HESI A2
HESI A2 Anatomy and Physiology Practice Test 2023
1. What is the function of the large intestine in the digestive system?
- A. To secrete digestive enzymes
- B. To absorb water and form solid waste
- C. To produce bile
- D. To transport nutrients
Correct answer: B
Rationale: The large intestine's primary function is to absorb water from the remaining indigestible food matter that enters it from the small intestine. This absorption process helps in forming solid waste (feces) by compacting the material and preparing it for excretion. The large intestine does not secrete digestive enzymes, produce bile, or transport nutrients. Therefore, option B, 'To absorb water and form solid waste,' is the correct function of the large intestine in the digestive system.
2. What is the meaning of exocytosis?
- A. The cell engulfs and brings in substances.
- B. The cell releases content outside by fusing with the plasma membrane.
- C. The cell engulfs liquid material.
- D. The cell brings in solid particles.
Correct answer: B
Rationale: Exocytosis is the process by which a cell releases substances to the outside by fusing with the plasma membrane. During exocytosis, vesicles containing molecules fuse with the cell membrane, allowing the release of the contents outside the cell. This process is crucial for the secretion of various substances such as hormones, enzymes, and neurotransmitters. Choices A, C, and D are incorrect as they describe processes different from exocytosis. Choice A describes endocytosis, where the cell engulfs substances to bring them into the cell. Choice C is more aligned with pinocytosis, the process of engulfing liquid material. Choice D refers to phagocytosis, which is the uptake of solid particles by the cell.
3. Which structure in the brain regulates sleep and wakefulness?
- A. Hypothalamus
- B. Thalamus
- C. Pineal gland
- D. Cerebellum
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. Which organ system is primarily responsible for generating antibodies?
- A. The endocrine system
- B. The digestive system
- C. The lymphatic system
- D. The nervous system
Correct answer: C
Rationale: The correct answer is C: The lymphatic system. Antibodies are produced by specialized white blood cells called B-lymphocytes (or B cells) in response to foreign substances known as antigens. The lymphatic system includes lymph nodes, lymphatic vessels, tonsils, thymus, and spleen, which work together to produce and store antibodies to help the body fight off infections and diseases. Choice A, the endocrine system, is incorrect because it is responsible for hormone regulation, not antibody production. Choice B, the digestive system, is incorrect because its main function is to break down food and absorb nutrients, not produce antibodies. Choice D, the nervous system, is incorrect as it is responsible for transmitting signals throughout the body and coordinating body functions, not generating antibodies.
5. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.
- A. swallowing
- B. insulin levels
- C. sleep
- D. digestion
Correct answer: A
Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.
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