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1. A 17-year-old college-bound student receives a vac- a.primary prevention.
cine against an organism that causes meningitis. This
is an example of
a.primary prevention.
b.secondary prevention.
c.tertiary prevention.
d.disease treatment.
2. After suffering a heart attack, a middle-aged man is c.tertiary prevention.
counseled to take a cholesterol-lowering medication.
This is an example of
a.primary prevention.
b.secondary prevention.
c.tertiary prevention.
d.disease treatment.
3. A patient has been exposed to meningococcal menin- b.latent
gitis, but is not yet demonstrating signs of this dis-
ease. This stage of illness is called the _____ stage.
a.prodromal
b.latent
c.sequela
d.convalescence
4. Which of the following is an example of a clinical symp- c.Headache
tom of disease or illness?
a.Runny nose
b.Fever
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c.Headache
d.Yellow sputum
5. Indicators that an individual is experiencing high d.pupil constriction.
stress include all the following except
a.tachycardia.
b.diaphoresis.
c.increased peripheral resistance.
d.pupil constriction.
6. Which is not normally secreted in response to stress? d.Insulin
a.Norepinephrine
b.Cortisol
c.Epinephrine
d.Insulin
7. Many of the responses to stress are attributed to acti- d.ACTH nd ACH.
vation of the adrenals and are mediated by
a.norepinephrine and insuln.
b.cortisol and epinephrine.
c.glucagon and testosterone.
d.ACTH nd ACH.
8. All the following stress-induced hormones increase a.aldosterone.
blood glucose except
a.aldosterone.
b.cortisol.
c.norepinephrine.
d.epinephrine.
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9. The primary adaptive purpose of the substances pro- a.energy and repair.
duced in the alarm stage is
a.energy and repair.
b.invoke resting state.
c.produce exhaustion.
d.set a new baseline steady-state.
10. The effect of stress on the immune system d.may involve enhance-
ment or impairment the
a.is unknown. immune system.
b.has been demonstrated to be non-existent in stud-
ies.
c.most often involves enhancement of the immune
system.
d.may involve enhancement or impairment the im-
mune system.
11. A physiologic response to the release of cate- c.increased glycogenoly-
cholamines during the alarm stage of stress response sis
would be:
a.increased gastrointestinal motility
b.constriction of the pupils
c.increased glycogenolysis
d.decreased heart rate
12. Marge is a 42-year-old woman who works full time d.identify precipitating
as a legal secretary and has three children, ages 6, stressors and initiate pre-
9, and 11 years. She was divorced 6 months ago and ventative measures.
relocated to a new school district. Her children are
adjusting to school, but Marge has not established
any friendships in the neighborhood. She presents in
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the clinic today with a severe migraine headache that
has not responded to her usual dose of ibuprofen.
Because stress or allostatic overload is believed to be
a significant factor in the etiologic progression of a
migraine headache, it may be helpful to suggest that
Marge:
a.avoid medicating her migraines.
b.eliminate stressful situations.
c.cope more effectively.
d.identify precipitating stressors and initiate preven-
tative measures.
13. Marge is a 42-year-old woman who works full time b.People respond to
as a legal secretary and has three children, ages 6, stressful situations in dif-
9, and 11 years. She was divorced 6 months ago and ferent ways.
relocated to a new school district. Her children are
adjusting to school, but Marge has not established
any friendships in the neighborhood. She presents in
the clinic today with a severe migraine headache that
has not responded to her usual dose of ibuprofen.
Marge indicates that she does not think her migraines
are a result of stress because her sister is in a much
worse life situation than she is and does not get mi-
graines. Which of the following statements is the best
reply?
a.Perhaps your sister's situation is not as bad as you
think it is.
b.People respond to stressful situations in different
ways.