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 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.
3. What is the primary role of the stomach in the digestive system?
- A. To absorb nutrients
- B. To break down food
- C. To secrete digestive enzymes
- D. To store glucose
Correct answer: B
Rationale: The primary role of the stomach in the digestive system is to break down food. It accomplishes this through the action of gastric acid and digestive enzymes, which work together to break down food into a semi-liquid mixture known as chyme. Option B, 'To break down food,' is the correct answer. Option A, 'To absorb nutrients,' is incorrect because absorption mainly occurs in the small intestine. Option C, 'To secrete digestive enzymes,' is partially correct as the stomach does secrete digestive enzymes, but its primary function is to break down food. Option D, 'To store glucose,' is incorrect as glucose storage primarily occurs in the liver and muscles, not the stomach.
4. Which hormone is released by the adrenal glands during stress?
- A. Insulin
- B. Adrenaline
- C. Melatonin
- D. Cortisol
Correct answer: B
Rationale: Adrenaline, also known as epinephrine, is released by the adrenal glands during stress to prepare the body for rapid action. It helps in triggering the body's fight-or-flight response, increasing heart rate, and providing a burst of energy when faced with stressful situations. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not by the adrenal glands. Melatonin (Choice C) is a hormone that regulates sleep-wake cycles and is produced by the pineal gland, not the adrenal glands. Cortisol (Choice D) is another hormone produced by the adrenal glands, but it is not the primary hormone released during immediate stress responses; it is more involved in long-term stress regulation.
5. Which hormone regulates the sleep-wake cycle?
- A. Melatonin
- B. Insulin
- C. Cortisol
- D. Thyroxine
Correct answer: A
Rationale: Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. Its secretion is influenced by light exposure, with levels typically rising in the evening to promote sleep and falling in the morning to encourage wakefulness. Insulin is involved in regulating blood sugar levels, not the sleep-wake cycle. Cortisol plays a role in the body's stress response and circadian rhythm but is not the primary hormone regulating sleep-wake cycles. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle.
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