Physiology & Biochemistry · single question

In what form is the majority of carbon dioxide transported in blood back to the lungs?

  1. Dissolved in plasma as free CO2
  2. As bicarbonate ion (HCO3-)
  3. Bound to carbonic anhydrase
  4. As carboxyhaemoglobin
Show answer and explanation

Correct answer: B. As bicarbonate ion (HCO3-)

  • A. Only about 5–10% of CO2 travels dissolved directly in plasma.
  • B. Correct. Roughly 70% of CO2 is carried as BICARBONATE. Inside the red cell, carbonic anhydrase converts CO2 + H2O to carbonic acid, which dissociates into H+ and HCO3-. Bicarbonate then exits into the plasma via the chloride shift. About 20–25% travels as carbaminohaemoglobin bound to the globin chains, and the remainder is dissolved.
  • C. Carbonic anhydrase is the ENZYME that catalyses the reaction — it is not a carrier molecule.
  • D. Carboxyhaemoglobin is haemoglobin bound to carbon MONOXIDE (CO), a completely different and toxic species.

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