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A 66-year-old female arrives in the emergency department complaining of headache

ID: 3473180 • Letter: A

Question

A 66-year-old female arrives in the emergency department complaining of headache, loss of appetite, and fatigue. Based on bloodwork, you find that she has an anion-gap metabolic acidosis. Which of the statements below best describes the processes in the kidney that will eliminate the metabolic acids that have built up in her blood?

yoear ld femae sricesin he emergeny depmpaing ofh and esigun Based on bloodwork, you find that she has an anion-gap metabolic acidosis. Which of the statements below best describes the processes in the kidney that will eliminate the metabolic acids that have built up in her blood? Anions are filtered out, protons are secreted, and bicarbonate is reabsorbed into the bloodstream. O Cations are filtered out, protons are secreted, and bicarbonate is reabsorbed into the bloodstream Cations are filtered out and protons and bicarbonate are reabsorbed into the bloodstream.

Explanation / Answer

Metabolic acidosis is a condition that occurs when the body produces excessive quantities of acid, or when the kidneys are unable to filter the acid away from the body. The statement that best describes the processes in the kidney is:

Anions are filtered out, protons are secreted, and bicarbonate is reabsorbed into the bloodstream

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