Prepare for the Clinical Chemistry and Pathologic of Biochemistry Exam with comprehensive questions, detailed explanations, and effective study strategies. Ace your test with confidence!

Multiple Choice

Which ion serves as counterion to sodium in extracellular fluid?

The main idea is electroneutrality in extracellular fluid. Sodium is the dominant extracellular cation, and its principal counterion is chloride, the main extracellular anion. Together Na+ and Cl− help balance charges and maintain osmotic stability in plasma and interstitial fluid. While bicarbonate also carries a negative charge and participates in buffering, it is not the primary counterion to sodium. Potassium is mainly intracellular, and magnesium is a separate cation, not the primary balancing anion for sodium. So chloride best fits the role of the counterion to sodium in extracellular fluid.

The main idea is electroneutrality in extracellular fluid. Sodium is the dominant extracellular cation, and its principal counterion is chloride, the main extracellular anion. Together Na+ and Cl− help balance charges and maintain osmotic stability in plasma and interstitial fluid. While bicarbonate also carries a negative charge and participates in buffering, it is not the primary counterion to sodium. Potassium is mainly intracellular, and magnesium is a separate cation, not the primary balancing anion for sodium. So chloride best fits the role of the counterion to sodium in extracellular fluid.