HESI A2
Anatomy HESI A2
1. Which feature of the ear is most medial?
- A. Pinna
- B. Tympanic membrane
- C. Cochlea
- D. Outer canal
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.
2. How does the lymphatic system work with the circulatory system?
- A. The circulatory system produces red blood cells for the lymphatic system.
- B. Lymph draws excess fluid from the cells and deposits it into the blood vessels.
- C. The heart regulates the production of lymph in the lymph glands.
- D. White cells from the lymphatic system eliminate excess red blood cells.
Correct answer: B
Rationale: The lymphatic system works with the circulatory system by draining excess fluid and waste products from the spaces between cells, known as interstitial fluid. This excess fluid, now called lymph, is then transported back into the blood circulation through lymphatic vessels. This process helps maintain fluid balance in the body and supports the circulatory system in regulating blood volume and pressure. Choice A is incorrect because the circulatory system does not produce red blood cells for the lymphatic system. Choice C is incorrect as the heart does not regulate lymph production in lymph glands. Choice D is incorrect as white cells from the lymphatic system do not eliminate excess red blood cells. Therefore, the correct answer is B, as lymph draws excess fluid from the cells and deposits it into the blood vessels, aiding in maintaining proper fluid balance and supporting the circulatory system.
3. 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.
4. 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.
5. 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.
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