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​Austin suffers from recurrent intrusive memories of his experiences as a fire fighter at the time of the World Trade Center attacks. He also has unpleasant dreams that replay some of these experiences. Austin is most likely suffering from


A) ​clinical depression.
B) ​schizophrenia.
C) ​posttraumatic stress disorder.
D) ​transcendent psychosis.

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Research in the field of psychoneuroimmunology has found evidence that immune function can be decreased by​


A) ​examination stress for medical school students.
B) ​caring for somebody with Alzheimer's disease.
C) ​relationship conflict affecting married couples.
D) ​all of these.

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Which of the following individuals would be most likely to have decreased immune system functioning?


A) Anna, who will be taking her first examination in psychology this week
B) Nathan, who has an hour-long commute to school every week
C) Marissa, who just given birth to her first child
D) Claude, who is unemployed and lives in a high-crime neighborhood

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​A recent working hypothesis by some researchers is that proinflammatory cytokines may contribute to, and even possibly cause, asthma to develop. What is a valid reason for this hypothesis?


A) ​Asthma itself is a disease fundamentally involving higher rates of inflammation.
B) ​Asthma affects more poor African Americans with higher rates of inflammation.
C) ​Asthma is a disease, and all diseases develop from higher rates of inflammation.
D) ​Asthma patients tested before diagnosis all showed higher rates of inflammation.

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The development of immunity depends on the creation of​


A) ​leukocytes.
B) ​natural killer cells.
C) ​antigens.
D) ​antibodies.

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​When Sheldon Cohen and his colleagues intentionally exposed healthy volunteers to common cold viruses, they found that their previous level of stress was


A) ​unrelated to subsequent number of colds.
B) ​related in a dose-response manner to subsequent number of colds.
C) ​positively related to subsequent number of colds but not in a dose-response manner.
D) ​inversely related to subsequent number of colds.

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​Concerning rheumatoid arthritis and stress, what do recent research results suggest?


A) ​Stress may contribute to development of rheumatoid arthritis.
B) ​Stress is found to be a typical result from rheumatoid arthritis.
C) ​Stress is found to exacerbate symptoms of rheumatoid arthritis.
D) ​Stress may contribute in all these ways to rheumatoid arthritis.

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__________ experience poorer psychological and physical health, longer healing times for wounds, and lowered immune functioning.


A) First-time mothers
B) First-time fathers
C) Alzheimer's caregivers
D) People who are elderly

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​Rheumatoid arthritis is considered an autoimmune disease. How do scientists describe the mechanism of such autoimmune disorders?


A) ​The patient's immune system mistakenly attacks some part of the patient's body.
B) ​The patient's immune system is unable to defend some part of the patient's body.
C) ​The patient's immune system leaves byproducts from combating another disease.
D) ​The patient's immune system reacts to inflammation by increasing inflammation.

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Which of these is NOT an organ of the immune system?


A) Liver
B) Spleen
C) Tonsils
D) Thymus

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​Research studies find that stress may contribute to the development of:


A) ​Type 1 diabetes, not Type 2 diabetes.
B) ​Type 1 diabetes and Type 2 diabetes.
C) ​Type 2 diabetes, not Type 1 diabetes.
D) ​Insulin resistance, but not of diabetes.

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Which have researchers found about marital conflict relative to immune response?​


A) ​Marital conflict disrupts immune response regardless of whether or how couples communicate.
B) ​Marital conflict disrupts immune response less for couples who communicate productively.
C) ​Marital conflict disrupts immune response less for couples who communicate in any way.
D) ​Marital conflict disrupts immune response more for couples who communicate in any way.

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​_______ may help explain why stress can lead to depression.


A) ​Increased cytokine production
B) ​Decreased cytokine production
C) ​Increased T-cell production
D) ​Increased activity of natural killer cells

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Autoimmune disease occurs when​


A) ​the immune system loses its effectiveness.
B) ​T-cells are reduced by 90%.
C) ​malignant cells proliferate, producing a demand for numerous immune system responses.
D) ​the immune system attacks body cells rather than invaders.

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​Evidence regarding the effects of stress on depression indicates that


A) ​stress appears to be a necessary condition for developing depression.
B) ​stress is a sufficient condition for the development of depression.
C) ​stress is involved in more than one half of all depressive episodes.
D) ​vulnerability and coping ability mediate how stress affects depression.

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Explain how the immune system can communicate with the nervous system, how such communication can be reciprocal, and how these relate to stress and illness.

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A. The immune system's cells secrete che...

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The diathesis-stress model hypothesizes that​


A) ​stress is most likely to produce illness in a healthy person.
B) ​stress and psychological functioning interact to produce better health.
C) some people are more inherently vulnerable to the effects of stress.​
D) ​some people learn to cope with stress but not with stressful life events.

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A function of lymph nodes is to​


A) ​secrete thymosin.
B) ​serve as a holding station for red blood cells.
C) ​cleanse lymph of foreign debris.
D) ​all of these.

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With regard to stress and disease,​


A) ​executives are more likely than middle-level managers are to develop diseases associated with stress.
B) ​stress can affect disease development directly through the immune system or indirectly through behaviors.
C) ​stress is more likely to result in psychological disorders than it is to result in physiological diseases.
D) ​both a and c are correct.

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​A study (Sepa et al., 2005) found that stress may directly influence insulin-dependent (Type 1) diabetes development through:


A) ​immune system disruption during infancy.
B) ​higher rates of perceived stress over years.
C) ​influencing patient levels of blood glucose.
D) ​inflammation producing insulin resistance.

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