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. The shoulder is _________ to the elbow.

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

3. What does the parathyroid hormone regulate?

Correct answer: B

Rationale: The parathyroid hormone primarily regulates calcium levels in the blood. It acts to increase calcium levels by stimulating the release of calcium from bones, enhancing calcium reabsorption in the kidneys, and promoting the conversion of vitamin D to its active form, which aids in calcium absorption from the intestines. Therefore, the correct answer is B. Choices A, C, and D are incorrect because the parathyroid hormone does not play a significant role in the regulation of magnesium (Choice A), calcitonin (Choice C), or glucocorticoids (Choice D).

4. To which system do the ovaries belong?

Correct answer: D

Rationale: The correct answer is D: reproductive system. The ovaries are essential organs of the female reproductive system. They play a vital role in producing eggs and secreting hormones like estrogen and progesterone. The skeletal system (choice A) consists of bones and tissues that support the body, the nervous system (choice B) controls body functions and responses, and the lymphatic system (choice C) helps the body fight off infections. Therefore, the ovaries belong to the reproductive system.

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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