The pericardium is a double-walled sac that surrounds and protects the heart.
True
False
The Correct Answer is A
Correct answer: True
The pericardium is a fibroserous, double-walled sac located in the mediastinum that encloses the heart and the roots of the great vessels. It consists of an outer fibrous layer that provides structural support and limits excessive cardiac movement, and an inner serous layer, which is divided into parietal and visceral layers separated by a small amount of pericardial fluid. This fluid acts as a lubricant, reducing friction as the heart contracts and relaxes. The pericardium’s anatomical position and structure protect the heart from mechanical injury, infection, and sudden overexpansion, while maintaining optimal conditions for cardiac function.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
A. Pulmonary artery: The pulmonary artery originates from the right ventricle and is positioned anterior to the ascending aorta as it exits the heart. Its physiologic role is to transport deoxygenated blood to the lungs for oxygenation. It is part of the pulmonary circulation and does not arise from or receive blood flow from the right coronary artery, which supplies myocardium.
B. Left anterior descending artery: The left anterior descending artery, also known as the anterior interventricular artery, branches from the left coronary artery and runs within the anterior interventricular sulcus toward the apex. It supplies the anterior wall of the left ventricle and the anterior two-thirds of the interventricular septum.
C. Circumflex artery: The circumflex artery arises from the left coronary artery and courses in the left atrioventricular (coronary) sulcus. It supplies the lateral and posterior portions of the left ventricle and may contribute to left atrial perfusion. Its anatomical origin from the left coronary artery excludes it from being a branch of the right coronary artery.
D. Anterior interventricular artery: The anterior interventricular artery lies in the anterior interventricular groove between the right and left ventricles. It provides blood supply to the interventricular septum and the anterior surfaces of both ventricles. As a branch of the left coronary artery, it does not represent a continuation of blood flow from the right coronary artery.
E. Right marginal artery: The right marginal artery is a direct branch of the right coronary artery and travels along the acute margin of the heart toward the apex. It supplies the right ventricular free wall and contributes to perfusion of the right myocardium. Its anatomical course and origin confirm that blood flows from the right coronary artery into the right marginal artery.
Correct Answer is A
Explanation
A. It marks the boundary of the sarcomere and anchors thin filaments: The Z-line, also called the Z-disc, is a dense protein structure that defines the lateral boundary of each sarcomere in cardiac muscle. It serves as the anchoring site for actin (thin) filaments and plays a critical role in transmitting the force generated during sarcomere shortening across the myocardial tissue, contributing to coordinated contraction.
B. It shortens during contraction to generate force: The Z-line itself does not shorten; rather, the sarcomere shortens as thin and thick filaments slide past each other. The Z-lines move closer together during contraction, but they act as structural anchors, not active generators of force.
C. It houses mitochondria for ATP production: Mitochondria are located in the cytoplasm between myofibrils, not within the Z-line. They provide ATP necessary for cross-bridge cycling, but their presence is independent of the Z-line structure.
D. It serves as a storage site for calcium ions: Calcium ions are primarily stored in the sarcoplasmic reticulum and released during excitation-contraction coupling. The Z-line does not function as a calcium reservoir; its role is structural and mechanical within the sarcomere.
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