The chordae tendineae of the AV valves are anchored to the ______ of the ventricles.
papillary muscles
pectinate muscles
trabeculae carnae
interventricular septum
interatrial septum
The Correct Answer is A
A. papillary muscles: These are specialized muscular projections from the ventricular walls that connect to the chordae tendineae. When the ventricles contract, the papillary muscles also contract to pull the "heart strings" taut. This action prevents the AV valve leaflets from prolapsing or everting back into the atria.
B. pectinate muscles: These are prominent muscular ridges found primarily in the internal walls of the right atrium and both auricles. They help increase the power of atrial contraction without significantly increasing heart mass. They are not found in the ventricles and do not interact with the chordae tendineae.
C. trabeculae carnae: These are internal ridges of myocardium located on the inner surfaces of the ventricles. While they help prevent suction and turbulence during blood flow, they do not serve as the primary anchoring point for the chordae tendineae. Only the specialized papillary muscles perform this specific anchoring function.
D. interventricular septum: This thick muscular wall separates the right and left ventricles to prevent the mixing of deoxygenated and oxygenated blood. While some papillary muscles may originate near its base, the septum itself is a dividing structure. It provides structural integrity rather than acting as a direct anchor for valve cords.
E. interatrial septum: This thin wall divides the right and left atria. It is located superior to the ventricles and is physically separated from the ventricular valves by the fibrous skeleton of the heart. It plays no role in the mechanical anchoring of the chordae tendineae within the ventricular chambers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Baroreceptors: These sensory nerve endings are located in the carotid sinuses and aortic arch to monitor systemic blood pressure. They detect mechanical stretch in the vessel walls to regulate cardiovascular reflexes. They do not directly sense the plasma osmolarity changes that trigger thirst.
B. Proprioceptors: These sensors are located in muscles, tendons, and joints to provide information regarding body position and movement. they allow the brain to track the spatial orientation of limbs. They are not involved in the monitoring of fluid balance or hypothalamic thirst regulation.
C. Nociceptors: These are specialized sensory receptors that respond to potentially damaging stimuli by sending signals to the spinal cord and brain. They are responsible for the perception of pain. They do not have a functional role in governing fluid intake or osmotic pressure.
D. Osmoreceptors: Located in the anterior hypothalamus, these specialized neurons detect changes in the osmotic pressure of the extracellular fluid. When plasma osmolarity increases, these cells shrink, triggering the sensation of thirst and the release of antidiuretic hormone. They are the primary regulators of fluid homeostasis.
E. Mechanoreceptors: These receptors respond to physical deformation such as touch, pressure, and vibration. While found throughout the skin and internal organs, they do not specifically monitor the chemical or osmotic status of the blood. They provide tactile and structural feedback rather than metabolic regulation.
Correct Answer is D
Explanation
A. 6: Hemoglobin lacks the structural capacity to bind 6 oxygen molecules simultaneously. The protein is a tetramer, meaning it consists of only 4 polypeptide subunits. Each subunit is limited to the binding of a single heme group and its associated iron ion.
B. 2: This number represents only half of the potential carrying capacity of a fully saturated hemoglobin molecule. In the high partial pressure of oxygen found in pulmonary capillaries, hemoglobin typically binds more than two molecules. This would reflect a low oxygen saturation level of 50%.
C. 3: Binding 3 molecules would result in 75% oxygen saturation, which occurs as blood unloads oxygen to resting tissues. However, it does not represent the maximum theoretical or physiological limit of the transport protein. The molecular structure allows for one additional binding site to be filled.
D. 4: Each hemoglobin molecule is a tetramer composed of 4 globin chains, each containing a central heme group with a ferrous iron atom. Each iron atom can reversibly bind 1 molecule of O2. Therefore, a single hemoglobin molecule can carry a maximum of 4 oxygen molecules.
E. 5: Human hemoglobin does not possess a fifth binding site or heme group to accommodate an extra oxygen molecule. The quaternary structure is strictly limited to 4 subunits. Any value above 4 is biologically and chemically impossible for a standard adult hemoglobin A molecule.
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