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In regard to the gate control theory, the are thought to open the gates, allowing pain sensations to be Transmitted, while Are thought to close the gate and block the sensations.


A) small fibers; large fibers
B) large fibers; small fibers
C) small fibers; internal fibers
D) psychological factors; physiological fibers

E) None of the above
F) B) and C)

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In keeping daily records of the stressful events in their lives, patients in pain management programs are taught to be very specific about all of the following EXCEPT


A) the actual time of day that they experience stress.
B) what seems to "trigger the stress."
C) how they attempted to control the stress.
D) the level of intensity of the stress.

E) C) and D)
F) B) and C)

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How does early life stress contribute to cardiovascular disease, type 2 diabetes, and cancer?


A) Increases blood sugar levels
B) Increases platelets
C) Increases inflammation
D) Decreases serotonin

E) All of the above
F) B) and D)

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Which of the following factors is most closely related to how well you think you can cope with a threat or challenge?


A) Control
B) Effort
C) Cortisol
D) Practice

E) All of the above
F) A) and B)

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During laboratory stress tests, which of the following individuals has been shown to have greater reactivity in their blood pressure?


A) Those with normal blood pressure whose parents had normal blood pressure
B) Those with normal blood pressure whose parents had high blood pressure
C) Those with very low blood pressure whose parents had low blood pressure
D) Those with very low blood pressure whose parents had normal blood pressure

E) None of the above
F) B) and D)

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When pain is induced after people are given a placebo, they feel less pain because


A) the endogenous opioid system is activated.
B) they simply report less pain.
C) they think they feel less pain.
D) they pretend to have pain.

E) B) and C)
F) C) and D)

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Which of the following immune cells enhance immune system responses by signaling B cells to produce antibodies and signaling other T cells to destroy antigens?


A) B cells
B) Helper T cells
C) T suppressor cells
D) NK cells

E) A) and B)
F) A) and C)

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Knowledge derived from the behavioral sciences applied to the prevention, diagnosis, and treatment of medical problems is called


A) health psychology.
B) behavioral medicine.
C) psychophysiological disorders.
D) psychosomatic medicine.

E) A) and B)
F) A) and C)

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Pain may be associated with ________________________.


A) decreased natural killer (NK) cells
B) increased natural killer (NK) cells
C) increased B cells
D) decreased T cells

E) B) and D)
F) None of the above

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In a comprehensive headache treatment program, people who were low users of analgesic medications achieved at least a reduction in headache severity and frequency.


A) 25%
B) 50%
C) 75%
D) 99%

E) B) and C)
F) A) and B)

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It has been suggested that biofeedback relieves the pain of tension headaches because it "teaches people to relax," but it is more likely that


A) the patients whose pain is seemingly relieved by biofeedback are probably also taking aspirin or Tylenol.
B) biofeedback training gives patients a sense of control over their headache pain.
C) biofeedback has a "numbing effect" because it affects the nerve endings in the somatic nervous system.
D) patients experience a placebo effect because the headache pain returns once the biofeedback sessions are completed.

E) B) and C)
F) A) and D)

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Researchers who study the clinical experience of pain have determined that pain is


A) entirely due to physical causes.
B) entirely due to psychological causes.
C) neither entirely physical, nor entirely psychological.
D) always due to unknown and unpredictable factors.

E) A) and B)
F) A) and C)

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Smoking is the leading preventable cause of death in the Unites States and lowers the overall national life expectancy because of:


A) premature death.
B) maternal mortality.
C) its link with poor eating habits.
D) its link with alcoholic consumption.

E) B) and C)
F) A) and C)

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According to Holroyd et al., (1984) biofeedback may decrease pain because it


A) instills a sense of control over the pain.
B) decreases tension.
C) increases awareness of the body.
D) decreases sensitivity to pain.

E) B) and C)
F) A) and C)

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Lifestyle factors includes things such as:


A) Smoking
B) Nutrition
C) Physical activity
D) All of the above are lifestyle factors

E) C) and D)
F) A) and B)

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Various psychological factors have been used to explain individual variations in blood pressure, including all of the following EXCEPT .


A) coping style
B) personality
C) level of stress
D) cognitive skills

E) None of the above
F) A) and D)

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All of the following situations have been associated with lowered immune system functioning EXCEPT


A) marital conflict or relationship difficulties.
B) job loss.
C) death of a loved one.
D) pregnancy.

E) None of the above
F) A) and B)

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Based on findings from clinical research, treatment programs for chronic pain focus primarily on


A) surgical procedures.
B) herbal remedies.
C) psychological factors.
D) experimental procedures for pain relief.

E) B) and D)
F) A) and C)

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Jon W. has just been diagnosed with cancer. His initial response is to deny the seriousness of his condition. This type of coping mechanism


A) will enable him to develop better coping mechanisms later.
B) is never psychologically helpful.
C) doesn't really help him endure the initial shock any more easily.
D) results in higher levels of corticosteroids (stress hormones) .

E) All of the above
F) B) and C)

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Continuous secretion of the stress hormone cortisol by the adrenal glands can lead to all of the following EXCEPT


A) damage to the hippocampus.
B) impaired functioning of the immune system.
C) muscle atrophy.
D) low blood pressure in the cardiovascular system.

E) All of the above
F) B) and D)

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