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Health Psychology Take Home Final -- Fall 2006 Name: ______________________________________ ______ 1. Celina, a fast-food restaurant manager, wants to reduce her risk for CVD (cardiovascular disease). She is 28 years old, about 15 pounds overweight, smokes a pack of cigarettes per day, drinks moderately, and has no family history of heart disease. Celina's BEST course of action would be to A) lose 10 pounds B) stop smoking C) stop drinking alcohol D) exercise moderately 4-5 times per week E) stop eating foods cooked in monounsaturated fats ______ 2. HIV progresses over a decade or more through four stages, the first of which is often characterized by A) a CDR+ T-lymphocyte count of less than 200 B) a period in which the person experiences few, if any symptoms C) symptoms of fever, sore throat, skin rash, and headache (due to rising HIV count) D) none of the above ______ 3. ___________ occurs as a result of the blockage of a coronary artery and the subsequent death of part of the heart muscle. A) Myocardial infarction B) Primary cardiac arrest C) Sudden death D) Atherosclerosis ______ 4. Hypertension refers to A) high blood pressure B) high cardiovascular reactivity C) a poor HDL:LDL ratio D) a subtype of cardiomyopathy ______ 5. The buildup of plaque in the inner walls of the artery is called A) essential hypertension C) atherosclerosis B) angina pectoris D) ischemia ______ 6. The Type A behavior syndrome is characterized by A) hostility, time urgency, and competitive achievement strivings. B) negative affectivity, hostility, and competitive achievement strivings. C) commitment, chronic stress, and time urgency. D) commitment, hostility, and competitive achievement strivings. ______ 7. According to research by Dr. Redford Williams, which of the following is not a component of hostility? A) Cynicism C) Pessimism B) Anger D) Aggression _____ 8. The most accurate measure of body fat percentage is A) hydrostatic weighing B) skinfolds measurement C) bioelectrical impedance D) BMI _____ 9. The statistics on obesity in the U.S. are based on A) hydrostatic weighing C) bioelectrical impedance B) skinfolds measurement D) BMI _____ 10. As with mice, human obesity is clearly related to leptin-deficiency. A) true B) false ______ 11 A) B) C) D) E) A man who has a risk factor for cardiovascular disease (CVD) will develop CVD if he lives long enough will not develop CVD unless he has two or more risk factors is more likely to develop CVD than someone without the risk factor exhibits some of the behavioral as well as some of the physical causes for CVD all of the above ______ 12. Compared to Americans living in the early 1900s, Americans nowadays are more likely to die from A) acute infectious disorders B) diseases contracted during an epidemic, such as influenza C) disorders related to lifestyle D) none of the above ______ 13. Tension headaches and enuresis are examples of A) psychological conditions secondary to illness B) behavioral risk factors for disability C) physical symptoms responsive to behavioral interventions D) conversion disorders ______ 14. Susan reports having depressed mood, suicidal thoughts, and low energy. You discover that her symptoms appear to be a result of an underactive thyroid gland (i.e., hypothyroidism). This is an example of a A) conversion disorder. B) somatic presentation of psychological dysfunction. C) psychological presentation of an organic problem. D) psychological complication of treatment. ______ 15. Evidence is most clear for a relationship between stress and A) ulcers B) Alzheimer's disease C) decreased immune function D) cancer Essay (Answer seven of the eight questions.) 10 points each Type your answers. Use 12 point Times New Roman font, DOUBLE-SPACED. Answers should be between ½ page and 1 page. NO MORE THAN 1 PAGE PER ANSWER!!! 1. Discuss the relationship between genetics and environmental factors in obesity. How can we best understand the CDC slides that show the incredible increase in U.S. rates of obesity from 1986 – 2006? 2. Describe a research study that supports a relationship between personality and heart disease. 3. Describe “cultural/historical grief” and how it affects the health of the Cherokee. 4. How do cultural factors influence the behaviors that put someone at risk for HIV infection and for its spread? 5. Having taken this health psychology class, you now want to get a close friend to eat better. You think the Health Beliefs Model is useful in understanding health behavior change. Write questions that you would ask your friend to assess each component of the model. 6. How does cognitive appraisal relate to pain perception? Use the interview with Michelle (my friend with Rheumatoid Arthritis who came to our class) to provide support for your answer. Make sure to discuss Gate Control theory in your answer. 7. “Stress causes illness.” Do you agree with this statement? Critically analyze the evidence related to this statement. Be sure to use research studies of both humans and non-human primates to defend your answer. 8. What has been the most important thing you learned in this class and why?