HESI A2 anatomy and physiology practice questions set 22

Question 1

PHOTOTHERAPY: Phototherapy, commonly referred to as light therapy, has been an established form of medicine for more than a century. In recent years it has become closely associated with seasonal affective disorder, of which it is an effective and well-known treatment, but it is also used to treat a broad range of medical issues including acne, psoriasis, and eczema. The most common form of light therapy involves a patient sitting in front of a medically designed light box for a prescribed amount of time every morning. The light is positioned at an exact distance from the patient's eyes so that it strikes both the skin and the retina. The light box mimics the effects of natural sunlight, but the UV rays are filtered to ensure there is no damage to the patient's skin or eyes. Phototherapy is thought to be a safe method of reducing the amount of bacteria on the skin, reducing inflammatory responses, and affecting the chemicals in the brain associated with mood. One of the most recent technologies to be associated with phototherapy is the phototherapy blanket. In the late 1960s it was discovered that phototherapy can be used to treat jaundice in newborn babies. Neonatal jaundice, a yellowing of the skin in newborn infants due to excess bilirubin levels in the blood, is usually harmless but can cause brain damage if left untreated. Newborns are given a phototherapy blanket, a small pad with flexible LED light panels sewn into the fabric, to sleep with until their livers are able to process the excess bilirubin. The many benefits of phototherapy make it a valuable resource for addressing a variety of ailments. Emerging innovations in LED and photo technologies ensure that many more practical applications will be developed for this particular form of treatment in the years to come.

Which of the following statements is a fact?

1. A. Nurses should watch for jaundice in newborns.
2. B. Untreated jaundice may cause brain damage.
3. C. Phototherapy blankets are a valuable invention.
4. D. Avoid neonatal units that lack phototherapy.

Question 2

FAT IN A HEALTHY DIET: After years of bad publicity, it may sound absurd, but many dietitians are now extolling the virtues of consuming fat. According to Laurie Tansman, a nutritionist at Mt. Sinai Medical Center in New York, fat "not only plays a vital role in the health of the membrane of every cell in our body, it also helps protect us from a number of key health threats." Fat is a critical part of your necessary food intake, with a general recommendation that 30 percent of your daily calories should come from fat. Without it, your body would not be able to absorb or transport vitamins A, D, E, and K. Additionally, body temperature, hair follicles, and skin cells all rely on the consumption of fats to function properly. There is near-universal agreement that the healthiest fats are unsaturated fats. This category includes olive oil, sesame oil, walnut oil, avocado oil, and omega-3 fatty acids. When consumed in moderation, these fats can lower cholesterol levels, thereby reducing the risk of heart disease. Saturated fats, while not as healthy as unsaturated fats, should still be consumed more sparingly. These fats are commonly found in animal products such as beef, pork, and chicken. The least healthy of all fats are trans-fatty acids, or trans fats. Though trans fats can occur naturally in small amounts in animal products, they are more commonly found as artificially produced oils used for frying foods or softening prepackaged snacks. These fats increase the risk of heart disease, and the U.S. Dietary Guidelines recommend consuming as few trans fats as possible.

What is the meaning of the word moderation as used in the second paragraph?

1. A. Adequate amounts
2. B. Intervals of time
3. C. Excess
4. D. Variation

Question 3

Searching for medical information can be confusing, especially for first-timers. However, if you are patient and stick to it, you can find a wealth of information. Your community library is a good place to start your search for medical information. Before going to the library, you may find it helpful to make a list of topics you want information about and questions you have. Your list of topics and questions will make it easier for the librarian to direct you to the best resources. Many community libraries have a collection of basic medical references. These references may include medical dictionaries or encyclopedias, drug information handbooks, basic medical and nursing textbooks, and directories of physicians and medical specialists (listings of doctors). You may also find magazine articles on a certain topic. Look in the Reader's Guide to Periodical Literature for articles on health and medicine from consumer magazines.Infotrac, a CD-ROM computer database available at libraries or on the Web, indexes hundreds of popular magazines and newspapers, as well as medical journals such as the Journal of the American Medical Association and New England Journal of Medicine.Your library may also carry searchable computer databases of medical journal articles, including MEDLINE/PubMed or the Cumulative Index to Nursing and Allied Health Literature. Many of the databases or indexes have abstracts that provide a summary of each journal article. Although most community libraries don't have a large collection of medical and nursing journals, your librarian may be able to get copies of the articles you want. Interlibrary loans allow your librarian to request a copy of an article from a library that carries that particular medical journal. Your library may charge a fee for this service. Articles published in medical journals can be technical, but they may be the most current source of information on medical topics.

What is the meaning of the word 'popular' as it is used in the third paragraph?

1. A. complicated
2. B. old-fashioned
3. C. beloved
4. D. for the general public

Question 4

GOLDEN GATE BRIDGE: Linking San Francisco to Marin County in California, the Golden Gate Bridge is one of the most famous bridges in the world. The bridge crosses over a narrow strait that connects the Pacific Ocean to San Francisco Bay. Prior to the bridge, people traveled by ferry boat across the strait. Although most people thought a bridge was necessary to expedite travel, some residents of the Bay Area felt the risk of building the bridge was too great. Joseph Strauss believed that nothing was impossible and that dreams would never come to fruition if risks weren't taken. So, he decided to gather the best and brightest builders, architects, and workers to embark on the challenge of building a bridge across the Golden Gate Strait. With safety nets in place, construction began in 1937. Building the anchorages first, the builders then moved on to the towers on each end, and then to the three-foot-thick cables to support the suspension bridge. Lastly, workers labored to complete the roadway, which became the most dangerous and treacherous part of the entire task. The builders had to keep the bridge balanced so it wouldn't fall into the bay. Today, over sixty-five years later, the bridge remains a lifeline for the people of the San Francisco Bay Area.

What was the most dangerous part of building the Golden Gate Bridge?

1. A. Balancing the road to prevent collapse.
2. B. Constructing the towers due to their height.
3. C. Suspending the cables with difficulty.
4. D. Ensuring the critical balance of the bridge.

Question 5

For steady, incompressible flow through a pipe, the mass flow rate (ṁ) is related to the fluid density (ρ), cross-sectional area (A), and average velocity (v) via the continuity equation:

1. A. ṁ cannot be determined without additional information
2. B. ṁ = ρvA
3. C. Bernoulli's principle is solely applicable here
4. D. The equation of state for the specific fluid is required