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. To which two systems does the urethra belong?
- A. Reproductive and endocrine
- B. Urinary and reproductive
- C. Endocrine and urinary
- D. Digestive and cardiovascular
Correct answer: B
Rationale: The urethra belongs to both the urinary and reproductive systems. In the urinary system, it functions as a passage for urine from the bladder to exit the body. In the reproductive system, it serves as a conduit for the expulsion of semen during ejaculation. Choice A is incorrect because the urethra is not part of the endocrine system. Choice C is also incorrect because the urethra is not primarily associated with the endocrine system. Choice D is incorrect as the urethra is not part of the digestive or cardiovascular systems.
3. Which hormone is released by the adrenal medulla?
- A. Cortisol
- B. Adrenaline
- C. Insulin
- D. Somatostatin
Correct answer: B
Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.
4. Which neurotransmitter controls sleep, mood, and appetite?
- A. Serotonin
- B. Oxytocin
- C. Cortisol
- D. Aldosterone
Correct answer: A
Rationale: Serotonin is the correct answer. It is a neurotransmitter that plays a crucial role in regulating mood, sleep, and appetite. Serotonin functions to stabilize and control these physiological processes in the brain and body. Imbalances in serotonin levels are commonly linked to conditions like depression, anxiety, and eating disorders. Oxytocin (Choice B) is more associated with social bonding and childbirth. Cortisol (Choice C) is a stress hormone, and while it can influence mood and appetite in response to stress, it is not primarily responsible for regulating these functions. Aldosterone (Choice D) is a hormone that regulates electrolyte balance and blood pressure, not mood, sleep, and appetite.
5. What is the function of the large intestine in the digestive system?
- A. To secrete digestive enzymes
- B. To absorb water and form solid waste
- C. To produce bile
- D. To transport nutrients
Correct answer: B
Rationale: The large intestine's primary function is to absorb water from the remaining indigestible food matter that enters it from the small intestine. This absorption process helps in forming solid waste (feces) by compacting the material and preparing it for excretion. The large intestine does not secrete digestive enzymes, produce bile, or transport nutrients. Therefore, option B, 'To absorb water and form solid waste,' is the correct function of the large intestine in the digestive system.
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