Oxygen-poor blood passes through the:
Right AV (tricuspid) and pulmonary valves.
Right AV (tricuspid) valve only.
Left AV (mitral) and aortic valves.
Left AV (mitral) valve only.
Pulmonary and aortic valves.
The Correct Answer is A
Choice A rationale
Oxygen-poor blood, returning from the systemic circulation, enters the right atrium, passes through the right AV (tricuspid) valve into the right ventricle, and then is pumped through the pulmonary valve into the pulmonary artery, leading to the lungs for oxygenation. Both valves are involved in this pathway.
Choice B rationale
The right AV (tricuspid) valve allows blood flow from the right atrium to the right ventricle. However, oxygen-poor blood must also pass through the pulmonary valve to exit the right ventricle and reach the pulmonary circulation. Therefore, only stating the tricuspid valve is incomplete.
Choice C rationale
The left AV (mitral) valve and aortic valve are on the left side of the heart. The left side handles oxygenated blood returning from the lungs, pumping it into the systemic circulation. Therefore, oxygen-poor blood does not pass through these valves.
Choice D rationale
The left AV (mitral) valve regulates blood flow from the left atrium to the left ventricle. This valve is involved with oxygenated blood, not oxygen-poor blood. Thus, it is incorrect to include it in the pathway for deoxygenated blood.
Choice E rationale
The pulmonary valve allows oxygen-poor blood to exit the right ventricle, while the aortic valve allows oxygenated blood to exit the left ventricle. Therefore, stating both pulmonary and aortic valves for oxygen-poor blood is incorrect, as the aortic valve handles oxygenated blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
During exercise, local accumulation of metabolic byproducts like lactic acid, carbon dioxide, and adenosine in active muscles causes vasodilation, not constriction, of precapillary sphincters and arterioles. This vasodilation increases blood flow to meet the increased metabolic demand.
Choice B rationale
During exercise, the adrenal medulla releases epinephrine and norepinephrine, and sympathetic nerves release norepinephrine. These catecholamines cause widespread vasoconstriction in inactive tissues but induce vasodilation in skeletal muscles through specific receptor activation (beta-2 adrenergic receptors), increasing blood flow to working muscles.
Choice C rationale
Muscle contraction does compress blood vessels, aiding venous return (skeletal muscle pump). However, this is a mechanical action aiding circulation, not the direct effect of adrenal medulla and sympathetic nerves on arteriolar diameter in response to exercise, which primarily involves neurochemical regulation.
Choice D rationale
During exercise, the sympathetic nervous system is highly activated, leading to a "fight or flight" response. Conversely, the parasympathetic nervous system, which promotes "rest and digest" functions, is generally inhibited or its activity is decreased, not activated, to allow for increased cardiac output and blood flow to muscles.
Correct Answer is B
Explanation
Choice A rationale
Positive feedback mechanisms amplify the initial stimulus, leading to an increased response. While important in certain physiological processes like childbirth (oxytocin release) or blood clotting, it is less common for target organs to regulate pituitary function through this method, as it can lead to instability.
Choice B rationale
Negative feedback is the predominant mechanism by which target organs regulate pituitary function. High levels of target gland hormones inhibit the release of stimulating hormones from the pituitary and hypothalamus, thus maintaining hormonal homeostasis and preventing overproduction or underproduction.
Choice C rationale
Neural stimulation involves direct nerve impulses influencing hormone release, as seen in the adrenal medulla's response to sympathetic nervous system activation. While the hypothalamus has neural connections to the pituitary, direct neural stimulation from target organs is not the primary regulatory mechanism for pituitary control.
Choice D rationale
Direct hormonal release from target organs without involving feedback loops would result in unregulated hormone secretion, disrupting endocrine balance. Target organs typically release hormones that, in turn, exert feedback effects on the pituitary or hypothalamus, ensuring precise control and preventing dysregulation.
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