HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which of the following hormones is responsible for regulating metabolism?
- A. Insulin
- B. Thyroxine
- C. Glucagon
- D. Cortisol
Correct answer: B
Rationale: Thyroxine, produced by the thyroid gland, is the hormone responsible for regulating metabolism. It plays a fundamental role in controlling the body's metabolic rate, affecting processes such as energy production and utilization. Thyroxine also influences growth and development in the body. Choice A, Insulin, is involved in regulating blood sugar levels and promoting the storage of glucose. While insulin has an impact on metabolism, it is not primarily responsible for regulating overall metabolic rate. Choice C, Glucagon, acts in opposition to insulin, stimulating the release of glucose from the liver to increase blood sugar levels. Glucagon primarily targets glucose regulation rather than overall metabolism. Choice D, Cortisol, is known as the stress hormone and plays a role in the body's response to stress, regulation of blood pressure, immune function, and anti-inflammatory actions. While cortisol can have some effects on metabolism during stress responses, it is not the primary hormone responsible for regulating overall metabolic rate.
2. What is the function of hemoglobin in red blood cells?
- A. To fight infections
- B. To transport oxygen
- C. To carry carbon dioxide
- D. To store oxygen
Correct answer: B
Rationale: The correct answer is B: 'To transport oxygen.' Hemoglobin in red blood cells plays a crucial role in transporting oxygen. It binds to oxygen in the lungs and carries it to the body's tissues and organs for cellular respiration. Choices A, C, and D are incorrect because hemoglobin's primary function is to bind and transport oxygen, not to fight infections, carry carbon dioxide, or store oxygen.
3. 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.
4. Through which organ do muscles push food into the stomach via peristalsis?
- A. Mouth
- B. Small intestine
- C. Epiglottis
- D. Esophagus
Correct answer: D
Rationale: The correct answer is D, Esophagus. Muscles push food into the stomach via peristalsis in the esophagus. Peristalsis is a coordinated muscular contraction that helps move food from the mouth to the stomach through the esophagus. The rhythmic contractions of the esophageal muscles create a wave-like motion that propels food downward toward the stomach for digestion. Choices A, B, and C are incorrect because the mouth is where digestion begins but does not push food into the stomach, the small intestine is mainly responsible for absorbing nutrients, and the epiglottis is a flap that prevents food from entering the trachea during swallowing, not involved in pushing food into the stomach.
5. What is the primary function of the pancreas in digestion?
- A. To absorb nutrients
- B. To secrete digestive enzymes
- C. To produce bile
- D. To store glucose
Correct answer: B
Rationale: The correct answer is B: To secrete digestive enzymes. The pancreas plays a crucial role in digestion by secreting digestive enzymes that break down carbohydrates, fats, and proteins in the small intestine. These enzymes help in the process of breaking down food particles into smaller molecules that can be easily absorbed by the body for nutrients. Choices A, C, and D are incorrect as the primary function of the pancreas is not to absorb nutrients, produce bile, or store glucose in digestion.
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