HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which hormone is secreted by the pancreas to lower blood glucose levels?
- A. Insulin
- B. Glucagon
- C. Somatostatin
- D. Cortisol
Correct answer: A
Rationale: Insulin is secreted by the pancreas to lower blood glucose levels by facilitating the uptake of glucose into cells. It promotes the storage of glucose as glycogen in the liver and muscles, reducing blood sugar levels. Glucagon, on the other hand, works to raise blood glucose levels by stimulating the breakdown of glycogen into glucose and releasing it into the bloodstream. Somatostatin regulates the endocrine system and inhibits the release of insulin and glucagon. Cortisol is a hormone produced by the adrenal glands, not the pancreas, and it plays a role in stress response and metabolism, but it does not directly lower blood glucose levels.
2. What is the main function of the large intestine?
- A. Absorption of nutrients
- B. Absorption of water
- C. Secretion of digestive enzymes
- D. Breaking down fats
Correct answer: B
Rationale: The main function of the large intestine is the absorption of water and electrolytes from indigestible food residues, helping to form solid waste (feces) for elimination. It mainly reabsorbs water and compacts the remaining material into feces, playing a crucial role in maintaining fluid balance in the body. Choices A, C, and D are incorrect because absorption of nutrients primarily occurs in the small intestine, secretion of digestive enzymes mainly occurs in the stomach and small intestine, and breaking down fats primarily occurs in the small intestine with the help of bile from the liver and enzymes.
3. What is the primary role of the large intestine?
- A. To absorb nutrients
- B. To absorb water
- C. To break down food
- D. To secrete digestive enzymes
Correct answer: B
Rationale: The correct answer is B: To absorb water. The primary role of the large intestine is to absorb water from indigestible food matter. This absorption process helps in forming solid waste for excretion. Nutrient absorption primarily occurs in the small intestine, not the large intestine. Breaking down food and secreting digestive enzymes are functions primarily associated with the stomach and small intestine.
4. Which structure of the respiratory system is involved in gas exchange?
- A. Trachea
- B. Bronchioles
- C. Alveoli
- D. Larynx
Correct answer: C
Rationale: The alveoli are the primary site for gas exchange in the respiratory system. These tiny air sacs in the lungs are where oxygen is taken up into the bloodstream and carbon dioxide is released from the bloodstream into the lungs to be exhaled. The trachea (Choice A) is the windpipe that carries air to and from the lungs but is not directly involved in gas exchange. Bronchioles (Choice B) are smaller airway branches that lead to the alveoli but do not participate in gas exchange themselves. The larynx (Choice D) plays a role in producing sound and protecting the airway but is not primarily responsible for gas exchange.
5. What is the function of the kidneys in the urinary system?
- A. To filter blood and remove waste
- B. To produce red blood cells
- C. To regulate blood pressure
- D. To absorb water
Correct answer: A
Rationale: The correct answer is A: 'To filter blood and remove waste.' The kidneys play a crucial role in the urinary system by filtering blood to remove waste products and excess fluids, which are then excreted as urine. This process helps maintain the body's internal balance by regulating electrolyte levels and controlling blood pressure. Choices B, C, and D are incorrect because the kidneys do not produce red blood cells (bone marrow does), regulate blood pressure directly (although they indirectly influence it through the renin-angiotensin-aldosterone system), or absorb water (they regulate water balance but do not absorb water).
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