when are gallstones most problematic

HESI A2

HESI A2 Anatomy and Physiology Practice Exam

1. When are gallstones most problematic?

A. When they block a duct
B. When they contain cholesterol
C. When they contain bilirubin
D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

2. Which organ system is primarily responsible for maintaining temperature control?

A. The skeletal system
B. The digestive system
C. The nervous system
D. The integumentary system

Correct answer: D

Rationale: The integumentary system, which includes the skin, hair, and nails, is primarily responsible for maintaining temperature control in the body. The skin helps regulate body temperature through processes like sweating to cool down and shivering to generate heat. Additionally, blood vessels in the skin can dilate or constrict to control the amount of heat lost or retained by the body. This system plays a crucial role in maintaining homeostasis and keeping the body at a stable temperature. The skeletal system (Choice A) provides structural support and protection to the body but is not directly involved in temperature regulation. The digestive system (Choice B) is responsible for breaking down food and absorbing nutrients, not for regulating body temperature. The nervous system (Choice C) controls body functions through electrical impulses but is not the primary system responsible for temperature control.

3. Which part of the brain monitors and controls the body's movement?

A. Top, middle portion of the parietal lobe
B. Back of the head
C. Front portion of the parietal lobe
D. Around the auditory cortex

Correct answer: C

Rationale: The correct answer is the front portion of the parietal lobe. The motor cortex, located in this area, is responsible for planning, controlling, and executing voluntary movements. It plays a crucial role in coordinating the body's movement. Choice A, the top, middle portion of the parietal lobe, is incorrect as this region is more involved in processing sensory information rather than controlling movement. Choice B, the back of the head, is incorrect as it typically refers to the occipital lobe responsible for processing visual information. Choice D, around the auditory cortex, is incorrect as the auditory cortex is primarily involved in processing auditory information, not controlling body movement.

4. Which of the following locations is not involved in the release of hormones during stress?

A. Parathyroid gland
B. Adrenal cortex
C. Posterior pituitary
D. Hypothalamus

Correct answer: A

Rationale: The parathyroid gland is not involved in the release of hormones during stress. It is responsible for regulating calcium levels in the blood by secreting parathyroid hormone. During stress, the adrenal cortex, posterior pituitary, and hypothalamus play crucial roles in releasing stress hormones like cortisol, adrenaline, and oxytocin. Therefore, the correct answer is the parathyroid gland, as it is not directly associated with the release of stress-related hormones.

5. How does the lymphatic system work with the circulatory system?

A. The circulatory system produces red blood cells for the lymphatic system.
B. Lymph draws excess fluid from the cells and deposits it into the blood vessels.
C. The heart regulates the production of lymph in the lymph glands.
D. White cells from the lymphatic system eliminate excess red blood cells.

Correct answer: B

Rationale: The lymphatic system works with the circulatory system by draining excess fluid and waste products from the spaces between cells, known as interstitial fluid. This excess fluid, now called lymph, is then transported back into the blood circulation through lymphatic vessels. This process helps maintain fluid balance in the body and supports the circulatory system in regulating blood volume and pressure. Choice A is incorrect because the circulatory system does not produce red blood cells for the lymphatic system. Choice C is incorrect as the heart does not regulate lymph production in lymph glands. Choice D is incorrect as white cells from the lymphatic system do not eliminate excess red blood cells. Therefore, the correct answer is B, as lymph draws excess fluid from the cells and deposits it into the blood vessels, aiding in maintaining proper fluid balance and supporting the circulatory system.