HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which hormone is responsible for the regulation of calcium levels in the blood?
- A. Insulin
- B. Parathyroid hormone
- C. Cortisol
- D. Melatonin
Correct answer: B
Rationale: Parathyroid hormone, produced by the parathyroid glands, is responsible for regulating calcium levels in the blood. It achieves this by increasing calcium absorption in the intestines and kidneys, thus maintaining appropriate calcium levels in the bloodstream. Insulin is involved in glucose metabolism, not calcium regulation. Cortisol is a stress hormone that affects various body functions but not calcium levels. Melatonin is responsible for regulating the sleep-wake cycle, not calcium levels.
2. Which hormone is not produced by the pituitary gland?
- A. FSH
- B. TRH
- C. LH
- D. ADH
Correct answer: B
Rationale: Thyrotropin-releasing hormone (TRH) is not produced by the pituitary gland. TRH is actually produced by the hypothalamus and acts on the pituitary gland to stimulate the release of thyroid-stimulating hormone (TSH). On the other hand, FSH (follicle-stimulating hormone), LH (luteinizing hormone), and ADH (antidiuretic hormone) are all hormones directly produced by the pituitary gland.
3. How do the digestive system and urinary system work together?
- A. The digestive system controls the function of the ureter.
- B. The urinary system removes toxins from the products of digestion.
- C. The digestive system manufactures hormones that influence urination.
- D. The urinary system eliminates some waste products of digestion.
Correct answer: D
Rationale: The correct answer is D because the urinary system eliminates some waste products of digestion. After digestion in the digestive system, nutrients are absorbed into the bloodstream, and waste products are transported to the kidneys via the urinary system to be excreted as urine. This process helps eliminate waste products generated during digestion, illustrating the coordination between the digestive and urinary systems. Choices A, B, and C are incorrect. Choice A is incorrect as the ureter is part of the urinary system, not controlled by the digestive system. Choice B is incorrect as the urinary system primarily removes metabolic waste, not toxins from digestion. Choice C is incorrect because the digestive system mainly aids in digestion and nutrient absorption, not hormone production affecting urination.
4. Where is a gallstone most likely to cause pain?
- A. In the upper right quadrant of the abdomen
- B. In the lower right quadrant of the abdomen
- C. In the umbilical region
- D. Along the pelvic girdle
Correct answer: A
Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.
5. Which hormone regulates blood sugar levels?
- A. Insulin
- B. Glucagon
- C. Cortisol
- D. Thyroxine
Correct answer: A
Rationale: Insulin is the hormone that regulates blood sugar levels by promoting the uptake of glucose into cells. It is produced by the pancreas and helps to lower blood sugar levels when they are too high. Glucagon, on the other hand, works in opposition to insulin by raising blood sugar levels when they are too low. Cortisol and thyroxine play different roles in the body and are not primarily responsible for regulating blood sugar levels.
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