HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which part of the brain is involved in the regulation of heart rate and breathing?
- A. Cerebrum
- B. Cerebellum
- C. Medulla oblongata
- D. Hypothalamus
Correct answer: C
Rationale: The correct answer is C: Medulla oblongata. The medulla oblongata, situated in the brainstem, plays a crucial role in regulating vital functions such as heart rate, breathing, and blood pressure. It serves as the control center for involuntary actions, ensuring the body's automatic functions work properly. Choices A, B, and D are incorrect because the cerebrum is primarily responsible for functions such as thinking, voluntary movements, and sensory processing; the cerebellum is involved in coordination, balance, and muscle control; and the hypothalamus regulates body temperature, thirst, hunger, and some aspects of the autonomic nervous system but not specifically heart rate and breathing.
2. What is the name of the structure that prevents food from entering the airway?
- A. trachea
- B. esophagus
- C. diaphragm
- D. epiglottis
Correct answer: D
Rationale: The epiglottis is the structure that prevents food from entering the airway. It acts as a lid over the trachea during swallowing, directing food to the esophagus instead of the windpipe (trachea). The trachea (Choice A) is the windpipe that allows air to pass into the lungs, the esophagus (Choice B) is the tube that carries food from the mouth to the stomach, and the diaphragm (Choice C) is a muscle involved in breathing and not in preventing food passage.
3. What is the function of the urinary bladder?
- A. To filter waste from the blood
- B. To store urine
- C. To regulate fluid balance
- D. To remove waste from the body
Correct answer: B
Rationale: The correct answer is B: To store urine. The urinary bladder's primary function is to store urine produced by the kidneys until it is ready to be excreted from the body. It acts as a reservoir that temporarily holds urine until an appropriate time for elimination. Choices A, C, and D are incorrect because the urinary bladder does not filter waste from the blood, regulate fluid balance, or directly remove waste from the body. These functions are primarily carried out by the kidneys and other organs in the excretory system.
4. Where is a gallstone most likely to cause pain?
- A. In the upper right quadrant of the abdomen
- B. In the lower right quadrant of the abdomen
- C. In the umbilical region
- D. Along the pelvic girdle
Correct answer: A
Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.
5. When an individual is under stress, hormones are released. Which of the following is not one of the locations in which hormones are released when under stress?
- A. Posterior pituitary
- B. Hypothalamus
- C. Adrenal cortex
- D. Parathyroid
Correct answer: D
Rationale: During stress, hormones are released from the adrenal cortex, posterior pituitary, and hypothalamus to help the body respond. The parathyroid gland, however, is not typically involved in the stress response by releasing hormones. The posterior pituitary releases hormones like oxytocin and vasopressin, the hypothalamus secretes corticotropin-releasing hormone (CRH) and vasopressin, while the adrenal cortex releases cortisol and aldosterone in response to stress. Therefore, the correct answer is 'Parathyroid.'
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