HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which hormone is responsible for the regulation of calcium levels in the blood?
- A. Insulin
- B. Parathyroid hormone
- C. Cortisol
- D. Melatonin
Correct answer: B
Rationale: Parathyroid hormone, produced by the parathyroid glands, is responsible for regulating calcium levels in the blood. It achieves this by increasing calcium absorption in the intestines and kidneys, thus maintaining appropriate calcium levels in the bloodstream. Insulin is involved in glucose metabolism, not calcium regulation. Cortisol is a stress hormone that affects various body functions but not calcium levels. Melatonin is responsible for regulating the sleep-wake cycle, not calcium levels.
2. The lateral side of the right knee would be ___________.
- A. the kneecap
- B. closest to the left knee
- C. farthest from the left knee
- D. on the underside of the knee
Correct answer: C
Rationale: The lateral side of the right knee is the side that is farthest from the left knee when looking at the knee joint from the front. The term 'lateral' refers to the side of the body that is farther away from the midline or center of the body. In this case, the lateral side of the right knee is on the outer side of the knee joint, away from the other knee. Choice A is incorrect as the kneecap is located at the front of the knee. Choice B is incorrect as it describes the medial side, not the lateral side. Choice D is incorrect as it refers to the underside, which is not related to the lateral aspect of the knee.
3. Which feature of the ear is most medial?
- A. Pinna
- B. Tympanic membrane
- C. Cochlea
- D. Outer canal
Correct answer: B
Rationale: The tympanic membrane, also known as the eardrum, is the most medial feature in the ear. It separates the outer ear from the middle ear and serves as a barrier that vibrates in response to sound waves, transmitting vibrations to the middle ear ossicles. The pinna, cochlea, and outer canal are located more laterally in the ear anatomy. The pinna is the visible part of the ear located on the lateral side of the head, the cochlea is a spiral-shaped structure in the inner ear responsible for hearing, and the outer canal refers to the external auditory canal leading to the eardrum.
4. Which structure in the brain regulates sleep and wakefulness?
- A. Hypothalamus
- B. Thalamus
- C. Pineal gland
- D. Cerebellum
Correct answer: C
Rationale: The pineal gland, located in the brain, is responsible for regulating sleep and wakefulness by secreting the hormone melatonin. Melatonin plays a crucial role in controlling the sleep-wake cycle, with higher levels at night inducing sleepiness. The hypothalamus (Choice A) regulates various physiological processes but is not primarily responsible for sleep-wake cycles. The thalamus (Choice B) is involved in relaying sensory information but not specifically in regulating sleep. The cerebellum (Choice D) plays a role in coordination and motor control rather than sleep regulation.
5. What is the function of the medulla oblongata in the brain?
- A. To control breathing and heart rate
- B. To regulate body temperature
- C. To coordinate voluntary movements
- D. To process sensory information
Correct answer: A
Rationale: The correct answer is A: To control breathing and heart rate. The medulla oblongata is a vital part of the brainstem responsible for regulating essential functions such as breathing, heart rate, and blood pressure. These functions are crucial for maintaining life, and the medulla oblongata plays a key role in ensuring the body's survival. Choices B, C, and D are incorrect because regulating body temperature is primarily controlled by the hypothalamus, coordinating voluntary movements is associated with the cerebellum and motor cortex, and processing sensory information is related to the thalamus and sensory cortex, not the medulla oblongata.
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