where might a herniated lumbar disc be most likely to create pain
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HESI A2

Anatomy HESI A2

1. Where is a herniated lumbar disc most likely to cause pain?

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 gland produces hormones that regulate sleep?

Correct answer: B

Rationale: The pineal gland secretes melatonin, a hormone that plays a crucial role in regulating the sleep-wake cycle. Melatonin production is influenced by exposure to light, with levels increasing in the evening to promote sleep and decreasing in the morning to signal wakefulness. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism, the adrenal gland produces hormones like adrenaline and cortisol related to stress response, and the pituitary gland controls various functions by releasing different hormones but not specifically related to regulating sleep.

3. Beriberi is a disease caused by a lack of ___________.

Correct answer: A

Rationale: Beriberi is a disease caused by a deficiency of thiamine, also known as vitamin B1. Thiamine is essential for the proper functioning of the nervous system and energy metabolism in the body. Without enough thiamine, individuals may develop symptoms such as weakness, fatigue, nerve damage, and heart problems, which are characteristic of beriberi. Vitamin C (choice B), niacin (choice C), and protein (choice D) deficiencies can cause other health issues but are not directly related to beriberi.

4. Which organ is responsible for the production of hormones during stress?

Correct answer: B

Rationale: The adrenal cortex is the organ responsible for producing stress hormones like cortisol and aldosterone, which play a crucial role in the body's stress response. During stress, the adrenal cortex releases cortisol, a hormone that helps the body deal with stress by increasing blood sugar, suppressing the immune system, and aiding in metabolism. Parathyroid gland is responsible for calcium regulation, the posterior pituitary gland secretes hormones like oxytocin and vasopressin which are not directly related to the stress response, and the hypothalamus plays a role in regulating hormonal balance and various bodily functions but is not primarily responsible for producing stress hormones.

5. Which vitamin is essential for the formation of red blood cells?

Correct answer: B

Rationale: Vitamin B12 is the correct answer. It is crucial for the formation and maturation of red blood cells, playing a vital role in preventing megaloblastic anemia. Additionally, Vitamin B12 is essential for maintaining nerve function. Vitamin A is important for vision and immune function, Vitamin C is necessary for collagen synthesis and immune health, and Vitamin D is crucial for bone health and immune function. Therefore, options A, C, and D are incorrect as they do not play a direct role in the formation of red blood cells.

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