HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which type of joint allows for movement in multiple directions?
- A. Hinge joint
- B. Ball and socket joint
- C. Pivot joint
- D. Saddle joint
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 hormone is not produced by the pituitary gland?
- A. FSH
- B. TRH
- C. LH
- D. ADH
Correct answer: B
Rationale: Thyrotropin-releasing hormone (TRH) is not produced by the pituitary gland. TRH is actually produced by the hypothalamus and acts on the pituitary gland to stimulate the release of thyroid-stimulating hormone (TSH). On the other hand, FSH (follicle-stimulating hormone), LH (luteinizing hormone), and ADH (antidiuretic hormone) are all hormones directly produced by the pituitary gland.
3. How do the intercostal muscles between the ribs assist with respiration?
- A. By protecting the delicate bronchioles and alveoli
- B. By signaling a decrease in intra-alveolar pressure
- C. By enlarging and reducing the space in the thorax
- D. By maintaining a medial separation between pleurae
Correct answer: C
Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.
4. What is the function of the medulla oblongata in the brain?
- A. To control breathing and heart rate
- B. To regulate body temperature
- C. To coordinate voluntary movements
- D. To process sensory information
Correct answer: A
Rationale: The correct answer is A: To control breathing and heart rate. The medulla oblongata is a vital part of the brainstem responsible for regulating essential functions such as breathing, heart rate, and blood pressure. These functions are crucial for maintaining life, and the medulla oblongata plays a key role in ensuring the body's survival. Choices B, C, and D are incorrect because regulating body temperature is primarily controlled by the hypothalamus, coordinating voluntary movements is associated with the cerebellum and motor cortex, and processing sensory information is related to the thalamus and sensory cortex, not the medulla oblongata.
5. What is the primary function of the digestive system?
- A. To transport oxygen
- B. To break down food and absorb nutrients
- C. To produce hormones
- D. To transport blood
Correct answer: B
Rationale: The primary function of the digestive system is to break down food into smaller molecules and absorb nutrients such as vitamins, minerals, carbohydrates, proteins, and fats. These nutrients are then utilized by the body for energy, growth, and repair. The digestive system plays a crucial role in the process of extracting essential components from food and distributing them to the body's cells through the bloodstream. Choices A, C, and D are incorrect because transporting oxygen, producing hormones, and transporting blood are functions associated with other body systems like the respiratory system, endocrine system, and circulatory system, respectively, not the digestive system.
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