HESI A2
Anatomy HESI A2
1. Where is a herniated lumbar disc most likely to cause pain?
- A. Along the radial nerve
- B. Within the spinal cord
- C. Along the sciatic nerve
- D. Along the tibial nerve
Correct answer: C
Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.
2. Which part of the nervous system includes the femoral, radial, and ulnar nerves?
- A. Somatic
- B. Autonomic
- C. Sympathetic
- D. Parasympathetic
Correct answer: A
Rationale: The correct answer is A: Somatic. The femoral, radial, and ulnar nerves are all part of the somatic nervous system, responsible for controlling voluntary movements and sensory input. These nerves innervate muscles and skin throughout the body, allowing conscious control of movements and sensations. The somatic nervous system is distinct from the autonomic nervous system, which regulates involuntary bodily functions. Choices B, C, and D are incorrect because the autonomic nervous system (B) is responsible for involuntary functions, while the sympathetic (C) and parasympathetic (D) divisions are subdivisions of the autonomic nervous system, not the somatic nervous system.
3. Which hormone stimulates milk production in the breasts during lactation?
- A. norepinephrine
- B. antidiuretic hormone
- C. prolactin
- D. oxytocin
Correct answer: C
Rationale: During lactation, the hormone responsible for stimulating milk production in the breasts is 'prolactin.' Prolactin plays a crucial role in initiating and maintaining lactation by promoting the development of alveoli in the mammary glands and stimulating milk synthesis. While oxytocin is involved in the ejection of milk from the breasts, it is prolactin that primarily governs milk production. Norepinephrine is not directly involved in milk production, and antidiuretic hormone primarily regulates water balance and blood pressure, not milk production.
4. Which of the following are considered normal values for the measure of a person’s pulse and blood pressure?
- A. 55 beats per minute and 75 over 60 mm Hg
- B. 72 beats per minute and 120 over 80 mm Hg
- C. 100 beats per minute and 140 over 100 mm Hg
- D. 160 beats per minute and 100 over 70 mm Hg
Correct answer: B
Rationale: Normal values for pulse rate typically range between 60 to 100 beats per minute, while normal blood pressure values are usually around 120/80 mm Hg. Option B falls within these normal ranges for both pulse rate and blood pressure, making it the correct choice. Choices A, C, and D have either pulse rate, blood pressure, or both values outside the normal ranges, making them incorrect.
5. Which of the following epithelial types is correctly matched with its major function?
- A. Simple squamous epithelium – diffusion
- B. Stratified squamous epithelium – protection
- C. Stratified squamous epithelium – diffusion
- D. Simple columnar epithelium – secretion or absorption
Correct answer: D
Rationale: The correct answer is D. Simple columnar epithelium is indeed primarily responsible for secretion and absorption due to its tall shape and presence of microvilli, which increase surface area for these functions. Simple squamous epithelium is mainly involved in diffusion, allowing for the exchange of gases or nutrients. Stratified squamous epithelium functions more for protection against mechanical stress and pathogens, as it forms a tough, protective barrier due to its many layers.
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