HESI A2
Anatomy HESI A2
1. Where is a herniated lumbar disc most likely to cause pain?
- A. Along the radial nerve
- B. Within the spinal cord
- C. Along the sciatic nerve
- D. Along the tibial nerve
Correct answer: C
Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.
2. The shoulder is _________ to the elbow.
- A. posterior
- B. proximal
- C. distal
- D. medial
Correct answer: B
Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.
3. Which type of muscle is under voluntary control?
- A. Smooth muscle
- B. Cardiac muscle
- C. Skeletal muscle
- D. Striated muscle
Correct answer: C
Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing individuals to consciously regulate its contractions for movement. Examples of skeletal muscle control include actions like walking, running, and lifting weights. Smooth muscle (choice A) and cardiac muscle (choice B) are both involuntary muscles, meaning they are not under conscious control. While skeletal muscle is striated (choice D), striated muscle is a broader category that includes both voluntary (skeletal) and involuntary (cardiac) muscles.
4. Which of the following organs is involved in the immune system?
- A. Heart
- B. Bronchi
- C. Appendix
- D. Esophagus
Correct answer: C
Rationale: The appendix is involved in the immune system as it is believed to play a role in maintaining and protecting beneficial gut bacteria, especially after gastrointestinal illnesses. This helps in restoring the balance of intestinal bacteria crucial for immune function. The heart (Choice A), bronchi (Choice B), and esophagus (Choice D) are not directly involved in the immune system's functions. The heart pumps blood, the bronchi are part of the respiratory system, and the esophagus is responsible for transporting food to the stomach.
5. Which part of the brain controls voluntary movement?
- A. Cerebellum
- B. Cerebrum
- C. Brainstem
- D. Medulla oblongata
Correct answer: B
Rationale: The cerebrum, specifically the motor cortex located within it, is responsible for controlling voluntary movements such as walking, writing, and speaking. This region of the brain plays a crucial role in coordinating and executing voluntary muscle actions, making it the correct answer in this context. The cerebellum (Choice A) primarily coordinates balance, posture, and coordination of voluntary movements but does not control voluntary movement itself. The brainstem (Choice C) is responsible for basic life functions like breathing and heart rate, not voluntary movements. The medulla oblongata (Choice D) controls vital functions like blood pressure and breathing, not voluntary movement.
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