HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which hormone is secreted by the pancreas to lower blood glucose levels?
- A. Insulin
- B. Glucagon
- C. Somatostatin
- D. Cortisol
Correct answer: A
Rationale: Insulin is secreted by the pancreas to lower blood glucose levels by facilitating the uptake of glucose into cells. It promotes the storage of glucose as glycogen in the liver and muscles, reducing blood sugar levels. Glucagon, on the other hand, works to raise blood glucose levels by stimulating the breakdown of glycogen into glucose and releasing it into the bloodstream. Somatostatin regulates the endocrine system and inhibits the release of insulin and glucagon. Cortisol is a hormone produced by the adrenal glands, not the pancreas, and it plays a role in stress response and metabolism, but it does not directly lower blood glucose levels.
2. Which part of the brain is responsible for regulating emotions and memory?
- A. Cerebrum
- B. Cerebellum
- C. Amygdala
- D. Brainstem
Correct answer: C
Rationale: The amygdala, located in the temporal lobe of the brain, is responsible for regulating emotions and memory, particularly those related to fear and pleasure. It plays a crucial role in processing emotional responses, forming emotional memories, and modulating emotional reactions. The cerebrum (Choice A) is responsible for higher brain functions such as thought and action. The cerebellum (Choice B) is mainly involved in coordination and balance. The brainstem (Choice D) controls basic life functions such as breathing and heart rate.
3. Which fibrous connective tissue attaches muscles to bones?
- A. Tendons
- B. Ligaments
- C. Cartilage
- D. Fascia
Correct answer: A
Rationale: Tendons are fibrous connective tissues that attach muscles to bones, allowing the transmission of forces generated by muscles and facilitating movement at joints. Ligaments, on the other hand, connect bones to other bones, providing stability. Cartilage is a firm, flexible connective tissue found in joints and the respiratory tract. Fascia surrounds muscles, groups of muscles, blood vessels, and nerves, offering support and protection. Therefore, the correct answer is tendons as they specifically connect muscles to bones.
4. Which might be a result of stenosis, or narrowing of a heart valve?
- A. Abdominal pain
- B. Blood clots
- C. Edema (swelling) in organs
- D. Irregular heartbeat
Correct answer: D
Rationale: Stenosis, or narrowing of a heart valve, restricts blood flow through the valve, leading to changes in the heart's normal rhythm. This alteration can result in an irregular heartbeat, making it a common consequence of heart valve stenosis. Abdominal pain, blood clots, and organ swelling are not typically associated with stenosis of a heart valve.
5. 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.
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