Chapter 4: Stress Response Multiple choice

Question 5 of 5 The wear and tear on the body from chronic stressors is known as ______________. The resistance stage of stress Allostatic load The active recovery stage of stress Allostasis Epistasis

Allostatic load

Question 3 of 5 Which hormone directly reduces the effectiveness of the immune system in the body in response to prolonged stress? Adrenocorticotropic hormone (ATCH) Antidiuretic hormone (ADH) Cortisol Thyroid stimulating hormone (TSH) Corticotropic releasing factor (CRF)

Cortisol

Question 3 of 7 As you continue reviewing Jennifer's chart, you note the following finding. Drag and drop the hormone(s) most likely responsible. WBC Elevation---- Aldosterone Cortisol Epinephrine Norepinephrine ADH

Cortisol CORRECT. Cortisol is one of the primary hormones released during the stress response. It is produced and released from the adrenal cortex. During acute stress, cortisol stimulates an increase in white blood cell number. In prolonged stress, elevated cortisol induces a suppression of the immune response. For this reason, corticosteroids are common anti-inflammatory medications.

Question 1 of 5 Which hormone(s) is/are responsible for the increase in glucose availability in the body in response to stress? Select all that apply. Cortisol Antidiuretic hormone Epinephrine Norepinephrine Aldosterone

Cortisol epinephrine

Question 4 of 5 Which hormone is released from the adrenal medulla? Cortisol Anti-diuretic hormone Epinephrine Adrenocorticotropic hormone Corticotropin-releasing factor

Epinephrine

Question 7 of 7 As you continue reviewing Jennifer's chart, you note the following finding. Drag and drop the hormone(s) most likely responsible. Increased Respiration: Aldosterone Cortisol Epinephrine Norepinephrine ADH

Epinephrine Norepinephrine Epinephrine and norepinephrine, released from the adrenal medulla due to sympathetic nervous system activation, bind with adrenergic receptors on the bronchioles, causing bronchodilation and increasing respiration. The effect of these hormones, particularly epinephrine, is why EpiPens are used to counteract airway closure during severe allergic responses.

Question 4 of 7 As you continue reviewing Jennifer's chart, you note the following finding. Drag and drop the hormone(s) most likely responsible. Increased HR--- Aldosterone Cortisol Epinephrine Norepinephrine ADH

Epineprine Norepinephrine CORRECT. Epinephrine and norepinephrine are hormones released from the adrenal medulla in response to sympathetic nervous system activation. Both hormones interact with adrenergic receptors on the heart to elevate heart rate.

Question 5 of 7 As you continue reviewing Jennifer's chart, you note the following finding. Drag and drop the hormone(s) most likely responsible. Increased Sweating: Aldosterone Cortisol Epinephrine Norepinephrine ADH

Norepinephrine Epinephrine CORRECT. As both norepinephrine and epinephrine stimulate metabolism and heart rate, they contribute to the increased sweating observed in the stress response.

Question 2 of 5 What are the three primary players in the body's response to stress? Kidney, brain, gastrointestinal tract Brain, parasympathetic system, adrenal glands Brain, sympathetic nervous system, adrenal glands Adrenal glands, brain, kidney Sympathetic nervous system, adrenal glands, kidney

Sympathetic nervous system, adrenal glands, kidney

Question 2 of 7 As you continue reviewing Jennifer's chart, you note the following finding. Drag and drop the hormone(s) most likely responsible. Decreased Urine Output-- Aldosterone Cortisol Epinephrine Norepinephrine ADH

ADH Aldosterone Both aldosterone and ADH work to decrease urine output and retain water in the body, increasing blood volume. As blood volume is closely related to blood pressure, these hormones are one means by which the body maintains blood pressure during the stress response. Aldosterone decreases urine output by stimulating water and sodium reabsorption by the kidneys. ADH stimulates water retention by the kidneys.

Question 1 of 5 According to Hans Selye, what are the three stages of the stress response in order? Alarm, resistance, exhaustion Alarm, allostasis, exhaustion Allostasis, resistance, exhaustion Resistance, alarm, exhaustion Resistance, allostasis, exhaustion

Alarm, resistance, exhaustion

Question 6 of 7 As you continue reviewing Jennifer's chart, you note the following finding. Drag and drop the hormone(s) most likely responsible. Increased Blood Pressure: Aldosterone Cortisol Epinephrine Norepinephrine ADH

All of them Because blood flow is dependent on blood pressure, it is critical that blood pressure be maintained during the stress response. Thus, several hormones work to keep blood pressure elevated. ADH and aldosterone stimulate water retention and increased blood volume. Increased blood volume increases blood pressure. Cortisol causes vasoconstriction, which elevates blood pressure. Epinephrine and norepinephrine stimulate increased heart rate and contractility, which increase blood pressure.

Question 5 of 5 Who created the theory of allostasis and the body's response to chronic stressors? Hans Seyle Albert Kuppfer Carl Langerhans Bruce McEwen Frank Starling

Bruce McEwen

Question 1 of 7 Following a traumatic car accident, Jennifer, a 22-year -old college student, was rushed to the Emergency Department by ambulance transport. In addition to multiple shallow lacerations and broken bones that were apparent, clinicians were worried that Jennifer may be experiencing internal hemorrhaging and rushed her to surgery. Jennifer's body is experiencing a stress response that involves activation of the brain, sympathetic nervous system and adrenal glands. This activation results in the release of numerous hormones. While you are reviewing her chart, you look through her laboratory values. For each symptom or laboratory result, select the hormone most likely responsible. Remember multiple hormones can affect a lab value. Drag the appropriate hormone(s) into the box. Increased Blood Glucose---- Aldosterone Cortisol Epinephrine Prolactin ADH

Cortisol and Epinephrine

Which organ produces each hormone Cortisol Norepinephrine Epinephrine ADH Aldoesterone

Cortisol- The hypothalamus also places a key role in the response to stress by releasing corticotropin-releasing factor, known as CRF. CRF stimulates the anterior pituitary to release adrenocorticotropic hormone, or ACTH, which stimulates the adrenal cortex to produce cortisol. Norepinephrine-SNS Ephinephrine- SNS---> activated the adrenal medulla---> epinephrine ADH-Brain----> posterior pituitary Aldosterone- Adrenal cortex

What is the function of each hormone? Cortisol Norepinephrine Epinephrine ADH Aldoesterone

Cortisol-Cortisol works to elevate blood glucose during stress. Initially, cortisol increases immune system activity; however, over time, it actually suppresses the immune system. Norepinephrine- , which works on many targets and induces responses such as increases in heart rate, blood pressure, blood flow to skeletal muscle, sweating, and bronchodilation. Norepinephrine also decreases activity in the GI tract and genitourinary system. Epinephrine- Epi increases heart rate, blood pressure, and blood glucose and causes bronchodilation ADH- ADH reduces urine output, which in turn, causes retention of fluid within the body. This helps to maintain blood pressure Aldosterone- . Maintaining blood volume and blood pressure is an important stress response the body institutes. Aldosterone helps with this by retaining sodium and water.

Question 3 of 5 Activation of the sympathetic nervous system during stress does NOT cause which of the following? Increased heart rate Increased blood pressure Increased gastrointestinal activity Increased blood flow to skeletal muscle Increased bronchiole dilation

Increased gastrointestinal activity

Question 2 of 5 Which reactions are examples of a physical reaction initiated by the body in response to a stressor? Select all that apply. Increased sweating Increased digestive action Increased blood flow to the extremities Increased activity of the genitourinary system Increased respiration

Increased sweating Increased respiration Stress causes Increased heart rate, Increased vasonconstriction of peripheral arteries, increased blood pressure, increased blood flow to the skeletal muscles, increased bronchodilation, pupil dilation the GI System activity slows, sweating increases, dry mouth

Question 4 of 5 Which of the following statements are true? Select all that apply. Hans Selye coined the term "allostatic load." Anti-diuretic hormone is inhibited during stress. Epinephrine is released from the adrenal medulla. Cortisol inhibits increases in blood glucose. Stress activates the SNS (sympathetic nervous system).

Stress activates the SNS (sympathetic nervous system). Epinephrine is released from the adrenal medulla.