What happens during repolarization of cardiac conducting cells?
The sodium ion channels open, allowing Na+ to enter the cell.
The calcium ion channels open, allowing Ca2+ to enter the cell.
Sodium ion channels close, preventing Na+ from entering.
Potassium ion channels open, allowing K+ to leave the cell.
The Correct Answer is D
A. The sodium ion channels open, allowing Na+ to enter the cell: Opening of sodium channels occurs during the depolarization phase of cardiac action potentials, not repolarization. The influx of Na+ rapidly raises the membrane potential, initiating the action potential and triggering subsequent calcium influx for contraction.
B. The calcium ion channels open, allowing Ca2+ to enter the cell: Calcium channels open primarily during the plateau phase (phase 2) of the cardiac action potential, allowing Ca2+ entry to sustain contraction. This occurs before repolarization and contributes to excitation-contraction coupling rather than the return to resting membrane potential.
C. Sodium ion channels close, preventing Na+ from entering: Sodium channel closure occurs immediately after depolarization and contributes to the refractory period, but it does not itself drive repolarization. The cell requires potassium efflux to restore the resting membrane potential.
D. Potassium ion channels open, allowing K+ to leave the cell: During repolarization (phase 3) of cardiac conducting cells, voltage-gated potassium channels open, permitting K+ to exit the cytoplasm. The outward movement of positively charged K+ restores the negative resting membrane potential, terminating the action potential and preparing the cell for the next depolarization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. During pulmonary circulation: Pulmonary circulation refers to the movement of blood from the right ventricle through the pulmonary trunk to the lungs and back to the left atrium. The tricuspid valve is between the right atrium and right ventricle and does not open or close in response to pulmonary vascular events. Its function is confined to regulating flow between the right atrium and right ventricle.
B. During right ventricular systole: Right ventricular systole occurs when the right ventricle contracts to eject blood through the pulmonary valve into the pulmonary trunk. During this phase, the tricuspid valve should be closed to prevent regurgitation of blood back into the right atrium. Proper valve competence at this time prevents right atrial volume overload.
C. During left ventricular systole: Left ventricular systole involves contraction of the left ventricle and ejection of blood through the aortic valve into systemic circulation. This phase is functionally and anatomically related to the mitral and aortic valves on the left side of the heart. The tricuspid valve on the right side is not involved in left ventricular contraction dynamics.
D. During right atrial systole: Right atrial systole occurs at the end of ventricular diastole when the right atrium contracts to push blood through the tricuspid valve into the right ventricle. The tricuspid valve must be open during this phase to allow forward flow into the right ventricular chamber. Its proper opening ensures adequate right ventricular filling prior to ventricular systole.
E. During atrial diastole: Atrial diastole refers to the relaxation phase of the atria when they are filling with venous blood from the venae cavae. Although the tricuspid valve may be open during part of ventricular diastole due to pressure gradients, atrial contraction is the specific phase that actively requires valve opening for optimal ventricular filling.
Correct Answer is A
Explanation
A. They detect changes in position and movement during physical activity: Proprioceptors are sensory receptors located in muscles, tendons, and joints that detect body position, stretch, and movement. During physical activity, they provide the cardiovascular control centers in the medulla oblongata with information about muscle activity. This contributes to increases in heart rate and cardiac output, helping to meet the metabolic demands of exercising tissues.
B. They monitor blood pressure in the arteries: Blood pressure is monitored by baroreceptors, not proprioceptors. Baroreceptors, located in the carotid sinus and aortic arch, detect changes in arterial wall stretch and send signals to the cardiovascular centers to adjust heart rate, stroke volume, and vascular tone accordingly.
C. They detect chemical changes in the blood: Chemoreceptors, such as those in the carotid and aortic bodies, sense changes in oxygen, carbon dioxide, and pH levels in the blood. They modulate heart rate and respiratory activity, but this is a separate mechanism from proprioceptor input.
D. They monitor heart rate directly: Heart rate is regulated by autonomic input from the sympathetic and parasympathetic nervous systems, influenced by sensory information from baroreceptors, chemoreceptors, and proprioceptors indirectly. Proprioceptors do not directly monitor the heart rate itself.
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