where might a herniated lumbar disc be most likely to create pain
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Nursing Elites

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. What is the role of the alveoli in the lungs?

Correct answer: B

Rationale: The alveoli in the lungs are tiny air sacs responsible for the exchange of oxygen and carbon dioxide during breathing. Oxygen from inhaled air diffuses into the bloodstream through the alveoli, while carbon dioxide produced by cells is removed from the blood and exhaled out of the body through the alveoli. This gas exchange process is essential for the body to obtain oxygen and get rid of carbon dioxide, supporting cellular functions and maintaining overall health. Choices A, C, and D are incorrect because the alveoli do not filter blood, transport nutrients, or store oxygen. Their main function is gas exchange.

3. Where does digestion begin in the digestive system?

Correct answer: B

Rationale: Digestion begins in the mouth. Mechanical digestion through chewing and chemical digestion through saliva initiate the breakdown of food. Enzymes in saliva start breaking down carbohydrates, marking the beginning of the digestive process. The stomach primarily functions in further breaking down food and mixing it with gastric juices. The small intestine is where most of the digestion and absorption of nutrients occur. The esophagus is a muscular tube that helps move food from the mouth to the stomach, but digestion does not begin there.

4. Which cellular structure is responsible for protein synthesis?

Correct answer: B

Rationale: The correct answer is B: Ribosome. Ribosomes, the cellular structures located in the cytoplasm or on the endoplasmic reticulum, are responsible for protein synthesis in the cell. They are the sites where mRNA is translated into proteins, making them essential for the synthesis of proteins in all living cells. The other choices, such as the nucleus (choice A), endoplasmic reticulum (choice C), and Golgi apparatus (choice D), are not directly involved in protein synthesis. The nucleus contains DNA and is responsible for housing the genetic material, the endoplasmic reticulum is involved in protein folding and transport, and the Golgi apparatus is responsible for modifying, sorting, and packaging proteins.

5. What are the chemical messengers that control growth, differentiation, and metabolism of specific target cells called?

Correct answer: A

Rationale: Hormones are signaling molecules produced by glands in multicellular organisms. They travel through the bloodstream to specific target cells where they regulate various physiological processes, including growth, differentiation, and metabolism. Neurons (choice B) are nerve cells that transmit nerve impulses and are not responsible for controlling growth, differentiation, or metabolism. Glands (choice C) produce and release hormones but are not the chemical messengers themselves. Second messengers (choice D) are molecules involved in intracellular signal transduction, not the primary chemical messengers controlling growth, differentiation, and metabolism. Therefore, hormones (choice A) are the correct answer as they match the description provided in the question.

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