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the epithelium on a one-for-one basis as the secreted protons, and this bicarbonate is transported across the basolateral membrane The answer is false Renal acid excretion rises The acidosis is caused by increased generation of metabolic acids, not failure of the kidneys to excrete acid The kidneys respond by increasing their excretion of acid A steady state is reached when input and output are both elevated and plasma bicarbonate is low The answer is C The pH values are both within the normal range, so both patients could be perfectly normal However, pH is set by the ratio of bicarbonate to Pco2 Both values could be elevated or depressed, yielding a normal ratio but an acidosis or alkalosis that is well compensated Answer A is certainly true This a respiratory acidosis Answer B is false In response to the prolonged acidosis, the patient s bicarbonate would be elevated as compensation, not depressed Answer C is false Although the development of compensation would require increased acid excretion, the maintenance would only require a urinary excretion to match the input of fixed acid CO2, no matter how much it is elevated, cannot be excreted as urinary acid The answer is true The excretion of titratable acid and ammonium both involve secreting a hydrogen ion and generating a bicarbonate that goes into the blood

29 HC3H5O2(aq) + HCOO (aq) + C3H5O2 (aq)

10 1 10 2 10 3 10 4 10 5 The answer is C Vitamin D probably acts in a permissive manner for all of these processes, but stimulation of calcium absorption from the GI tract is the most important direct action The answer is false PTH inhibits phosphate reabsorption, resulting in increased excretion The increased excretion is the same result that would occur if secretion were increased, but phosphate is not secreted The answer is B: bone The answer is D PTH stimulates calcium reabsorption in the distal tubule; thus, a reduction in PTH reduces reabsorption and permits more excretion The answer is A Chronic renal failure reduces phosphate excretion As a consequence, levels of PTH increase, causing excessive resorption of calcium from bone

Aggregated MPLS Processing in the Core As discussed previously in the sec-

HCOOH(aq)

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Proximal tubule R Organic nutrients Urea Proteins, peptides Phosphate Sulfate Organic anions Organic cations Urate Sodium Chloride Water Potassium Hydrogen ions Bicarbonate Ammonium Calcium

A 100-L flask is filled with 030 mol of CH4 and 040 mol of CO2, and allowed to come to equilibrium At equilibrium, there are 020 mol of CO in the flask What is the value of Kc, the equilibrium constant, for the reaction (A) 12 (B) 0027 (C) 030 (D) 0060 (E) 30 27 NO2(g) 2NO(g) + O2(g)

X X X X X X (can also be reabsorbed and/or secreted passively along tubule) X (can also be reabsorbed and/or secreted passively along tubule) X X X X X X X X X X (X) X X X X X X X X (X) X X X X X X X X X X X X X X (X) (X) X

tion VoIPoMPLS Bearer Control for Connectivity, the VoIPoMPLS bearer control entity can establish an MPLS LSP that can be used to transport one call or, assuming multiplexing is used, to transport all or any subset of the calls between a given pair of gateways Advanced MPLS features may also be applied onto this LSP such as constraint-based routing and protection of the LSP via fast restoration From the standpoint of the MPLS control plane, this results in the following:

The equilibrium constant, K, for the above equi 2 librium is 72 10 This value implies which of the following (A) A solution with equimolar amounts of HC3H5O2(aq) and HCOO (aq) is neutral (B) C3H5O2 (aq) is a stronger base than HCOO (aq) (C) HC3H5O2(aq) is a stronger acid than HCOOH(aq) (D) HCOO (aq) is a stronger base than C3H5O2 (aq) (E) The value of the equilibrium does not depend on the temperature 30 The addition of nitric acid increases the solubility of which of the following compounds (A) KCl(s) (B) Pb(CN)2(s) (C) Cu(NO3)2(s) (D) NH4NO3(s) (E) FeSO4(s)

Table A 2 Major functions of the various collecting-duct cells*

RSVP or CR-LDP signaling processing and label binding at every MPLS hop for each gateway-to-gateway pair Resource reservation and admission control at every MPLS hop for each gateway-to-gateway pair and every time the resource reservation is modified (for example, to adjust to a varying number of calls on a gateway-to-gateway pair) In case of failure, fast reroute at the relevant MPLS hops of all the affected gateway-to-gateway LSPs

Principal cells 1 Reabsorb sodium (stimulated by aldosterone) 2 Secrete potassium (stimulated by several signals, including aldosterone) 3 Reabsorb water (stimulated by antidiuretic hormone) Comment: Processes 1 and 2 are linked by a basolateral membrane Na-K-ATPase Type A intercalated cells 1 Secrete hydrogen ions, which effect reabsorption of bicarbonate and excretion of titratable acid (stimulated by increased Pco2 and decreased extracellular pH) 2 Reabsorb potassium Comment: These 2 processes are linked by a luminal membrane H-K-ATPase Type B intercalated cells 1 Reabsorb chloride ( stimulated by chloride depletion) 2 Secrete bicarbonate (stimulated by increased extracellular pH) Comment: These 2 processes are linked by a luminal membrane Cl-bicarbonate countertransporter

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