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. Which type of muscle is under voluntary control?
- A. Smooth muscle
- B. Cardiac muscle
- C. Skeletal muscle
- D. Striated muscle
Correct answer: C
Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing individuals to consciously regulate its contractions for movement. Examples of skeletal muscle control include actions like walking, running, and lifting weights. Smooth muscle (choice A) and cardiac muscle (choice B) are both involuntary muscles, meaning they are not under conscious control. While skeletal muscle is striated (choice D), striated muscle is a broader category that includes both voluntary (skeletal) and involuntary (cardiac) muscles.
3. Which is an anterior feature of the human head?
- A. The nose
- B. The ears
- C. The occipital lobe
- D. The temporal lobe
Correct answer: A
Rationale: The nose is an anterior feature of the human head, located in the frontal part of the face. It plays a vital role in the respiratory system by allowing air to enter and exit the body. Additionally, the nose contains olfactory receptors that enable the sense of smell. The ears, occipital lobe, and temporal lobe are not anterior features of the human head. The ears are located on the sides, the occipital lobe is at the back of the head, and the temporal lobe is on the sides and base of the cerebral cortex.
4. Which hormone is released by the adrenal medulla?
- A. Cortisol
- B. Adrenaline
- C. Insulin
- D. Somatostatin
Correct answer: B
Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.
5. Which feature of the ear is most medial?
- A. Pinna
- B. Tympanic membrane
- C. Cochlea
- D. Outer canal
Correct answer: B
Rationale: The tympanic membrane, also known as the eardrum, is the most medial feature in the ear. It separates the outer ear from the middle ear and serves as a barrier that vibrates in response to sound waves, transmitting vibrations to the middle ear ossicles. The pinna, cochlea, and outer canal are located more laterally in the ear anatomy. The pinna is the visible part of the ear located on the lateral side of the head, the cochlea is a spiral-shaped structure in the inner ear responsible for hearing, and the outer canal refers to the external auditory canal leading to the eardrum.
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