Physiology of stress Flashcards

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1
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

What physiological change is expected for the case?

a) allosteric challenge
b) homeostatic challenge
c) both A and B
d) none of the above

A

A

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2
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

His metabolic rate is expected to be:

a) unchanged
b) increased
c) decreased
d) a or b

A

B

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3
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

Among the hormones controlled by the hypophyseal-pituitary axis(HPA), which is expected to be elevated in his system?

A. FSH
B. LH
C. T4
D. Cortisol

A

D

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4
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

Among the hormones controlled by the sympatho-adrenal axis, whichof the ff is expected to be depressed in his system?

a. Glucagon
b. insulin
c. Epinephrine
d. aldosterone

A

B

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5
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

One would expect the glucose levels of the patient to be

A. Normoglycemic
B. Hypoglycemic
C. Hyperglycemic
D. NOTA

A

C

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6
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

Which metabolic process would be inhibited in this system?

a. Gluconeogenesis
b. Glycolysis
c. Lipolysis
d. Glycogenolysis

A

B

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7
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

The metabolic process increased in his system would be

a. gluconeogenesis
b. glycolysis
c. protein synthesis
d. glycogen synthesis

A

A

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8
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

Most of his ATP’s will be generated by this process.

A. Glycosis

b. Ketone body oxidation
c. Beta-oxidation of free fatty acids
d. None of the above

A

C

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9
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

Two weeks burn, skeletal musculature atrophic because

a. increase muscle proteolysis
b. increase demand for glucogeonic amino acid
c. failure in ketone body adaptation
d. aota

A

D

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10
Q

A 35yo man was admitted to the Burn Unit for severe burn injuriesinvolving 75% of his total body surface area. He has undergone severalsurgical procedures to address his burn injuries. He is on his 6th day in the Burn Unit.

The following measures would attenuate the deleterious effects of stress response in this patient,

a. analgesia
b. sedation
c. provision of nutritional therapy
d. aota

A

D

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11
Q

Stress experienced is mainly due to a person’s perception

A. True
B. False

A

A

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12
Q

For patients with criminal acts, it is pertinent to ask questions about chronic stressors/feelings of aggression.

A. True
B. False

A

A

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13
Q

Daily hassles had a stronger relationship to health status than daily uplifts.

A. True
B. False

A

B

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14
Q

Exams need to be viewed as challenges rather than stressors in order to elicit release of helpful hormones

A. True
B. False

A

A

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