HESI A2
Anatomy HESI A2
1. Where is a herniated lumbar disc most likely to cause pain?
- A. Along the radial nerve
- B. Within the spinal cord
- C. Along the sciatic nerve
- D. Along the tibial nerve
Correct answer: C
Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.
2. How might vitamin D deficiency present?
- A. As bleeding gums
- B. As swollen extremities
- C. As red patches
- D. As crooked bones
Correct answer: D
Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.
3. Which part of the brain is responsible for regulating involuntary functions such as breathing and heart rate?
- A. Cerebrum
- B. Cerebellum
- C. Medulla oblongata
- D. Frontal lobe
Correct answer: C
Rationale: The medulla oblongata, located in the brain stem, is responsible for regulating involuntary functions such as breathing and heart rate. It contains vital centers that control these essential functions to maintain life. The cerebrum is primarily involved in higher brain functions like thinking and voluntary movements; the cerebellum plays a crucial role in coordinating movement and balance; and the frontal lobe is responsible for functions such as decision-making, problem-solving, and voluntary muscle movements. Therefore, the correct answer is the medulla oblongata (Choice C).
4. Which hormone stimulates milk production in the breasts during lactation?
- A. norepinephrine
- B. antidiuretic hormone
- C. prolactin
- D. oxytocin
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. What are muscle contractions that normally move food along the human digestive system known as?
- A. defecation
- B. osmosis
- C. peristalsis
- D. circulation
Correct answer: C
Rationale: Muscle contractions that move food along the human digestive system are known as peristalsis. Peristalsis consists of a series of coordinated muscular contractions and relaxations that help propel food through the esophagus, stomach, and intestines, facilitating efficient digestion and nutrient absorption. Defecation refers to expelling waste from the body, osmosis is the movement of water across a membrane, and circulation relates to the movement of blood in the body's circulatory system, not directly involved in food transportation along the digestive tract.
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