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Chapter 11: Stress and Disease

Pathophysiology The Biologic Basis for Disease in Adults and Children, 7th Edition by Kathryn L.

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Chapter 11: Stress and Disease

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Exhaustion occurs if stress continues when which stage of the general adaptation syndrome is not successful?
a. Flight or fight c. Adaptation
b. Alarm d. Arousal

 

 

ANS:  C

Exhaustion occurs if stress continues and adaptation is not successful, ultimately causing impairment of the immune response, heart failure, and kidney failure, leading to death. The other stages occur before the adaptation stage.

 

PTS:   1                    REF:   Page 339

 

  1. Which organ is stimulated during the alarm phase of the general adaptation syndrome (GAS)?
a. Adrenal cortex c. Anterior pituitary
b. Hypothalamus d. Limbic system

 

 

ANS:  B

The alarm phase of the GAS begins when a stressor triggers the actions of the hypothalamus and the sympathetic nervous system (SNS) (see Figure 11-1). The other organs are not stimulated by the alarm phase of GAS.

 

PTS:   1                    REF:   Page 339

 

  1. During an anticipatory response to stress, the reaction from the limbic system is stimulated by the:
a. Retronucleus of the anterior pituitary
b. Anterior nucleus of the hippocampus
c. Paraventricular nucleus of the hypothalamus
d. Prefrontal nucleus of the amygdala

 

 

ANS:  C

The paraventricular nucleus (PVN) of the hypothalamus must be stimulated to cause the limbic system to be stimulated. The other options are not involved in the stimulation of the limbic system.

 

PTS:   1                    REF:   Page 341

 

  1. Which hormone prompts increased anxiety, vigilance, and arousal during a stress response?
a. Norepinephrine
b. Epinephrine
c. Cortisol
d. Adrenocorticotropic hormone (ACTH)

 

 

ANS:  A

Only the release of norepinephrine promotes arousal, increased vigilance, increased anxiety, and other protective emotional responses.

 

PTS:   1                    REF:   Page 343

 

  1. Perceived stress elicits an emotional, anticipatory response that begins where?
a. Prefrontal cortex c. Limbic system
b. Anterior pituitary d. Hypothalamus

 

 

ANS:  C

Perceived stressors elicit an anticipatory response that begins in the limbic system of the brain, the only option responsible for emotions and cognition.

 

PTS:   1                    REF:   Page 343

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