which type of joint allows for movement in multiple directions
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HESI A2

HESI A2 Anatomy and Physiology 2023

1. Which type of joint allows for movement in multiple directions?

Correct answer: B

Rationale: The correct answer is a ball and socket joint like the shoulder or hip joint, as it allows for movement in multiple directions, including rotation. This type of joint offers a high degree of mobility due to its structure, where the rounded end of one bone fits into the cup-like socket of another bone. A hinge joint (Choice A) allows movement primarily in one plane, like the elbow or knee. A pivot joint (Choice C) allows for rotation around an axis, seen in the neck joint. A saddle joint (Choice D) enables movements in multiple directions but to a lesser extent compared to a ball and socket joint, found in the thumb joint.

2. Which type of muscle is under voluntary control?

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing individuals to consciously regulate its contractions for movement. Examples of skeletal muscle control include actions like walking, running, and lifting weights. Smooth muscle (choice A) and cardiac muscle (choice B) are both involuntary muscles, meaning they are not under conscious control. While skeletal muscle is striated (choice D), striated muscle is a broader category that includes both voluntary (skeletal) and involuntary (cardiac) muscles.

3. Which feature of the ear is most medial?

Correct answer: B

Rationale: The tympanic membrane, also known as the eardrum, is the most medial feature in the ear. It separates the outer ear from the middle ear and serves as a barrier that vibrates in response to sound waves, transmitting vibrations to the middle ear ossicles. The pinna, cochlea, and outer canal are located more laterally in the ear anatomy. The pinna is the visible part of the ear located on the lateral side of the head, the cochlea is a spiral-shaped structure in the inner ear responsible for hearing, and the outer canal refers to the external auditory canal leading to the eardrum.

4. Which hormone is responsible for the regulation of calcium levels in the blood?

Correct answer: B

Rationale: Parathyroid hormone, produced by the parathyroid glands, is responsible for regulating calcium levels in the blood. It achieves this by increasing calcium absorption in the intestines and kidneys, thus maintaining appropriate calcium levels in the bloodstream. Insulin is involved in glucose metabolism, not calcium regulation. Cortisol is a stress hormone that affects various body functions but not calcium levels. Melatonin is responsible for regulating the sleep-wake cycle, not calcium levels.

5. Where do nearly all of the gaseous exchanges between air and blood take place in the lungs?

Correct answer: D

Rationale: Nearly all gaseous exchanges between air and blood take place in the alveoli of the lungs. The walls of the alveoli are thin and surrounded by an extensive network of tiny blood vessels called capillaries. Oxygen from the air diffuses through the alveoli walls and into the bloodstream, while carbon dioxide, a waste product, diffuses from the blood into the alveoli to be exhaled out of the body. This process is essential for respiration and providing oxygen to the body's cells. Choices A, B, and C are incorrect. Pleura is the membrane surrounding the lungs, trachea is the windpipe that carries air to the lungs, and bronchioles are the smaller air passages in the lungs. However, the primary site for gaseous exchange is the alveoli due to their structure and function.

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