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Lesson 19 Certification Quiz

You will have two opportunities to take each lesson quiz and achieve a passing score of 80% or higher. Please make note of all incorrect answers during your first attempt so that you can apply that information during your second attempt. A reminder that an 80% or higher score on 90% of your program quizzes is one of the A-CFMP Certification Application requirements. All quiz questions will be available for practice and review within the A-CFMP Certification Lesson (once purchased).

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Question 1 of 10

1. Question
Which of the following is a factor that determines the magnitude of HPA response to stress?
- a. Unpredictable nature of event.
- b. Perceived threat to body or ego.
- c. Sense of loss of control.
- d. All of the above.
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Question 2 of 10

2. Question
Bright light exposure during the day helps to regulate cortisol levels and balance the HPA axis, and this anchors light and your circadian rhythm.
- a. True. Daytime light exposure causes light at night to have less of an effect on shifting circadian rhythms.
- b. False. Regardless of daytime exposure, night light has the same impact on shifting circadian rhythms.
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Question 3 of 10

3. Question
How does the body protect itself from chronically elevated cortisol levels?
- a. Downregulating the HPA axis.
- b. Reducing cortisol production.
- c. Downregulating expression of glucocorticoid receptors.
- d. All of the above.
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Question 4 of 10

4. Question
Overstimulation of our sympathetic nervous system is a major causative factor of stress-related disease.
- a. True. We rarely discharge the buildup of stress hormones and neurotransmitters that are flowing through our body to get us ready for fight or flight, causing harmful buildup.
- b. False. Stress-related disorders rarely impact the sympathetic nervous system for long, instead causing neurochemical imbalances that are often not diagnosed.
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Question 5 of 10

5. Question
Which work shift is the worst for the HPA axis and circadian rhythm?
- a. Night shifts
- b. Morning shifts
- c. Alternating shifts
- d. A & C
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Question 6 of 10

6. Question
There’s a bidirectional relationship between the HPA axis and metabolic functions where dysregulation in one harms the other and leads to a vicious cycle.
- a. True. Factors that cause glycemic dysregulation, like poor diet, lack of sleep, or lack of exercise, will also dysregulate the HPA axis, which, in turn, causes glycemic dysregulation.
- b. False. While glycemic dysregulation can harm HPA axis balance, the HPA axis does not impact metabolic systems when harmed by other factors originally.
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Question 7 of 10

7. Question
Which test is one of the most reliable measures of HPA axis responsiveness or function?
- a. Morning free cortisol test
- b. TSH
- c. Norepinephrine levels
- d. Insulin tolerance test
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Question 8 of 10

8. Question
What is the most significant circadian rhythm disruption for most people?
- a. Nighttime light exposure
- b. Jet lag
- c. Sleep deprivation
- d. Lack of daytime light exposure
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Question 9 of 10

9. Question
What class of drug can negatively impact the HPA axis?
- a. SSRI antidepressants
- b. Corticosteroids
- c. NSAIDs
- d. A & B
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Question 10 of 10

10. Question
What is a key factor in protecting an animal or a human being from stress-induced disease?
- a. Proper diet and nutrition
- b. A sense of control
- c. Social support
- d. All of the above
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