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

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. What is the function of the coronary artery?

A. It carries oxygenated blood to the heart muscle.
B. It carries deoxygenated blood to the lungs.
C. It distributes blood to the body.
D. It supplies blood to the heart muscle.

Correct answer: D

Rationale: The correct answer is D: 'It supplies blood to the heart muscle.' The coronary artery's main function is to supply oxygenated blood to the heart muscle, ensuring that the heart receives the necessary nutrients and oxygen it needs to function properly. Choices A, B, and C are incorrect because the coronary artery specifically delivers oxygenated blood to the heart muscle, not deoxygenated blood to the lungs or blood to the rest of the body.

3. Which of the following structures is part of both the male reproductive system and the urinary system?

A. Bladder
B. Urethra
C. Prostate
D. Seminal Vesicle

Correct answer: B

Rationale: The urethra is the correct answer as it is a structure shared by both the male reproductive and urinary systems. It functions as a conduit for both urine from the bladder and semen from the reproductive system, making it a crucial component of both systems. The bladder (Choice A) is solely part of the urinary system, storing urine. The prostate (Choice C) and seminal vesicle (Choice D) are structures specific to the male reproductive system, involved in producing and secreting components of semen.

4. How do the intercostal muscles between the ribs assist with respiration?

A. By protecting the delicate bronchioles and alveoli
B. By signaling a decrease in intra-alveolar pressure
C. By enlarging and reducing the space in the thorax
D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

5. What is the function of amylase?

A. Breaking down starch
B. Digesting fat
C. Breaking down protein
D. Absorbing water

Correct answer: A

Rationale: The correct answer is A: Breaking down starch. Amylase is an enzyme that specifically functions to break down starch into smaller sugar molecules such as maltose and glucose. This process is essential for the digestion and absorption of carbohydrates in the body. Choices B, C, and D are incorrect because amylase does not digest fat, break down protein, or absorb water; its primary function lies in starch digestion.