The correct sequence of parts that carry cardiac impulses is:
AV node, SA node, Purkinje fibers, AV bundle.
SA node, Purkinje fibers, AV node, AV bundle.
SA node, AV node, AV bundle, Purkinje fibers.
AV node, AV bundle, Purkinje fibers, SA node.
The Correct Answer is C
This sequence ensures that the atria contract before the ventricles and that the ventricles contract from the bottom up.
Choice A is wrong because it reverses the order of the SA node and the AV node. The SA node is the pacemaker of the heart and initiates the cardiac impulses.
Choice B is wrong because it places the Purkinje fibers before the AV node.
The Purkinje fibers are the last part of the conduction system and stimulate the ventricular muscle fibers.
Choice D is wrong because it reverses the order of the entire sequence.
The AV node is not the pacemaker of the heart and does not initiate cardiac impulses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Atrial natriuretic peptide (ANP) is a hormone secreted by the heart when the atria are stretched by high blood pressure or volume.
ANP has multiple effects, such as increasing urine and salt excretion, lowering blood pressure, and opposing the renin-angiotensin-aldosterone system.
Therefore, ANP inhibits the release of renin and aldosterone, which are hormones that increase blood pressure and sodium retention.
Choice A is wrong because ANP is not released from the adrenal cortex but from the cardiac atria.
ANP does not stimulate atrial hormones but rather inhibits them.
Choice B is wrong because ANP is not stimulated to release when blood volume decreases, but when it increases.
ANP acts to reduce blood volume by promoting diuresis and natriuresis.
Choice C is wrong because ANP does not raise blood pressure, but lowers it. ANP acts as a vasodilator and reduces peripheral resistance.
Correct Answer is B
Explanation
The correct answer is choice B. True.
As a result of the allergen-antibody reaction, mast cells release histamine.
This is because when mast cells are exposed to an allergen that binds to IgE antibodies attached to their FcɛRI receptors, they release histamine and other inflammatory mediators.
Histamine causes vasodilation, increased capillary permeability, mucus secretion, and smooth muscle contraction, which result in allergic symptoms such as itching, swelling, sneezing, and wheezing.
Choice A is wrong because it is the opposite of the correct answer.
Mast cells do release histamine in response to allergen-antibody reactions. Some additional sentences are:
Normal ranges of histamine levels vary depending on the tissue and the method of measurement, but they are usually low in healthy individuals and elevated in allergic conditions.
Histamine can be degraded by enzymes such as diamine oxidase and histamine N-methyltransferase, or inhibited by drugs such as antihistamines.
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