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. Which organ system is primarily responsible for regulating muscle growth?
- A. The skeletal system
- B. The endocrine system
- C. The nervous system
- D. The reproductive system
Correct answer: B
Rationale: The endocrine system is primarily responsible for regulating muscle growth through the production and release of hormones such as growth hormone, testosterone, and insulin-like growth factors. These hormones play crucial roles in stimulating muscle protein synthesis, increasing muscle mass, and promoting overall muscle growth and repair. The skeletal system provides structural support for muscles but does not directly regulate muscle growth. The nervous system controls muscle contractions and movements but is not primarily responsible for muscle growth. The reproductive system plays a role in fertility and secondary sexual characteristics but does not have a direct role in regulating muscle growth.
3. Which of the following epithelial types is correctly matched with its major function?
- A. Simple squamous epithelium – diffusion
- B. Stratified squamous epithelium – protection
- C. Stratified squamous epithelium – diffusion
- D. Simple columnar epithelium – secretion or absorption
Correct answer: D
Rationale: The correct answer is D. Simple columnar epithelium is indeed primarily responsible for secretion and absorption due to its tall shape and presence of microvilli, which increase surface area for these functions. Simple squamous epithelium is mainly involved in diffusion, allowing for the exchange of gases or nutrients. Stratified squamous epithelium functions more for protection against mechanical stress and pathogens, as it forms a tough, protective barrier due to its many layers.
4. What is a common finding in a whiplash injury?
- A. Cardiopulmonary issues
- B. Side-to-side spinal curvature
- C. Eventual herniation of discs
- D. Traumatic injury to ligaments
Correct answer: D
Rationale: A common finding in a whiplash injury is a traumatic injury to ligaments. Whiplash occurs due to sudden hyperextension and hyperflexion of the neck, leading to strain or tearing of ligaments in the neck. This can manifest as neck pain, stiffness, and limited range of motion. While other complications like cardiopulmonary problems, side-to-side spinal curvature, or eventual herniation of discs are not typically associated with whiplash injuries.
5. Where would you be likely to find a Schwann cell?
- A. In the digestive system
- B. In the nervous system
- C. In the skeletal system
- D. In the muscular system
Correct answer: B
Rationale: Schwann cells are a type of neuroglia found in the peripheral nervous system. They are responsible for producing the myelin sheath around axons of neurons, which helps with the conduction of nerve impulses. Therefore, Schwann cells are typically found in the nervous system. Choices A, C, and D are incorrect because Schwann cells are specifically associated with the nervous system and are not found in the digestive, skeletal, or muscular systems.
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