HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which structure in the kidney filters blood?
- A. Nephron
- B. Glomerulus
- C. Bowman's capsule
- D. Loop of Henle
Correct answer: B
Rationale: The correct answer is the Glomerulus. The glomerulus is a network of tiny blood vessels located within the Bowman's capsule. It acts as the initial filtering component in the nephron, filtering blood and allowing waste products and excess substances to pass through to form urine. Choice A, Nephron, is incorrect as the nephron is the structural and functional unit of the kidney composed of several parts, including the glomerulus. Choice C, Bowman's capsule, is where the glomerulus is located, but it is not the structure responsible for filtering blood. Choice D, Loop of Henle, plays a role in reabsorption of water and electrolytes but is not the primary structure for blood filtration in the kidney.
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. 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.
4. Which cellular structure is responsible for producing energy?
- A. Nucleus
- B. Mitochondria
- C. Ribosome
- D. Golgi apparatus
Correct answer: B
Rationale: Mitochondria are the organelles responsible for producing energy in the cell through a process called cellular respiration. They are often referred to as the powerhouses of the cell due to their role in generating ATP, the cell's energy currency. The nucleus is not involved in energy production but houses the cell's genetic material. Ribosomes are responsible for protein synthesis, not energy production. The Golgi apparatus is involved in processing and packaging proteins for secretion, not energy production.
5. What is the primary function of the immune system?
- A. To transport oxygen
- B. To fight infections
- C. To produce energy
- D. To regulate body temperature
Correct answer: B
Rationale: The primary function of the immune system is to fight infections. It identifies and destroys pathogens like bacteria and viruses, protecting the body from harmful substances. While oxygen transportation is carried out by the respiratory system, energy production is mainly the role of the metabolic system, and body temperature regulation is managed by the thermoregulatory system. These functions are separate from the immune system's primary role of defending the body against infections.
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