how might vitamin d deficiency present

HESI A2

Anatomy HESI A2

1. 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.

2. Which type of muscle is found in the heart?

A. Smooth muscle
B. Cardiac muscle
C. Skeletal muscle
D. Striated muscle

Correct answer: B

Rationale: Cardiac muscle is a specialized type of muscle found only in the heart. It is responsible for the rhythmic contractions that pump blood throughout the body. Unlike smooth and skeletal muscle, cardiac muscle has its own unique structure and function to meet the demands of the heart's continuous pumping action. Smooth muscle is found in the walls of internal organs and blood vessels, not in the heart. Skeletal muscle is attached to bones and helps in movement but is not found in the heart. Striated muscle is a broader term that includes both cardiac and skeletal muscle, but specifically, cardiac muscle refers to the muscle tissue of the heart.

3. 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.

4. Which of the following is not part of the central nervous system?

A. Retina
B. Spinal cord
C. Brain
D. Heart

Correct answer: B

Rationale: The central nervous system consists of the brain and spinal cord, which are responsible for processing and coordinating information. The retina is part of the eye, while the heart is part of the circulatory system. Therefore, the correct answer is 'Spinal cord' as it is not part of the central nervous system.

5. Which type of joint is found in the knee?

A. Ball and socket joint
B. Hinge joint
C. Pivot joint
D. Saddle joint

Correct answer: B

Rationale: The correct answer is a hinge joint. The knee is a hinge joint that allows for flexion and extension movements, enabling the leg to bend and straighten. This type of joint is designed for movement along one plane, similar to a door hinge. Choice A, ball and socket joint, is incorrect as this type of joint allows for a wider range of motion in multiple directions, unlike the knee joint. Choice C, pivot joint, and Choice D, saddle joint, are also incorrect as they do not accurately describe the type of joint found in the knee.