HESI A2
HESI A2 Anatomy and Physiology 2023
1. Which type of joint allows for movement in multiple directions?
- A. Hinge joint
- B. Ball and socket joint
- C. Pivot joint
- D. Saddle joint
Correct answer: B
Rationale: The correct answer is a ball and socket joint like the shoulder or hip joint, as it allows for movement in multiple directions, including rotation. This type of joint offers a high degree of mobility due to its structure, where the rounded end of one bone fits into the cup-like socket of another bone. A hinge joint (Choice A) allows movement primarily in one plane, like the elbow or knee. A pivot joint (Choice C) allows for rotation around an axis, seen in the neck joint. A saddle joint (Choice D) enables movements in multiple directions but to a lesser extent compared to a ball and socket joint, found in the thumb joint.
2. The coronal plane of the body may also be called the ___________ plane.
- A. sagittal
- B. median
- C. frontal
- D. axial
Correct answer: C
Rationale: The correct answer is C: frontal. The coronal plane of the body is also known as the frontal plane. This plane divides the body into front (anterior) and back (posterior) sections. It is perpendicular to the sagittal plane and divides the body into front and back portions. The term 'coronal' is often used in radiology and anatomy to describe this specific anatomical plane. Choices A, B, and D are incorrect because the sagittal plane divides the body into left and right portions, the median plane is another name for the sagittal plane, and the axial plane is a term less commonly used to describe an anatomical plane.
3. Which hormone is released by the posterior pituitary gland?
- A. Oxytocin
- B. Thyroxine
- C. Insulin
- D. ADH
Correct answer: A
Rationale: Oxytocin is the correct answer. It is released by the posterior pituitary gland and plays a vital role in childbirth and lactation. Oxytocin promotes uterine contractions during labor and milk ejection during breastfeeding. Choice B, Thyroxine, is incorrect as it is produced by the thyroid gland. Choice C, Insulin, is incorrect as it is produced by the pancreas. Choice D, ADH (Antidiuretic Hormone), is also released by the posterior pituitary gland, but it is not the hormone primarily associated with childbirth and lactation.
4. Which of the following endocrine system glands releases the thyrotrophic-releasing hormone, growth hormone-releasing hormone, and gonadotropin-releasing hormones?
- A. Thymus
- B. Pituitary gland
- C. Pineal gland
- D. Hypothalamus
Correct answer: D
Rationale: The correct answer is D, the Hypothalamus. The hypothalamus is responsible for releasing various essential hormones, including thyrotrophic-releasing hormone, growth hormone-releasing hormone, and gonadotropin-releasing hormones. These hormones play crucial roles in regulating the functions of other endocrine glands by stimulating or inhibiting their hormone production. The Thymus (choice A) is primarily involved in the immune system, the Pituitary gland (choice B) secretes various hormones but not the ones specified in the question, and the Pineal gland (choice C) mainly produces melatonin, which regulates sleep-wake cycles, and is not related to the hormones mentioned in the question.
5. Which hormone is produced by the adrenal medulla?
- A. Insulin
- B. Adrenaline
- C. Cortisol
- D. Melatonin
Correct answer: B
Rationale: Adrenaline, also known as epinephrine, is the correct hormone produced by the adrenal medulla. It plays a crucial role in the body's fight-or-flight response, increasing heart rate, dilating airways, and mobilizing energy stores to prepare the body for perceived threats. Insulin (Choice A) is produced by the pancreas and regulates blood sugar levels, not by the adrenal medulla. Cortisol (Choice C) is produced by the adrenal cortex and is involved in regulating metabolism, immune response, and stress. Melatonin (Choice D) is produced by the pineal gland and regulates the sleep-wake cycle.
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