when are gallstones most problematic
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Nursing Elites

HESI A2

HESI A2 Anatomy and Physiology Practice Exam

1. When are gallstones most problematic?

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. You have been given a sample tissue that has pillar-shaped cells arranged tightly together. The tissue you have is:

Correct answer: C

Rationale: The correct answer is C: Columnar Epithelium. Columnar epithelium is characterized by tall, pillar-like cells that are closely packed together. This arrangement allows for absorption and secretion in tissues like the digestive tract, where this type of epithelium is commonly found. Squamous epithelium (choice A) consists of flat cells, cuboidal epithelium (choice B) has cube-shaped cells, and transitional epithelium (choice D) is found in areas that need to stretch and expand, like the urinary bladder.

3. Which of the following is not part of the axial skeletal system?

Correct answer: D

Rationale: The correct answer is D, the radius. The axial skeleton comprises bones located along the central axis of the body. It includes the skull, ribs, breastbone (sternum), vertebrae, and sacrum. The radius, on the other hand, is a bone of the forearm, part of the appendicular skeleton. The appendicular skeleton consists of the bones of the limbs and their girdles, not the central axial bones.

4. What is the main function of the nervous system?

Correct answer: C

Rationale: The main function of the nervous system is to control and coordinate body activities by transmitting signals between different parts of the body and responding to internal and external stimuli. This allows for the regulation of body temperature, movement, sensory perception, and various other functions necessary for homeostasis. Choices A, B, and D are incorrect as they do not align with the primary role of the nervous system. Transporting blood is mainly carried out by the circulatory system, protecting the body from infection is a function of the immune system, and digesting food is the role of the digestive system.

5. Which of the following structures is part of both the male reproductive system and the urinary system?

Correct answer: B

Rationale: The urethra is the correct answer as it is a structure shared by both the male reproductive and urinary systems. It functions as a conduit for both urine from the bladder and semen from the reproductive system, making it a crucial component of both systems. The bladder (Choice A) is solely part of the urinary system, storing urine. The prostate (Choice C) and seminal vesicle (Choice D) are structures specific to the male reproductive system, involved in producing and secreting components of semen.

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