KROK 1 2007 – Question 40 · KROK (Medicine) · Pathophysiology

A group of mountain climbers went through the blood analysis at the height of 3000 m. It revealed decrease of HCO3 to 15 mmol/l (standard is 22-26 mmol/l). What is the mechanism of HCO3 decrease?

  1. A. Decrease of bicarbonate reabsorption in kidneys
  2. B. Decrease of ammoniogenesis
  3. C. Hyperventilation
  4. D. Intensification of acidogenesis
  5. E. Hypoventilation
Hint

Think about how the thin air at altitude changes the breathing pattern, what happens to CO₂ and blood pH as a result, and what bicarbonate does then.

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