which is the first step in pulmonary circulation
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HESI A2

HESI A2 Anatomy and Physiology Practice Exam

1. What is the first step in pulmonary circulation?

Correct answer: B

Rationale: The correct answer is B: The pulmonary artery carries blood from the heart to the lungs. The first step in pulmonary circulation involves the right ventricle of the heart pumping deoxygenated blood into the pulmonary artery. The pulmonary artery then carries this deoxygenated blood from the heart to the lungs for oxygenation. This step is crucial for the exchange of carbon dioxide for oxygen to occur in the lungs, facilitating the oxygenation of blood. Choices A, C, and D are incorrect because they do not represent the initial step in pulmonary circulation. Option A refers to blood moving away from the heart, option C describes the gas exchange process that occurs in the lungs but not as the first step, and option D mentions oxygenated blood moving through the aorta, which happens after oxygenation in the lungs.

2. Which structure in the kidney is responsible for filtering blood?

Correct answer: A

Rationale: The glomerulus is the correct answer. It is a vital structure in the kidney responsible for filtering blood. The glomerulus is a network of capillaries that filters waste products and excess substances from the blood to form urine. While the Bowman's capsule, Loop of Henle, and Collecting duct are also essential components of the nephron, the primary site of blood filtration occurs at the glomerulus. The Bowman's capsule surrounds the glomerulus and collects the filtered fluid, the Loop of Henle reabsorbs water and important ions, and the Collecting duct further concentrates the urine, but none of these structures are primarily responsible for filtering blood as the glomerulus is.

3. Which of the following statements best describes endocrine glands?

Correct answer: B

Rationale: The correct answer is B: 'They secrete chemicals into the blood.' Endocrine glands release hormones directly into the bloodstream to regulate various body functions. This process helps in maintaining homeostasis and coordinating different physiological processes within the body. Choice A is incorrect as endocrine glands do not absorb chemicals from the blood; instead, they release hormones. Choice C is incorrect as endocrine glands do not filter chemicals from the blood; they secrete hormones. Choice D is incorrect as endocrine glands do not absorb chemicals from the lymphatic system; they release hormones into the bloodstream.

4. Which hormone stimulates milk production in the breasts during lactation?

Correct answer: C

Rationale: During lactation, the hormone responsible for stimulating milk production in the breasts is 'prolactin.' Prolactin plays a crucial role in initiating and maintaining lactation by promoting the development of alveoli in the mammary glands and stimulating milk synthesis. While oxytocin is involved in the ejection of milk from the breasts, it is prolactin that primarily governs milk production. Norepinephrine is not directly involved in milk production, and antidiuretic hormone primarily regulates water balance and blood pressure, not milk production.

5. Which type of muscle tissue 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 functions like peristalsis in the intestines and regulation of blood flow in blood vessels. Skeletal muscle (Choice A) is attached to bones, cardiac muscle (Choice B) is found in the heart, and striated muscle (Choice D) refers to both skeletal and cardiac muscles due to their striped appearance, but neither of these types are typically found in the walls of hollow organs.

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