HESI A2
HESI A2 Practice Test Anatomy and Physiology
1. Which gland produces hormones that regulate sleep?
- A. Thyroid gland
- B. Pineal gland
- C. Adrenal gland
- D. Pituitary gland
Correct answer: B
Rationale: The pineal gland secretes melatonin, a hormone that plays a crucial role in regulating the sleep-wake cycle. Melatonin production is influenced by exposure to light, with levels increasing in the evening to promote sleep and decreasing in the morning to signal wakefulness. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism, the adrenal gland produces hormones like adrenaline and cortisol related to stress response, and the pituitary gland controls various functions by releasing different hormones but not specifically related to regulating sleep.
2. Which of the following endocrine system glands releases the thyrotrophic-releasing hormone, growth hormone-releasing hormone, and gonadotropin-releasing hormones?
- A. Thymus
- B. Pituitary gland
- C. Pineal gland
- D. Hypothalamus
Correct answer: D
Rationale: The correct answer is D, the Hypothalamus. The hypothalamus is responsible for releasing various essential hormones, including thyrotrophic-releasing hormone, growth hormone-releasing hormone, and gonadotropin-releasing hormones. These hormones play crucial roles in regulating the functions of other endocrine glands by stimulating or inhibiting their hormone production. The Thymus (choice A) is primarily involved in the immune system, the Pituitary gland (choice B) secretes various hormones but not the ones specified in the question, and the Pineal gland (choice C) mainly produces melatonin, which regulates sleep-wake cycles, and is not related to the hormones mentioned in the question.
3. Which organ system is primarily responsible for preventing water loss?
- A. The nervous system
- B. The integumentary system
- C. The lymphatic system
- D. The urinary system
Correct answer: B
Rationale: The correct answer is B: The integumentary system. The integumentary system, which includes the skin, is primarily responsible for preventing water loss from the body. The skin acts as a barrier that helps regulate moisture and prevent excessive water loss through a process known as transepidermal water loss. The nervous system (choice A) is responsible for transmitting signals throughout the body, the lymphatic system (choice C) is responsible for the immune response and fluid balance, and the urinary system (choice D) is responsible for filtering blood and producing urine, but they do not primarily prevent water loss like the integumentary system.
4. Which of the following describes the process of osmosis?
- A. Diffusion of solutes across a membrane
- B. Movement of water across a selectively permeable membrane
- C. Movement of gases across a membrane
- D. Active transport of ions across a membrane
Correct answer: B
Rationale: Osmosis is the process where water molecules move across a selectively permeable membrane from an area of lower solute concentration to an area of higher solute concentration. This movement of water helps to equalize the concentration of solutes on both sides of the membrane. The correct description of osmosis is the movement of water across a selectively permeable membrane, making choice B the right answer. Choices A, C, and D are incorrect because osmosis specifically refers to the movement of water molecules, not solutes, gases, or ions across a membrane.
5. How might vitamin D deficiency present?
- A. As bleeding gums
- B. As swollen extremities
- C. As red patches
- D. As crooked bones
Correct answer: D
Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.
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