Ch. 10 Stress and Disease

Question 1

Which of the following is NOT one of the successive stages in the development of general adaptation syndrome?
  Stage of alarm
  Stage of resistance or adaptation
  Stage of termination 
  Stage of exhaustion

Answer 1

Stage of termination

Question 2

Which of the following is the definition of the “reactive response”?
Mounting a response in anticipation of a stressor
Mounting a response in reaction to a stressor
Mounting a response to a learned stressor
Mounting a response to a physical stressor

Answer 2

Mounting a response in reaction to a stressor

Question 3

A person is experiencing a stress response. Which of the following is the location of initiation of this stress response?
  Peripheral nervous system
  Exocrine system
  Parasympathetic nervous system
  Central nervous system

Answer 3

Central nervous system

Question 4

A person experiences a stress response after an assault. The sympathetic nervous system is stimulated. Which of the following receptors is stimulated?
  α-Adrenergic receptors
  β-Receptors
  ACTH
  GH

Answer 4

a-Adrengergic receptors

Question 5

A bank teller experiences a stress reaction when she is being held at gunpoint. Which of the following is TRUE regarding the effects of the epinephrine circulating in her body?
The heart rate will slow down.
The heart’s contractility will be decreased.
Blood vessels to skeletal muscle will constrict.
There will be transient hyperglycemia

Answer 5

There will be transient hyperglycemia

Question 6

A person is involved in an automobile accident. Cortisol release is activated by ACTH. Which of the following is a TRUE statement regarding cortisol?
  It is plasma bound to corticotropin.
  Gluconeogenesis is halted.
  Cortisol increases blood glucose. 
  Cortisol decreases protein synthesis.

Answer 6

Cortisol increases blood glucose

Question 7

Which of the following is a TRUE statement regarding the immune system in response to stress?
There is an increase in Th1.
There is a shift in Th1.
There is no effect on the immune system.
It acts through cortisol.

Answer 7

It acts through cortisol

Question 8

Which of the following is the function of norepinephrine?
Increases contraction of the heart
Constricts smooth muscle in all blood vessels
Secretes steroid hormones
Stimulates adrenal medulla

Answer 8

Constricts smooth muscle in all blood vessels

Question 9

Corticotropin-releasing hormone (CRH) influences the immune system. Which of the following statements regarding CRH is TRUE?
It is also released from peripheral inflammatory sites.
It causes vasoconstriction.
It causes decreased vascular permeability.
Red blood cells are the peripheral targets.

Answer 9

It is also released from peripheral inflammatory sites

Question 10

Which of the following is a TRUE statement regarding stress and the immune system?
There are no known immune-related conditions.
Cardiovascular disease is one condition that is related to stress.
There is a decreased level of proinflammatory cytokines.
Negative emotions cause no alterations in cytokine production.

Answer 10

Cardiovascular disease is one condition that is related to stress

Question 11

Which of the following statements about psychologic stress is NOT true?
Psychologic stress can manifest as physiologic, emotional, cognitive, and behavioral changes.
There are other factors that may modulate the immune response to psychologic stress.
Depression is associated with reduced lymphocyte proliferation and NK cell activity.
Antibody titers have been shown to be decreased in students who are stressed.

Answer 11

Antibody titers have been shown to be decreased in students who are stressed