the shoulder is to the elbow
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HESI A2

HESI A2 Anatomy and Physiology Practice Exam

1. The shoulder is _________ to the elbow.

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

2. When the pulmonary valve and aortic valves are open, where can blood flow?

Correct answer: C

Rationale: When the pulmonary valve and aortic valves are open, blood can flow between the heart and the rest of the body. The pulmonary valve allows blood to flow from the right ventricle to the lungs for oxygenation, while the aortic valve permits blood to flow from the left ventricle to the rest of the body for distribution of oxygen and nutrients. This circulation pathway ensures that oxygen-rich blood is pumped to the body tissues. Choices A, B, and D are incorrect because when the pulmonary valve and aortic valves are open, blood is not flowing between the ventricles, from atrium to ventricle, or between the atria; instead, it is being pumped out of the heart to the lungs and the rest of the body.

3. Which is a secondary defense for the body against pathogens?

Correct answer: C

Rationale: Inflammation is a secondary defense mechanism for the body against pathogens. When tissues are injured or infected, inflammation occurs as a protective response involving increased blood flow, white blood cell migration, and tissue repair. This process helps contain and eliminate pathogens, preventing them from spreading further in the body. Tears (Choice A) are a primary defense containing lysozyme and other antimicrobial agents. Urine (Choice B) is typically considered a non-specific defense mechanism due to its flushing action in the urinary tract. Mucus (Choice D) acts as a physical barrier and traps pathogens, also considered a primary defense mechanism.

4. Which organ system is primarily responsible for generating antibodies?

Correct answer: C

Rationale: The correct answer is C: The lymphatic system. Antibodies are produced by specialized white blood cells called B-lymphocytes (or B cells) in response to foreign substances known as antigens. The lymphatic system includes lymph nodes, lymphatic vessels, tonsils, thymus, and spleen, which work together to produce and store antibodies to help the body fight off infections and diseases. Choice A, the endocrine system, is incorrect because it is responsible for hormone regulation, not antibody production. Choice B, the digestive system, is incorrect because its main function is to break down food and absorb nutrients, not produce antibodies. Choice D, the nervous system, is incorrect as it is responsible for transmitting signals throughout the body and coordinating body functions, not generating antibodies.

5. How does the nervous system work with the muscular system?

Correct answer: B

Rationale: The correct answer is B because the nervous system communicates with the muscular system to control voluntary and involuntary muscle movements. The nervous system sends signals to the muscles, instructing them on how to respond to various stimuli in the environment. This communication allows for coordinated movement and responses to external and internal changes. Choice A is incorrect because muscles do not produce chemicals to feed the nerves. Choice C is incorrect because the nervous system does not release chemicals to remove waste from the muscles. Choice D is incorrect because the muscular system does not provide input for the nerves to make decisions.

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