which hormone is secreted by the pancreas to lower blood glucose levels
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HESI A2

HESI A2 Anatomy and Physiology 2023

1. Which hormone is secreted by the pancreas to lower blood glucose levels?

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 type of muscle is found in the walls of hollow organs?

Correct answer: C

Rationale: Smooth muscle tissue is found in the walls of hollow organs, such as the intestines, blood vessels, and bladder. It contracts involuntarily, allowing for movements like peristalsis in the intestines and regulation of blood flow in blood vessels. Skeletal muscle (Choice A) is attached to bones and helps in voluntary movements. Cardiac muscle (Choice B) is found in the heart and contracts involuntarily to pump blood. Striated muscle (Choice D) refers to both skeletal and cardiac muscles, which have a striped appearance due to the organization of their filaments. However, smooth muscle (Choice C) is specifically the type found in hollow organs.

3. How might vitamin D deficiency present?

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.

4. What type of joint is found in the elbow?

Correct answer: B

Rationale: The correct answer is a hinge joint. The elbow joint is a hinge joint that allows for flexion and extension movements, much like the movement of a door hinge. This type of joint permits movement in one plane, similar to the action of opening and closing a door. The other choices are incorrect: A) Ball and socket joints allow for a wide range of motion in multiple directions, such as the hip and shoulder joints. C) Pivot joints allow rotation around a single axis, like the joint at the top of the neck that allows the head to turn from side to side. D) Saddle joints are found in the thumb and have a biaxial range of motion allowing flexion, extension, adduction, abduction, and circumduction.

5. What is the primary function of the cardiovascular system?

Correct answer: A

Rationale: The correct answer is A: "To transport oxygen and nutrients." The primary function of the cardiovascular system is to transport oxygen, nutrients, and hormones to cells throughout the body and remove waste products. This system plays a crucial role in maintaining homeostasis by delivering essential substances to tissues and organs while eliminating metabolic waste. Choices B, C, and D are incorrect because although the cardiovascular system indirectly helps in removing waste products through circulation, its primary function is focused on transporting essential substances and not on regulating body temperature or fighting infections.

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