HESI A2
Anatomy HESI A2
1. Where is a herniated lumbar disc most likely to cause pain?
- A. Along the radial nerve
- B. Within the spinal cord
- C. Along the sciatic nerve
- D. Along the tibial nerve
Correct answer: C
Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.
2. Which hormone is involved in the regulation of water balance in the body?
- A. ADH
- B. Insulin
- C. Cortisol
- D. Thyroxine
Correct answer: A
Rationale: The correct answer is ADH (antidiuretic hormone), also known as vasopressin. ADH helps regulate water balance in the body by controlling the amount of water reabsorbed by the kidneys. When there is a need to conserve water, ADH levels increase, leading to more water reabsorption and concentration of urine. Insulin is involved in regulating blood sugar levels, not water balance. Cortisol is a stress hormone that helps regulate metabolism and immune response, not water balance. Thyroxine is a thyroid hormone that regulates metabolism, growth, and development, not water balance.
3. Which gland controls Calciferol?
- A. Thyroid
- B. Pituitary
- C. Parathyroid
- D. Hypothalamus
Correct answer: C
Rationale: Calciferol, commonly known as Vitamin D, is regulated by the parathyroid gland, not the thyroid, pituitary, or hypothalamus. The parathyroid gland plays a crucial role in maintaining calcium and phosphorus balance in the body by regulating the production of calcitriol, the active form of Vitamin D. This hormone helps in the absorption of calcium from the intestines and its reabsorption in the kidneys to maintain proper calcium levels in the blood. Therefore, the correct answer is the Parathyroid gland (Choice C). Choices A, B, and D are incorrect as they do not have a direct role in controlling Calciferol.
4. What type of joint is found at the elbow?
- A. Ball and socket
- B. Hinge
- C. Pivot
- D. Saddle
Correct answer: B
Rationale: The correct answer is B: Hinge. A hinge joint, such as the one found at the elbow, allows for movement primarily in one plane, enabling flexion and extension similar to the movement of a door hinge. This joint structure permits bending and straightening of the arm, controlling the range of motion in a specific direction. Choices A, C, and D are incorrect. A ball and socket joint allows for multi-axial movement like the hip joint, a pivot joint allows for rotation around an axis like the joint between the first and second cervical vertebrae, and a saddle joint allows for movement in two planes at right angles to each other like the joint at the base of the thumb.
5. Which of the following locations is not involved in the release of hormones during stress?
- A. Parathyroid gland
- B. Adrenal cortex
- C. Posterior pituitary
- D. Hypothalamus
Correct answer: A
Rationale: The parathyroid gland is not involved in the release of hormones during stress. It is responsible for regulating calcium levels in the blood by secreting parathyroid hormone. During stress, the adrenal cortex, posterior pituitary, and hypothalamus play crucial roles in releasing stress hormones like cortisol, adrenaline, and oxytocin. Therefore, the correct answer is the parathyroid gland, as it is not directly associated with the release of stress-related hormones.
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