when are gallstones most problematic
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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. What is the primary function of white blood cells?

Correct answer: B

Rationale: White blood cells, also known as leukocytes, play a crucial role in the immune system by primarily fighting off infections caused by pathogens like bacteria, viruses, and other invaders. They help the body recognize and destroy these harmful agents, contributing to the body's defense mechanisms against diseases. Choice A is incorrect because the primary function of red blood cells, not white blood cells, is to carry oxygen. Choice C is incorrect as the transportation of nutrients is mainly carried out by the bloodstream as a whole, not specifically by white blood cells. Choice D is incorrect as the process of blood clotting is primarily managed by platelets in the blood, not white blood cells.

3. What is the main function of the urinary bladder?

Correct answer: C

Rationale: The correct answer is C: To store urine. The main function of the urinary bladder is to store urine produced by the kidneys before it is excreted from the body. It acts as a reservoir for urine until it is expelled during urination. Choices A, B, and D are incorrect because the urinary bladder does not filter blood, store or concentrate bile, or absorb nutrients. It is solely responsible for storing and releasing urine.

4. Which brain part is responsible for regulating heart rate and blood pressure?

Correct answer: B

Rationale: The medulla oblongata, situated in the brainstem, plays a crucial role in controlling essential functions like heart rate, blood pressure, and breathing. It contains vital cardiovascular and respiratory centers, making it the correct choice for the regulation of heart rate and blood pressure. The cerebellum is primarily involved in coordinating movement and balance, not in regulating heart rate and blood pressure. The hypothalamus is responsible for maintaining homeostasis, regulating body temperature, hunger, and thirst, but not specifically heart rate and blood pressure. The pons is involved in functions like sleep, respiration, and bladder control, not primarily in regulating heart rate and blood pressure.

5. What is the term for red blood cell production?

Correct answer: B

Rationale: The correct term for red blood cell production is erythropoiesis. This process specifically refers to the production of red blood cells, mainly occurring in the bone marrow. Hematopoiesis is a broader term that encompasses the production of all blood cells, including red blood cells, white blood cells, and platelets. Phagocytosis is the process of engulfing and digesting particles by cells like macrophages, not related to red blood cell production. Thrombopoiesis is the production of platelets, not red blood cells.

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