where might a herniated lumbar disc be most likely to create pain
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HESI A2

Anatomy HESI A2

1. Where is a herniated lumbar disc most likely to cause pain?

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. A tissue examined under the microscope exhibits the following characteristics: cells found on the internal surface of the stomach, no extracellular matrix, cells tall and thin, no blood vessels in the tissue. What type of tissue is this?

Correct answer: A

Rationale: The correct answer is 'Epithelial.' Epithelial tissue is characterized by cells lining surfaces and cavities, such as the stomach. It does not contain blood vessels, and the cells are tall and thin. The absence of an extracellular matrix is typical of epithelial tissue, making it the most suitable choice in this scenario. Connective tissue, like cartilage and nervous tissue, have different characteristics that do not align with the description provided in the question.

3. When an individual is under stress, hormones are released. Which of the following is not one of the locations where hormones are released when under stress?

Correct answer: A

Rationale: The parathyroid gland is not a location where hormones are typically released during stress. It primarily regulates calcium levels in the blood through the release of parathyroid hormone (PTH). On the other hand, the adrenal cortex releases hormones like cortisol in response to stress, the posterior pituitary releases oxytocin and antidiuretic hormone, and the hypothalamus plays a crucial role in coordinating stress responses through the release of corticotropin-releasing hormone (CRH). Therefore, the parathyroid gland is the correct answer as it is not directly involved in the stress response pathway.

4. Which type of muscle is under voluntary control?

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.

5. Where will a person who has damage to their ulnar nerve experience decreased sensation?

Correct answer: B

Rationale: The ulnar nerve innervates the forearm and hand, specifically providing sensation to the ring and little fingers. Damage to this nerve can lead to decreased sensation in these areas, making the arm the correct answer. Choices A, C, and D are incorrect because the ulnar nerve does not supply sensation to the leg, face, or abdomen.

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