The mechanism for voiding begins with:
the relaxation of the internal sphincter
the contraction of the muscles of the bladder.
the relaxation of the external sphincter.
a parasympathetic impulse sent to the bladder.
The Correct Answer is D
A. the relaxation of the internal sphincter: Parasympathetic stimulation must occur first before the internal sphincter can relax. Without activation of the sacral parasympathetic nerves, the detrusor muscle remains relaxed and the bladder stays in the storage phase.
B. the contraction of the muscles of the bladder: Detrusor muscle contraction is a direct result of parasympathetic nerve activation. This contraction does not occur independently and follows neural signaling from the sacral spinal cord segments.
C. the relaxation of the external sphincter: The external sphincter is under voluntary somatic control and relaxes only after the voiding reflex has been initiated. Voluntary relaxation alone cannot trigger urination if the bladder reflex is not activated.
D. a parasympathetic impulse sent to the bladder: Voiding begins when stretch receptors in the bladder wall stimulate parasympathetic impulses from the sacral spinal cord. This causes detrusor muscle contraction and internal sphincter relaxation, initiating the micturition reflex.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C"}
Explanation
A. Two: There are not just two ventricles; the brain contains multiple interconnected cavities.
B. Three: Although the lateral ventricles are paired, there are additional ventricles in the brain.
C. Four: The brain has four ventricles: two lateral ventricles (one in each cerebral hemisphere), a third ventricle located in the diencephalon, and a fourth ventricle situated between the brainstem and the cerebellum. These cavities contain cerebrospinal fluid (CSF), which cushions the brain, removes waste, and maintains intracranial pressure.
D. Five: There is no fifth ventricle in normal human anatomy. The standard anatomy includes only four ventricles; any mention of a fifth ventricle is either historical or refers to an abnormal cavity.
Correct Answer is B
Explanation
A. Epidermis: This is the most superficial layer of the skin composed of keratinized stratified squamous epithelium. While the epidermis contains Merkel cells and free nerve endings for sensory perception, the bracket refers to the entire epithelial tissue layer rather than a specific, encapsulated specialized sensory receptor.
B. Dermis: This thick layer of irregular dense connective tissue houses the majority of skin appendages, including hair follicles, glands, and vascular networks. While the dermis provides the structural support and nutrition for sensory nerves, it represents a regional tissue division rather than a specific specialized receptor for tactile or thermal stimuli.
C. Hypodermis/Subcutaneous Layer: The hypodermis (subcutaneous layer) consists primarily of adipose and areolar tissue that anchors the skin to underlying muscle and bone. While deep receptors like Pacinian corpuscles can be found at the dermal-hypodermal junction, this bracket defines the fatty tissue layer rather than pinpointing an individual sensory organ.
D. Pacinian corpuscle: The Pacinian corpuscle is a large, encapsulated sensory receptor located deep in the dermis and subcutaneous tissue. It detects deep pressure and high-frequency vibration through rapid deformation of its concentric, onion-like layers. These receptors play a key role in proprioception and tactile sensitivity to mechanical stimuli.
E. Dermal papilla: The dermal papilla is a small, finger-like projection of the dermis that extends into the epidermis, most prominently in thick skin such as the fingertips. It contains capillary loops and sensory nerve endings that supply nutrients and oxygen to the avascular epidermis.
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