what is probably torn in a rotator cuff tear
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HESI A2

HESI A2 Anatomy and Physiology Practice Exam

1. What structures are likely torn in a rotator cuff tear?

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. 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 of the following is a structure found in the upper respiratory tract?

Correct answer: B

Rationale: The pharynx is indeed a structure located in the upper respiratory tract. It acts as a common passageway for both air heading to the lungs and food traveling to the esophagus, making it a vital structure for breathing and swallowing functions. The larynx, trachea, and esophagus are also part of the respiratory and digestive systems but are not specifically located in the upper respiratory tract. The larynx is situated below the pharynx, while the trachea is found below the larynx, and the esophagus is part of the digestive system, not the respiratory tract.

4. How might vitamin D deficiency present?

Correct answer: D

Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.

5. Which lobe of the brain controls speech production?

Correct answer: A

Rationale: The frontal lobe of the brain, specifically the left hemisphere in an area known as Broca's area, is responsible for controlling speech production. This region plays a vital role in speech formation and language expression. Damage to the frontal lobe, particularly Broca's area, can lead to language difficulties like expressive aphasia, a condition characterized by trouble speaking fluently. The parietal lobe is more involved in processing sensory information and spatial awareness. The temporal lobe is associated with memory, hearing, and language comprehension. The occipital lobe is primarily responsible for processing visual information.

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