KROK 1 2017 – Question 195 · KROK (Medicine) · Pathophysiology

A patient developed increased blood content of HCO3− against the background of repeated and uncontrollable vomiting. What will be the leading mechanism in compensation of developed acid-base imbalance?

  1. A. Increased renal reabsorption of bicarbonate
  2. B. Decreased pulmonary ventilation
  3. C. Increased pulmonary ventilation
  4. D. Increased renal reabsorption of ammonia
  5. E. -
Hint

First decide whether vomiting loses acid or base, then ask which system can correct the pH fastest by changing the amount of carbon dioxide retained.

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