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. Which hormone is released in response to low blood glucose levels?
- A. Insulin
- B. Glucagon
- C. Cortisol
- D. Adrenaline
Correct answer: B
Rationale: Glucagon is the hormone released in response to low blood glucose levels. When blood glucose levels drop, the pancreas secretes glucagon to stimulate the liver to break down glycogen into glucose, increasing blood sugar levels. This helps to restore the body's glucose balance. Insulin, on the other hand, is released in response to high blood glucose levels to lower blood sugar by promoting glucose uptake by cells. Cortisol is a stress hormone, and adrenaline is released in response to stress or danger, not specifically to regulate blood glucose levels.
3. Which gland is responsible for regulating metabolism and calcium levels?
- A. Pituitary gland
- B. Adrenal gland
- C. Thyroid gland
- D. Pineal gland
Correct answer: C
Rationale: The correct answer is the thyroid gland (Choice C). The thyroid gland plays a crucial role in regulating metabolism by producing hormones like thyroxine, which control the body's metabolic rate. It also helps in controlling calcium levels in the blood through the release of calcitonin. The pituitary gland (Choice A) is known as the 'master gland' as it controls other glands but is not primarily responsible for regulating metabolism and calcium levels. The adrenal gland (Choice B) produces hormones like cortisol and adrenaline, which are involved in the stress response and metabolism, but they do not specifically regulate calcium levels. The pineal gland (Choice D) mainly produces melatonin, a hormone that helps in regulating sleep-wake cycles and has no direct role in metabolism or calcium level regulation.
4. When the pulmonary valve and aortic valves are open, where can blood flow?
- A. Between the two ventricles of the heart
- B. From atrium to ventricle within the heart
- C. Between the heart and the rest of the body
- D. Between the atria in the heart
Correct answer: C
Rationale: When the pulmonary valve and aortic valves are open, blood can flow between the heart and the rest of the body. The pulmonary valve allows blood to flow from the right ventricle to the lungs for oxygenation, while the aortic valve permits blood to flow from the left ventricle to the rest of the body for distribution of oxygen and nutrients. This circulation pathway ensures that oxygen-rich blood is pumped to the body tissues. Choices A, B, and D are incorrect because when the pulmonary valve and aortic valves are open, blood is not flowing between the ventricles, from atrium to ventricle, or between the atria; instead, it is being pumped out of the heart to the lungs and the rest of the body.
5. What type of joint is found in the elbow?
- A. Ball and socket joint
- B. Hinge joint
- C. Pivot joint
- D. Saddle joint
Correct answer: B
Rationale: The correct answer is a hinge joint. The elbow joint is a hinge joint that allows for flexion and extension movements, much like the movement of a door hinge. This type of joint permits movement in one plane, similar to the action of opening and closing a door. The other choices are incorrect: A) Ball and socket joints allow for a wide range of motion in multiple directions, such as the hip and shoulder joints. C) Pivot joints allow rotation around a single axis, like the joint at the top of the neck that allows the head to turn from side to side. D) Saddle joints are found in the thumb and have a biaxial range of motion allowing flexion, extension, adduction, abduction, and circumduction.
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