MCQ Quiz: Major Extra and Intracellular Electrolytes

Electrolytes are essential minerals that are vital for numerous physiological functions, including nerve impulse transmission, muscle contraction, and maintaining acid-base balance. For B.Pharm students, understanding the roles of major ions like sodium, potassium, and calcium is crucial. This knowledge is fundamental to grasping the principles of replacement therapy, such as Oral Rehydration Salts (ORS), and comprehending various disease states and their pharmaceutical management.


  1. Which of the following is the most abundant cation in the extracellular fluid (ECF)?
    • Potassium
    • Magnesium
    • Sodium
    • Calcium
    Answer: Sodium
  2. The most abundant cation in the intracellular fluid (ICF) is:
    • Sodium
    • Potassium
    • Calcium
    • Chloride
    Answer: Potassium
  3. Oral Rehydration Salt (ORS) is primarily used to treat:
    • Malnutrition
    • Dehydration caused by diarrhea
    • Hypocalcemia
    • Systemic acidosis
    Answer: Dehydration caused by diarrhea
  4. Which electrolyte is crucial for muscle contraction, blood clotting, and neurotransmitter release?
    • Sodium
    • Potassium
    • Chloride
    • Calcium
    Answer: Calcium
  5. Sodium Chloride Injection (0.9% w/v) is used in replacement therapy because it is:
    • Hypertonic
    • Isotonic with blood plasma
    • Hypotonic
    • A nutrient solution
    Answer: Isotonic with blood plasma
  6. The primary function of bicarbonate ions (HCO₃⁻) in the body is to:
    • Aid in muscle contraction
    • Act as a major component of the blood buffer system
    • Transport oxygen
    • Regulate body temperature
    Answer: Act as a major component of the blood buffer system
  7. Potassium Chloride is administered in replacement therapy to treat:
    • Hyperkalemia
    • Hypokalemia
    • Hyponatremia
    • Hypernatremia
    Answer: Hypokalemia
  8. The fluid found within the body’s cells is known as:
    • Extracellular fluid (ECF)
    • Intracellular fluid (ICF)
    • Plasma
    • Interstitial fluid
    Answer: Intracellular fluid (ICF)
  9. What is the role of glucose in the Oral Rehydration Salt (ORS) formulation?
    • To provide energy
    • To enhance the absorption of sodium and water
    • To act as a sweetening agent
    • To act as a preservative
    Answer: To enhance the absorption of sodium and water
  10. Calcium Gluconate is the preferred salt for intravenous calcium therapy because it is:
    • More potent than calcium chloride
    • Less irritating to the veins than calcium chloride
    • More soluble than calcium chloride
    • Faster acting than calcium chloride
    Answer: Less irritating to the veins than calcium chloride
  11. An electrolyte is a substance that produces an electrically conducting solution when dissolved in:
    • Oil
    • Alcohol
    • A polar solvent, such as water
    • A non-polar solvent
    Answer: A polar solvent, such as water
  12. The regulation of fluid balance between the intracellular and extracellular compartments is largely controlled by the concentration of:
    • Potassium
    • Sodium
    • Calcium
    • Magnesium
    Answer: Sodium
  13. Which of the following is a major physiological function of potassium?
    • Maintaining the resting membrane potential of nerve and muscle cells
    • Regulating body temperature
    • Acting as the primary extracellular buffer
    • Forming the structure of bones and teeth
    Answer: Maintaining the resting membrane potential of nerve and muscle cells
  14. The composition of ORS as recommended by the WHO includes sodium chloride, glucose, potassium chloride, and:
    • Calcium carbonate
    • Magnesium sulphate
    • Trisodium citrate, dihydrate
    • Ascorbic acid
    Answer: Trisodium citrate, dihydrate
  15. A condition of abnormally low potassium levels in the blood is:
    • Hyponatremia
    • Hypernatremia
    • Hypokalemia
    • Hyperkalemia
    Answer: Hypokalemia
  16. The major anion in the extracellular fluid is:
    • Bicarbonate
    • Phosphate
    • Sulphate
    • Chloride
    Answer: Chloride
  17. Which of the following are considered major physiological ions?
    • Sodium, potassium, calcium, and chloride
    • Iron, copper, and zinc
    • Gold, silver, and platinum
    • Fluoride, iodide, and bromide
    Answer: Sodium, potassium, calcium, and chloride
  18. The maintenance of the body’s acid-base balance is a key function of:
    • Sodium and potassium
    • Calcium and magnesium
    • The bicarbonate buffer system
    • Chloride ions
    Answer: The bicarbonate buffer system
  19. A positively charged ion is called a(n):
    • Anion
    • Cation
    • Molecule
    • Atom
    Answer: Cation
  20. Which electrolyte is essential for the structure of bones and teeth?
    • Sodium
    • Potassium
    • Chloride
    • Calcium
    Answer: Calcium
  21. The fluid that surrounds the cells in tissues is called:
    • Plasma
    • Intracellular fluid
    • Interstitial fluid
    • Lymph
    Answer: Interstitial fluid
  22. What is the primary danger associated with severe hyperkalemia?
    • Dehydration
    • Cardiac arrhythmias or cardiac arrest
    • Muscle weakness
    • Respiratory depression
    Answer: Cardiac arrhythmias or cardiac arrest
  23. The main purpose of replacement therapy is to:
    • Provide nutrition
    • Treat infections
    • Restore the normal levels of body fluids and electrolytes
    • Deliver drugs to a specific site
    Answer: Restore the normal levels of body fluids and electrolytes
  24. A negatively charged ion is called a(n):
    • Cation
    • Anion
    • Positron
    • Molecule
    Answer: Anion
  25. Which two electrolytes are most closely regulated together by the kidneys?
    • Sodium and calcium
    • Sodium and potassium
    • Calcium and magnesium
    • Potassium and phosphate
    Answer: Sodium and potassium
  26. Hypocalcemia refers to a lower-than-normal level of:
    • Sodium
    • Potassium
    • Calcium
    • Chloride
    Answer: Calcium
  27. The normal physiological pH of the blood is tightly regulated between:
    • 7.00 – 7.20
    • 7.25 – 7.35
    • 7.35 – 7.45
    • 7.50 – 7.60
    Answer: 7.35 – 7.45
  28. Hyponatremia is a condition of low:
    • Potassium in the blood
    • Sodium in the blood
    • Calcium in the blood
    • Chloride in the blood
    Answer: Sodium in the blood
  29. Which of the following is NOT a major function of electrolytes?
    • Controlling osmosis of water between fluid compartments
    • Helping to maintain acid-base balance
    • Carrying electrical current for nerve impulses
    • Providing a primary source of calories
    Answer: Providing a primary source of calories
  30. What is the role of the sodium-potassium pump?
    • To move sodium into the cell and potassium out of the cell
    • To move sodium and potassium into the cell
    • To move sodium out of the cell and potassium into the cell
    • To move sodium and potassium out of the cell
    Answer: To move sodium out of the cell and potassium into the cell
  31. The main components of the extracellular fluid (ECF) are:
    • Cytosol and nucleoplasm
    • Plasma and interstitial fluid
    • Blood and lymph
    • Water and proteins
    Answer: Plasma and interstitial fluid
  32. Calcium gluconate is used to treat:
    • Hypokalemia
    • Hypocalcemia
    • Hyponatremia
    • Hypermagnesemia
    Answer: Hypocalcemia
  33. A state of acidosis means the blood pH is:
    • Above 7.45
    • Below 7.35
    • Exactly 7.0
    • Exactly 7.4
    Answer: Below 7.35
  34. Which electrolyte is the most important for bone health, along with phosphate?
    • Sodium
    • Potassium
    • Calcium
    • Chloride
    Answer: Calcium
  35. The principal intracellular anions are:
    • Chloride and bicarbonate
    • Phosphate and proteins
    • Sodium and potassium
    • Calcium and magnesium
    Answer: Phosphate and proteins
  36. Which of the following is used as an electrolyte replenisher?
    • Sodium Chloride
    • Potassium Chloride
    • Calcium Gluconate
    • All of the above
    Answer: All of the above
  37. The Ringer’s solution is a type of electrolyte solution that contains:
    • Only sodium chloride
    • Sodium, potassium, and calcium chlorides
    • Sodium chloride and glucose
    • Only potassium chloride
    Answer: Sodium, potassium, and calcium chlorides
  38. The body’s fluid and electrolyte balance is primarily regulated by hormones acting on the:
    • Liver
    • Stomach
    • Kidneys
    • Spleen
    Answer: Kidneys
  39. Which ion is a critical component of hydrochloric acid in the stomach?
    • Sodium
    • Potassium
    • Chloride
    • Bicarbonate
    Answer: Chloride
  40. A state of alkalosis means the blood pH is:
    • Below 7.35
    • Above 7.45
    • Exactly 7.0
    • Decreasing
    Answer: Above 7.45
  41. The majority of the body’s total fluid is:
    • Plasma
    • Interstitial fluid
    • Intracellular fluid
    • Lymph
    Answer: Intracellular fluid
  42. Why should potassium chloride be administered slowly and in a dilute solution when given intravenously?
    • It is very irritating to veins.
    • Rapid administration can cause fatal cardiac arrest.
    • It is poorly soluble.
    • It can cause dehydration.
    Answer: Rapid administration can cause fatal cardiac arrest.
  43. Which of the following is NOT a component of the WHO-recommended ORS formula?
    • Sodium chloride
    • Glucose
    • Calcium carbonate
    • Potassium chloride
    Answer: Calcium carbonate
  44. The concentration of electrolytes is often expressed in which unit?
    • Grams per liter (g/L)
    • Milliequivalents per liter (mEq/L)
    • Moles per kilogram (mol/kg)
    • Percentage by volume (% v/v)
    Answer: Milliequivalents per liter (mEq/L)
  45. Which electrolyte plays a key role as a cofactor for many enzymes, including those involved in ATP metabolism?
    • Sodium
    • Calcium
    • Chloride
    • Magnesium
    Answer: Magnesium
  46. The balance between acids and bases in the body is maintained by:
    • Buffer systems
    • Respiration (exhalation of CO₂)
    • Kidney excretion
    • All of the above
    Answer: All of the above
  47. The movement of water between fluid compartments is regulated by:
    • Hydrostatic and osmotic pressures
    • Temperature
    • Body weight
    • Gravity
    Answer: Hydrostatic and osmotic pressures
  48. Which of the following would NOT be considered replacement therapy?
    • Administering saline to a dehydrated patient.
    • Giving ORS for diarrhea.
    • Administering potassium chloride for hypokalemia.
    • Administering an antibiotic for an infection.
    Answer: Administering an antibiotic for an infection.
  49. The most abundant mineral in the human body is:
    • Sodium
    • Potassium
    • Iron
    • Calcium
    Answer: Calcium
  50. The correct physiological acid-base balance is crucial for:
    • Normal enzyme function
    • Oxygen transport by hemoglobin
    • Maintaining membrane potentials
    • All of the above
    Answer: All of the above

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