In a normal ECG, the deflection that is generated by ventricular repolarization is called the
R wave
QRS wave
P wave
S wave
T wave
The Correct Answer is E
A. R wave: The R wave is the prominent upward deflection of the QRS complex and represents the depolarization of the main mass of the ventricles. It marks the electrical signal for ventricular contraction, not the recovery phase. It is an electrical event related to the initiation of ventricular systole.
B. QRS wave: This complex represents the total electrical activity associated with ventricular depolarization. It consists of the Q, R, and S deflections and obscures the electrical signal of atrial repolarization. While it is a critical ECG landmark, it indicates the onset of ventricular activation rather than its recovery.
C. P wave: The P wave is the initial small deflection of the ECG cycle and represents atrial depolarization. This electrical event triggers the subsequent contraction of the atria to move blood into the ventricles. It occurs well before the ventricles are electrically activated or repolarized.
D. S wave: The S wave is the final downward deflection of the QRS complex, representing the depolarization of the base of the heart. Like the R wave, it is part of the electrical sequence that leads to ventricular contraction. It does not represent the return of the ventricular myocytes to their resting state.
E. T wave: The T wave is the deflection on the ECG that represents the electrical recovery, or repolarization, of the ventricular myocardium. This process allows the ventricular cells to return to their resting potential in preparation for the next cycle. It occurs during the middle and final stages of ventricular systole.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Antibodies: The arrows point to Y-shaped proteins that are binding to multiple red blood cells simultaneously. These molecules represent agglutinins, which are antibodies that facilitate the clumping of cells during an immune response or mismatched transfusion. Their bivalent structure allows them to bridge and aggregate antigens.
B. Antigens: Antigens are the specific molecular markers located on the plasma membrane of the red blood cells to which antibodies bind. In the diagram, the antigens are the targets being gripped by the Y-shaped molecules, not the molecules indicated by the arrows. Antigens determine the specific blood group phenotype of the cell.
Correct Answer is B
Explanation
A. Eosinophils: These granulocytes primarily function in the destruction of multicellular parasites and the modulation of inflammatory responses. While their granules contain various cytotoxic enzymes and cytokines, they are not the primary source of systemic histamine or heparin. Their role is more closely associated with IgE-mediated parasiticidal activity.
B. Basophils: These are the least abundant leukocytes and contain prominent cytoplasmic granules rich in histamine and heparin. Histamine acts as a potent vasodilator to increase blood flow to infected areas, while heparin functions as an anticoagulant to prevent localized clotting. These secretions facilitate the recruitment of other immune cells to the site of injury.
C. Neutrophils: These cells are the primary phagocytic responders to acute bacterial infections and utilize oxidative bursts to neutralize pathogens. Their primary granules contain myeloperoxidase and defensins rather than histamine or heparin. They focus on the direct destruction of microorganisms rather than the chemical modulation of vascular permeability.
D. Platelets: Also known as thrombocytes, these are cellular fragments essential for hemostasis and thrombus formation. While they release serotonin and clotting factors from their alpha and delta granules, they do not secrete heparin. In fact, platelets are involved in the coagulation cascade that heparin is designed to inhibit.
E. Monocytes: These agranulocytes serve as precursors to macrophages and lack the specific chemical-filled granules found in basophils. Their primary defensive contribution is through phagocytosis and the secretion of pro-inflammatory cytokines like tumor necrosis factor. They do not utilize histamine or heparin as their primary signaling or defense molecules.
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