HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which part of the brain is involved in the regulation of heart rate and breathing?
- A. Cerebrum
- B. Cerebellum
- C. Medulla oblongata
- D. Hypothalamus
Correct answer: C
Rationale: The correct answer is C: Medulla oblongata. The medulla oblongata, situated in the brainstem, plays a crucial role in regulating vital functions such as heart rate, breathing, and blood pressure. It serves as the control center for involuntary actions, ensuring the body's automatic functions work properly. Choices A, B, and D are incorrect because the cerebrum is primarily responsible for functions such as thinking, voluntary movements, and sensory processing; the cerebellum is involved in coordination, balance, and muscle control; and the hypothalamus regulates body temperature, thirst, hunger, and some aspects of the autonomic nervous system but not specifically heart rate and breathing.
2. Which vitamin is essential for maintaining healthy skin and vision?
- A. Vitamin C
- B. Vitamin A
- C. Vitamin D
- D. Vitamin K
Correct answer: B
Rationale: Vitamin A is the correct answer. It is essential for maintaining healthy skin and vision, especially in low-light conditions. Vitamin A helps in the production of retinal pigments necessary for vision in dim light and supports skin health by promoting cell turnover and repair. Choice A, Vitamin C, is important for the immune system and collagen production but is not specifically known for maintaining skin and vision health. Choice C, Vitamin D, is crucial for bone health and immune function but is not directly related to skin and vision health. Choice D, Vitamin K, is necessary for blood clotting and bone health but does not play a significant role in maintaining healthy skin and vision.
3. Which structure in the kidney is responsible for filtering blood?
- A. Glomerulus
- B. Bowman's capsule
- C. Loop of Henle
- D. Collecting duct
Correct answer: A
Rationale: The glomerulus is the correct answer. It is a vital structure in the kidney responsible for filtering blood. The glomerulus is a network of capillaries that filters waste products and excess substances from the blood to form urine. While the Bowman's capsule, Loop of Henle, and Collecting duct are also essential components of the nephron, the primary site of blood filtration occurs at the glomerulus. The Bowman's capsule surrounds the glomerulus and collects the filtered fluid, the Loop of Henle reabsorbs water and important ions, and the Collecting duct further concentrates the urine, but none of these structures are primarily responsible for filtering blood as the glomerulus is.
4. When are gallstones most problematic?
- A. When they block a duct
- B. When they contain cholesterol
- C. When they contain bilirubin
- D. When they begin to dissolve
Correct answer: A
Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.
5. What is the primary function of hemoglobin in red blood cells?
- A. To transport nutrients
- B. To fight infections
- C. To carry oxygen
- D. To produce energy
Correct answer: C
Rationale: The correct answer is C: 'To carry oxygen.' Hemoglobin in red blood cells binds to oxygen in the lungs and transports it to the tissues and organs throughout the body. This oxygen transport is crucial for cellular respiration and the overall functioning of the body. Choices A, B, and D are incorrect because hemoglobin's primary function is not to transport nutrients, fight infections, or produce energy in red blood cells.
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