how might vitamin d deficiency present
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HESI A2

Anatomy HESI A2

1. How might vitamin D deficiency present?

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.

2. What is the main function of the large intestine?

Correct answer: B

Rationale: The main function of the large intestine is the absorption of water and electrolytes from indigestible food residues, helping to form solid waste (feces) for elimination. It mainly reabsorbs water and compacts the remaining material into feces, playing a crucial role in maintaining fluid balance in the body. Choices A, C, and D are incorrect because absorption of nutrients primarily occurs in the small intestine, secretion of digestive enzymes mainly occurs in the stomach and small intestine, and breaking down fats primarily occurs in the small intestine with the help of bile from the liver and enzymes.

3. Which structure in the brain regulates sleep and wakefulness?

Correct answer: C

Rationale: The pineal gland, located in the brain, is responsible for regulating sleep and wakefulness by secreting the hormone melatonin. Melatonin plays a crucial role in controlling the sleep-wake cycle, with higher levels at night inducing sleepiness. The hypothalamus (Choice A) regulates various physiological processes but is not primarily responsible for sleep-wake cycles. The thalamus (Choice B) is involved in relaying sensory information but not specifically in regulating sleep. The cerebellum (Choice D) plays a role in coordination and motor control rather than sleep regulation.

4. What is the function of the small intestine?

Correct answer: B

Rationale: The small intestine is the primary site for nutrient absorption in the digestive system. It is responsible for absorbing nutrients from the digested food into the bloodstream for distribution throughout the body. Therefore, the correct function of the small intestine is to absorb nutrients. Choice A is incorrect because the gallbladder stores bile, not the small intestine. Choice C is incorrect because the digestion process primarily occurs in the stomach and small intestine. Choice D is incorrect because while the small intestine does play a role in enzyme production, its primary function is nutrient absorption.

5. Which part of the brain controls voluntary movement?

Correct answer: B

Rationale: The cerebrum, specifically the motor cortex located within it, is responsible for controlling voluntary movements such as walking, writing, and speaking. This region of the brain plays a crucial role in coordinating and executing voluntary muscle actions, making it the correct answer in this context. The cerebellum (Choice A) primarily coordinates balance, posture, and coordination of voluntary movements but does not control voluntary movement itself. The brainstem (Choice C) is responsible for basic life functions like breathing and heart rate, not voluntary movements. The medulla oblongata (Choice D) controls vital functions like blood pressure and breathing, not voluntary movement.

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