine: pH 6.9, negative for glucose and ketones; 24-hour urine collection reveals 170 mg albumin in urine per day

Mr. Boulard is prescribed a thiazide diuretic and an angiotensin converting enzyme (ACE) inhibitor. He is counseled on the importance of keeping his diabetes under control, taking his medications regularly, and keeping his outpatient follow-up appointments.

How do ACE inhibitors reduce blood pressure?

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A sample of blood was taken from the above individual and prepared for haemoglobin analysis. However, when water was added the cells did not lyse and looked normal in size and shape. The technician suspected that they had may have made an error in the protocol – what is the most likely explanation?   The cell membranes are more resistant than normal.   An isotonic solution had been added instead of water.   A solution of 0.1 M NaCl had been added instead of water.   Not enough water had been added to the red blood cell pellet.   The man had sickle-cell anaemia.
A sample of blood was taken from the above individual and prepared for haemoglobin analysis. However, when water was added the cells did not lyse and looked normal in size and shape. The technician suspected that they had may have made an error in the protocol – what is the most likely explanation?   The cell membranes are more resistant than normal.   An isotonic solution had been added instead of water.   A solution of 0.1 M NaCl had been added instead of water.   Not enough water had been added to the red blood cell pellet.   The man had sickle-cell anaemia.
With reference to their absorption spectra of the oxy haemoglobin intact line) and deoxyhemoglobin (broken line) shown in Figure 2 below, how would you best explain the reason why there are differences in the major peaks of the spectra? Figure 2. SPECTRA OF OXYGENATED AND DEOXYGENATED HAEMOGLOBIN OBTAINED WITH THE RECORDING SPECTROPHOTOMETER 1.4 Abs < 0.8 06 0.4 400 420 440 460 480 500 520 540 560 580 600 nm 1. The difference in the spectra is due to a pH change in the deoxy-haemoglobin due to uptake of CO2- 2. There is more oxygen-carrying plasma in the oxy-haemoglobin sample. 3. The change in Mr due to oxygen binding causes the oxy haemoglobin to have a higher absorbance peak. 4. Oxy-haemoglobin is contaminated by carbaminohemoglobin, and therefore has a higher absorbance peak 5. Oxy-haemoglobin absorbs more light of blue wavelengths and less of red wavelengths than deoxy-haemoglobin

Chapter 24 Solutions

EBK ANATOMY & PHYSIOLOGY

Ch. 24 - How are primary and secondary active transport...Ch. 24 - How does the movement of Na+ drive the...Ch. 24 - List several substances that are secreted into the...Ch. 24 - Describe the special characteristics of the...Ch. 24 - Under what conditions is ADH released from the...Ch. 24 - What would you expect the normal clearance value...Ch. 24 - What are the three major nitrogenous wastes...Ch. 24 - A kidney stone blocking a ureter would interfere...Ch. 24 - What is the trigone of the bladder, and which...Ch. 24 - Name the three regions of the male urethra.Ch. 24 - How does the detrusor respond to increased firing...Ch. 24 - The lowest blood concentration of nitrogenous...Ch. 24 - The glomerular capillaries differ from other...Ch. 24 - Damage to the renal medulla would interfere first...Ch. 24 - Which is reabsorbed by the proximal convoluted...Ch. 24 - Glucose is not normally found in the urine because...Ch. 24 - Filtration at the glomerulus is inversely related...Ch. 24 - Tubular reabsorption (a) of glucose and many other...Ch. 24 - If a freshly voided urine sample contains...Ch. 24 - Conditions such as diabetes mellitus and...Ch. 24 - Which of the following is/are true about ADH? (a)...Ch. 24 - What is the importance of the perirenal fat...Ch. 24 - Trace the pathway a creatinine molecule takes from...Ch. 24 - Explain the important differences between blood...Ch. 24 - Describe the mechanisms that contribute to renal...Ch. 24 - Prob. 15RQCh. 24 - Describe what is involved in active and passive...Ch. 24 - Explain how the peritubular capillaries are...Ch. 24 - Explain the process and purpose of tubular...Ch. 24 - How does aldosterone modify the chemical...Ch. 24 - Explain why the filtrate becomes hypotonic as it...Ch. 24 - How does urinary bladder anatomy support its...Ch. 24 - Define micturition and describe the micturition...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...
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