HESI A2
HESI A2 Anatomy and Physiology Practice Exam
1. What structures are likely torn in a rotator cuff tear?
- A. Tendon and possibly ligament
- B. Muscle and possibly tendon
- C. Ligament and possibly muscle
- D. Tendon only
Correct answer: A
Rationale: In a rotator cuff tear, the most common structures torn are the tendons of the rotator cuff muscles. In severe cases, the tear may also extend to involve the surrounding ligaments. Therefore, the correct answer is A, as it accurately represents the structures that are likely to be affected in a rotator cuff tear. Choice B is incorrect as muscles are not typically torn in a rotator cuff tear. Choice C is also incorrect as ligaments are not the primary structures involved in a rotator cuff tear. Choice D is incorrect because a rotator cuff tear typically involves more than just the tendons.
2. Which is an anterior muscle of the thigh?
- A. Gluteus maximus
- B. Quadriceps femoris
- C. Biceps femoris
- D. Adductor magnus
Correct answer: B
Rationale: The correct answer is B: Quadriceps femoris. The quadriceps femoris is an anterior muscle located on the front of the thigh. It is composed of four muscles: rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius. These muscles play a crucial role in extending the knee and are essential for activities like walking, running, and jumping. Choices A, C, and D are incorrect because they are not anterior muscles of the thigh. Gluteus maximus is a muscle located in the buttocks, biceps femoris is a muscle of the posterior thigh, and adductor magnus is a muscle of the medial thigh.
3. What is the primary hormone secreted by the thyroid gland?
- A. Oxytocin
- B. TSH
- C. Adrenaline
- D. T4
Correct answer: D
Rationale: The correct answer is D: T4. The primary hormone secreted by the thyroid gland is thyroxine, also known as T4. T4 plays a crucial role in regulating metabolism, growth, and energy levels in the body. It is converted into the more active form, triiodothyronine (T3), which exerts most of the biological effects of thyroid hormones. Choices A, B, and C are incorrect. Oxytocin is not produced by the thyroid gland but by the pituitary gland, TSH (thyroid-stimulating hormone) is secreted by the pituitary gland to stimulate the thyroid gland, and adrenaline is produced by the adrenal glands, not the thyroid gland.
4. Which might be a result of stenosis, or narrowing of a heart valve?
- A. Abdominal pain
- B. Blood clots
- C. Edema (swelling) in organs
- D. Irregular heartbeat
Correct answer: D
Rationale: Stenosis, or narrowing of a heart valve, restricts blood flow through the valve, leading to changes in the heart's normal rhythm. This alteration can result in an irregular heartbeat, making it a common consequence of heart valve stenosis. Abdominal pain, blood clots, and organ swelling are not typically associated with stenosis of a heart valve.
5. What structure links the nasopharynx to the middle ear?
- A. Larynx
- B. Pharyngeal muscles
- C. Eustachian tube
- D. Bronchus
Correct answer: C
Rationale: The Eustachian tube is the structure that connects the nasopharynx to the middle ear. It functions to equalize pressure between the middle ear and the atmosphere, protecting the eardrum from damage and aiding in the drainage of fluid from the middle ear. This connection is essential for maintaining proper ear function and health. The larynx (Choice A) is not the correct structure that links the nasopharynx to the middle ear. Pharyngeal muscles (Choice B) are involved in swallowing and do not directly link the nasopharynx to the middle ear. The bronchus (Choice D) is part of the respiratory system and is not connected to the middle ear.
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