American Academy of Professional Coders (AAPC) Practice Exam

Which part of the nail is referred to as the germinal matrix?

1. Nail bed

2. Root

3. Nail plate

4. Eponychium

The correct answer is: Root

The germinal matrix is a critical part of the nail structure, responsible for the growth of the nail. It is located beneath the skin at the base of the nail and extends into the nail root. The cells in this area are actively dividing, which leads to the formation of new nail cells that push the older, hardened nail cells forward, contributing to the overall length of the nail. Understanding this, the nail root is the area that corresponds directly with the germinal matrix, making it the correct answer. The nail bed, although important, functions as the support structure for the nail, while the nail plate is the hard, visible part of the nail itself that forms from the cells produced in the germinal matrix. The eponychium, often referred to as the cuticle, is the tissue that overlaps the nail base and does not play a role in the actual growth of the nail, but instead serves as a protective barrier. Thus, the significance of the germinal matrix is solely encapsulated in its role within the nail root.