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MCQ – 136510

Question

The ‘a wave’ in JVP is seen due to?

A.

Atrial contraction

B.

Atrial relaxation

C.

Ventricular contraction

D.

Ventricular relaxation

Show Answer

Correct Answer � A

Explanation

– The ‘a wave’ in the jugular venous pulse (JVP) reflects right atrial contraction.
– It occurs just before the first heart sound (S1) and right after the P wave on the ECG.
– Right atrial contraction pushes blood into the right ventricle,
causing a temporary rise in right atrial pressure transmitted to the jugular vein as the ‘a’ wave.

Why Other Options Are Incorrect:
B. Atrial relaxation: produces the x descent in JVP, not the a wave.
C. Ventricular contraction: causes the ‘c’ wave from tricuspid valve bulging into right atrium.
D. Ventricular relaxation: associated with the ‘v’ wave, due to passive atrial filling during diastole.

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