HESI A2
HESI A2 Anatomy and Physiology Practice Exam
1. When are gallstones most problematic?
- A. When they block a duct
- B. When they contain cholesterol
- C. When they contain bilirubin
- D. When they begin to dissolve
Correct answer: A
Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.
2. The anterior chamber of the eye lies between the ___________.
- A. iris and lens
- B. lens and retina
- C. cornea and iris
- D. retina and optic nerve
Correct answer: A
Rationale: The anterior chamber of the eye is the fluid-filled space located between the cornea and the iris in the front part of the eye. It contains aqueous humor and helps maintain intraocular pressure. The space between the iris and the lens is known as the anterior chamber, making option A, 'iris and lens,' the correct choice. Options B, C, and D are incorrect because they do not describe the correct anatomical location of the anterior chamber.
3. Which lobe of the brain controls speech production?
- A. Frontal lobe
- B. Parietal lobe
- C. Temporal lobe
- D. Occipital lobe
Correct answer: A
Rationale: The frontal lobe of the brain, specifically the left hemisphere in an area known as Broca's area, is responsible for controlling speech production. This region plays a vital role in speech formation and language expression. Damage to the frontal lobe, particularly Broca's area, can lead to language difficulties like expressive aphasia, a condition characterized by trouble speaking fluently. The parietal lobe is more involved in processing sensory information and spatial awareness. The temporal lobe is associated with memory, hearing, and language comprehension. The occipital lobe is primarily responsible for processing visual information.
4. Where does primary peristalsis occur?
- A. Esophagus
- B. Stomach
- C. Nervous system
- D. Small intestine
Correct answer: A
Rationale: Primary peristalsis occurs in the esophagus. Peristalsis is the coordinated muscular contractions that propel food through the digestive tract. In the esophagus, primary peristalsis is the involuntary wave-like contractions that push food from the mouth to the stomach. It is the natural and automatic process that occurs to facilitate the movement of food during digestion. The stomach (choice B), nervous system (choice C), and small intestine (choice D) are not the primary sites where peristalsis occurs in the digestive system.
5. Which of the following is not part of the body’s secondary defense system?
- A. Macrophages
- B. Leukocytes
- C. T cells
- D. Cilia
Correct answer: D
Rationale: Cilia are not part of the body's secondary defense system. They are hair-like structures primarily involved in movement and transporting substances across cell surfaces, such as in the respiratory tract for debris and pathogen removal. However, cilia do not play a direct role in the immune response mechanisms characteristic of the body's secondary defense system. Macrophages, leukocytes, and T cells are immune cells that actively participate in the secondary defense system by targeting and eliminating pathogens.
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