KNs 350 Final, quiz questions – Flashcards
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The Authors considered the level of trauma associated with hip fractures. Which trauma level(s) were used to identify a hip fracture for this study?
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-low trauma -moderate trauma
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The primary measure of PA in this study was expressed in what format?
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-types of PA -MET-hours per week
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What table summarizes the overall risk reduction of hip fractures associated with physical activity?
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Table 2
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The authors concluded that as PA increases (MET-hrs/week) that the risk for hip fracture decreases. They concluded that for every increase of 3 MET hours/week that hip fracture risk would decline by how much?
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6%
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BMI, independently from PA, is associated with the risk of a hip fracture.
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TRUE
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Increasing BMI was associated with a decline in hip fracture risk. Which level of BMI was found to have this protection?
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30+
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A brisk/very brisk walking pace was found to reduce the risk for hip fractures by how much?
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65%
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According to lecture, if a person is active during the pre-treatment phase, they are more likely to maintain their immune system and maintain a more positive outlook.
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True
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According to lecture, the lower the stage of cancer, the higher the chance of survivability.
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True
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Risk factors for colon cancer include which of the following? (mark all that apply)
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(Mark everything BUT diet (high fiber/ low fat)) -Family history -Inflammatory bowel disease -Age (50 years)
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According to the CDC, there are at least how many types of cancer associated with overweight and obesity?
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13
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According to lecture, the late decrease in the rates for lung cancer can be most attributed to what factor?
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Cigarette Smoking
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Cancer is characterized as a group of related diseases characterized by uncontrolled growth of abnormal cells.
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True
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According to the CDC, which types of cancer are projected to increase the most between 2010 and 2020? (one type for males and one type for females)
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-Prostate Cancer -Breast Cancer
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Studies show that cancer patients who remain active during the post-treatment phase have better functional capacity and quality of life.
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True
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According to the CDC, cancer is projected to surpass heart disease as the leading cause of death
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True
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Cancer is the 2nd leading cause of death in the U.S.
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True
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According to lecture, increased cancer incidence in the southeast could be related to which of the following? (mark all that apply)
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(MARK ALL OF THEM) -Diet -Smoking habits -Exposure to risk factors -Physical activity
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According to the CDC, we see that cancer death rates are decreasing.
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True
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Abnormal cells are related to the exposure to carcinogens.
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True
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According to lecture, physical activity reduces colon cancer risk by... (mark all that apply
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(MARK ALL OF THEM) -Shorter bowel transit time -Improved insulin sensitivity and increase glucose uptake -Controlled weight gain with aging -Enhanced immune system
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According to the CDC, about _____ of all cancer diagnosed in women and _____ of those diagnosed in men are overweight- and obesity-related cancers.
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Answer 1: 55% Answer 2: 24%
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Cancer cells often activate oncogenes which are genes that inhibit mitosis.
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False
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The cancer incidence rate measures the risk to the average person of being diagnosed with cancer.
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True
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The cancer death rate measures the risk to the average person of living with cancer.
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False
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According to lecture, 1 out of every 4 deaths is due to cancer.
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True
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Risk factors for breast cancer include which of the following? (mark all that apply)
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(Mark all of them BUT diet (Low fat)) -Age -High SES -Hormone therapy
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According to the text, what percent of cancer is strongly hereditary?
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5%
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Who observed that sedentary workers had elevated risks of chronic disease, including cancer, in the early 1700s and is considered the father of occupational medicine and is an early cancer epidemiologist?
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Bernardino Ramazzini
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Cancers are named by their site of origin, even if they spread to another part of the body.
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True
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According to the text, cancers vary in what ways?
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(Mark all of them BUT blood supply) -Rate of growth -Pattern of spread -Responses to different types of treatment
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According to the text, almost half of men and over a third of women in the U.S. will develop some form of cancer during their lifetimes.
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True
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Match the following type of cancer with the characteristics that help identify it.
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Carcinomas: Breast, skin, colon, and lung cancer Sarcomas: Bone, muscle, and connective tissue cancer Lymphomas: Cancer of the lymphatic system Leukemias: Blood forming cells
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Which of the following has the highest mortality rate?
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Lung Cancer
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Carcinogens include which of the following? (Mark all that apply)
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(MARK ALL OF THEM) -Radiation -Chemicals -Prepared foods -Tobacco products
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Lung, breast, and colorectal cancer rates have been decreasing steadily.
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True
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Cancer is a leading cause of morbidity and mortality in high-income countries.
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True
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Cancer is a family of related disease that result from uncontrolled growth and spread of abnormal cells, which usually become a tumor.
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True
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According to the text, suicide death rates are highest among elderly men.
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True
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According to the text, the most comprehensive estimates of mental health problems among U.S. adults come from the National Comorbidity Survey Replication (NCS-R).
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True
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Which of the following are types of mood disorders? (mark all that apply)
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(MARK ALL OF THEM) -Substance-induced mood disorders -Depression -Mood disorders due to a medical condition -Bipolar or manic depressive disorder
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According to the text, the American Psychiatric association recognizes how many types of mood disorders?
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4
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According to the text, the WHO has projected that depression will be second only to CVD as the world's leading cause of death and disability by the year 2020 and will be first by 2030.
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True
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According to the CDC (2010a, 2010b), suicide is the ______ leading cause of death among 25 to 34 year-olds and the ______ leading cause of death among 15 to 24 year-olds.
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Answer 1: Second Answer 2: Third
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Some risk factors for suicidal behaviors include... (mark all that apply)
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(Mark all BUT older age) -Unmarried -Parental psychopathology -Female sex
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According to the book, the acute effects of exercise on the immune system were first reported over 100 years ago.
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True
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According to the text, the number of natural killer cells increases both after a heavy exercise bout and light exercise.
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False
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According to the text, regular physical activity could exert part of the protective effects against CVD, type 2 diabetes, dementia, and depression through anti-inflammatory effects.
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True
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According to the text, the immune system is an integrated network of molecules, cells, tissues, and organs that defends an organism against infection by foreign substances and against mutated native cells.
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True
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According to the book, experimental studies using men and women have shown that moderate physical activity seems to slow the growth of experimentally induced tumors.
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False
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Which of the following are neurological symptoms of Multiple Sclerosis?
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-Fatigue -Loss of sensitivity -Vision problems -Muscle weakness
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HIV is a retrovirus that uses the enzyme reverse transcriptase to replicate DNA from its single-stranded RNA in a host cell.
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True
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According to the text, neutrophils are are the main type of granulocytes that digest bacteria at the site of infection. They increase in number during and immediately after acute exercise.
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True
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According to the text, most studies of physical activity and the immune response among humans have understandably been limited to description of cells in the blood.
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True
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According to the text, it is believed that persistent inflammation is part of the pathogenesis in tumor growth but also in the development of atherosclerosis, insulin resistance, and neurodegenerative diseases of the CNS.
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True
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According to the text, a temporary suppression of the immune system after heavy exercise may provide a window of susceptibility to infection if exposure to a pathogen occurs while the number of cytotoxic cells is below normal.
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True
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Regular physical activity can have an inflammatory effect on diseases associated with low-grade inflammation.
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False
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According to lecture, it appears that heavy exercise of high volumes of exercise can increase our risk of upper respiratory infections.
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True
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Match the following characteristics with the corresponding type of immunity.
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Innate immunity: Rapid response, first line of defense, not selective, cellular defense Adaptive immunity: Slow response, highly selective, humoral response
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T lymphocytes are responsible for...
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Helping regulate & kill infected cells
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Natural killer cells are responsible for...
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Killing host cells (e.g. tumor)
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B lymphocytes are responsible for...
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Identifying pathogens
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Dendritic cells are responsible for...
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Antigen-presenting to T-cells
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According to the text, reducing body fatness seems to be the key to reducing elevated C-reactive protein with an exercise program in people who are obese and who have elevated levels.
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True
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Osteoporosis
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A disease characterizes by abnormally low bone mass
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Osteopenia
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Low bone mass that may lead to osteoporosis
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What measures bone mass
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DEXA or CT scan
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Vertebral Fractures
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accounts for 40% of fractures in older people
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Primary osteoporosis
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is held to be a bone disorder of relatively unknown origin that increases with aging and postmenopausal
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Secondary Osteoporosis
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is the type of osteoporosis that has a direct cause-osteoporosis that is caused by another disease but may not be independent of age or menopause
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Cortical Bone
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-80% of bone, compact
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Trabecular bone
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spongy, very metabolically active, most of the action
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Osteoblasts
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form new cells in the endosteum, bone forming cells
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Osteoclasts
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Reabsorb older bone cells, breaking down bone cells
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Osteocytes
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mature osteoblasts that continue in bone formation/growth
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Highest cancer site incidence for men
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lung prostate Colorectum
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Highest cancer site incidence for women
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breast lung colorectum
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What cancer site is associated with the highest mortality? Why?
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Lung Cancer, because it usually isn't found until its in a later stage
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Risk factors associated with cancer
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Exposure to toxic environments Smoking GI tract exposure to meats, high content of alcohol or diet high in fat and salt Excessive skin exposure Adiposity (centralized) Physical inactivity
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What neuromodulators are impacted by PA?
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Serotonin NE Endorphins dopamine
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How much of an effect does PA have on anxiety symptoms among healthy adults?
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Medium effect (0.40)
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What level of protection does PA provide for 'feelings of distress'?
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20-30% lower risk of distress
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How much protection against 'dementia' can an active person expect?
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With lifetime PA, one can expect a 37% lower risk of dementia
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Self-efficacy theory
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A belief in personal capabilities to organize and execute the courses of action required to attain a behavioral goal
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Theory of planned behavior
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Attitudes toward PA and social norms about PA influence the intention to become PA
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Self-determination theory
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Proposes that the social context shapes people's motives by reinforcing or impeding their natural drive toward developing a coherent sense of self and personally directed behaviors
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Behavior modification
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The planned, systematic application of principles of learning to the modification of behavior
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Cognitive behavior modification
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Allows people to learn to be active, while gaining sense of self regulation; teaches self-monitoring skills and goal setting; gives feedback on activity and helps the decision making process
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What TTM stage would incorporate relapse prevention?
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Stage 4 action