W9- SAD, Sleep Hygiene, Thyroid Conditions, UTI

Question 1

Seasonal affective disorder (SAD) commonly impacts many during which seasons throughout the year?
A. Spring
B. Summer
C. Fall
D. Winter
E. Both C & D

Answer 1

E. Both C & D (Winter and Fall)

Seasonal affective disorder (SAD) is a type of depression that’s related to changes in seasons. Symptoms start in the fall and continue into the winter months, sapping your energy and making you feel moody.

***Less often, SAD causes depression in the spring or early summer and resolves during the fall or winter months.

Question 2

Symptoms associated with SAD include:

A. Lack of interest in activities you once enjoyed
B. Having low energy and feeling sluggish
C. Having problems with sleeping too much
D. Experiencing carbohydrate cravings, overeating and weight gain
E. Having difficulty concentrating
F. Feeling hopeless, worthless or guilty
G. Having thoughts of not wanting to live
H. A-D
I. All of the above

Answer 2

I. All of the above

Question 3

True or False. Fall and Winter SAD symptoms are NOT any different than Spring and Summer SAD symptoms.

Answer 3

False.

Fall and Winter SAD symptoms:

• Oversleeping
• Appetite changes, especially a craving for foods high in carbohydrates
• Weight gain
• Tiredness or low energy

Spring and Summer SAD symptoms:

• Trouble sleeping (insomnia)
• Poor appetite
• Weight loss
• Agitation or anxiety
• Increased irritability

Question 4

People who have \_\_\_\_\_\_\_\_\_\_\_ are at increased risk of seasonal affective disorder. 
A. Schizophrenia
B. Depression
C. Bipolar disorder
D. Multiple Personality Disorder

Answer 4

C. Bipolar disorder

Question 5

What symptoms should indicate an individual experiencing SAD to reach out for medical support?
A. Continuous loss of appetite
B. Suicidal thoughts
C. Turning to alcohol to curb mood shifts
D. All of the above

Answer 5

D. All of the above

Question 6

Causes of SAD are not completely understood, yet some factors can play a part, which would include:
A. Your biological clock (circadian rhythm)
B. Low serotonin levels
C. Shifts in melatonin
D. A & B
E. All of the above

Answer 6

E. All of the above

Your biological clock (circadian rhythm)- The reduced level of sunlight in fall and winter may cause winter-onset SAD. This decrease in sunlight may disrupt your body’s internal clock and lead to feelings of depression.

Serotonin levels- A drop in serotonin, a brain chemical (neurotransmitter) that affects mood, might play a role in SAD. Reduced sunlight can cause a drop in serotonin that may trigger depression.

Melatonin levels- The change in season can disrupt the balance of the body’s level of melatonin, which plays a role in sleep patterns and mood.

Question 7

\_\_\_\_\_\_\_\_\_\_ deficiency is a risk factor for SAD.
A. Vitamin A
B. Vitamin D
C. Vitamin E
D. None of the above

Answer 7

B. Vitamin D

Deficits in vitamin D may exacerbate these problems because vitamin D is believed to promote serotonin activity.

Question 8

How is SAD treated?
A. Light therapy 
B. Antidepressant medications
C. Psychotherapy
D. Vitamin D
E. All of the above

Answer 8

E. All of the above

Question 9

True or False. SAD is commonly treated with SSRI medications.

Answer 9

True.

Because SAD, like other types of depression, is associated with disturbances in serotonin activity, antidepressant medications called selective serotonin reuptake inhibitors (SSRIs) are also used to treat SAD when symptoms occur.

Question 10

Sleep hygiene refers to good sleep habits that create a restful night. Some healthy habits include:

A. Be consistent. Go to bed at the same time each night and get up at the same time each morning, including on the weekends
B. Make sure your bedroom is quiet, dark, relaxing, and at a comfortable temperature
C. Remove electronic devices, such as TVs, computers, and smart phones, from the bedroom
D. Avoid large meals, caffeine, and alcohol before bedtime
E. Get some exercise. Being physically active during the day can help you fall asleep more easily at night.
F. All of the above

Answer 10

F. All of the above

Question 11

True or False. When people struggle with insomnia, sleep hygiene is an important part of cognitive behavioral therapy (CBT).

Answer 11

True.

**Cognitive behavioral therapy (CBT) helps you change actions or thoughts that can keep you from sleeping well. It helps you develop habits that promote a healthy pattern of sleep.

Question 12

True or False. Sleep hygiene also incorporates stress management techniques.

Answer 12

True.

Question 13

True or False. During prolonged carbohydrate deprivation, up regulation of thyroid gland secretion results in decreased plasma concentrations of total and free thyroxine.

Answer 13

False.

It is the INHIBITION of thyroid gland secretion from prolonged carbohydrate deprivation that results in decreased plasma concentrations of total and free thyroxine.

Declining plasma free thyroxine concentration is accompanied by a reduction in basal metabolic rate (BMR; resting energy expenditure).

Question 14

Chronic \_\_\_\_\_\_\_\_\_ deficiency produces hyperparathyroidism and
hyperthyroidism.
A. Magnesium
B. Vitamin D
C. Zinc

Answer 14

A. Magnesium

Question 15

Chronic deficiency of ________ produces hypothyroidism (with the associated symptoms of goiter, fatigue, low metabolism and weight gain).
A. Selenium
B. Iodine
C. Magnesium

Answer 15

B. Iodine

Question 16

The following are considered bladder irritants and should be avoided with UTI's.
A. Fruit juices
B. Water
C. Caffeine
D. Alcohol
E. C & D

Answer 16

E. C & D (caffeine and alcohol)

Question 17

True or False. Acidic foods can help with bacterial balance in UTI’s.

Answer 17

False.

Oranges, lemons or limes during the infection. They can irritate your bladder. However, once your infection is gone, eating acidic fruit with vitamin C can help prevent future infections.

Question 18

__________ creates a less tolerable environment for bacteria to grow, lowers the pH, maintaining urine acidity.
A. Vitamin E
B. Vitamin C
C. Vitamin D

Answer 18

B. Vitamin C

Question 19

Those with UTI’s should take _________ to help stimulates the growth of beneficial intestinal bacteria.
A. FOS
B. GOS
C. None of the above

Answer 19

A. FOS

Question 20

___________ acts as an anti-adhesion of bacteria to urinary tract wall in those with UTI.
A. Vitamin C
B. Cranberry
C. Citrus

Answer 20

B. Cranberry

Question 21

Hypothyroidism symptoms include:
A. Cold extremities
B. Difficulty losing weight
C. Depression; slow mental function
D. Dry skin, hair and brittle nails
E. Hair loss
F. Constipation
G.Poor/slow wound healing
H. All of the above

Answer 21

H. all of the above

Question 22

_______ and _______ play a role in thyroid receptor function.
A. Vitamin D, zinc
B. Vitamin A, zinc
B. Selenium, copper

Answer 22

B. vitamin A, zinc

Question 23

These vitamin and minerals are vital for thyroid function and those with hypothyroidism.
A. Iodine
B. Selenium
C. Zinc
D. Iron
E. Tyrosine
F. A-C
G. All of the above

Answer 23

G. All of the above

Question 24

Foods to stimulate thyroid production in those with hypothyroidism are:
A. seaweed and sea vegetables
B. animal proteins
C. leafy greens
D. orange fruits and veggies
E. All of the above

Answer 24

E. All of the above

Bright orange fruits and veggies are rich in vitamin A, which is needed for healthy immune function and to bring your active thyroid hormone into your cells. Orange fruits and vegetables also contain vitamin C, which stimulates the activity of white blood cells – a key component of your immune system.