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Lesson 21 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
Metabolic reserve is the stored-up reserve that’s available for each metabolic and organ system to maintain and rebuild its physiological resilience.
- a. True. This is the long-term capacity to withstand repeated changes in physiological needs.
- b. False. This refers to stored-up nutrients that are released when a stress from malnutrition occurs.
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Question 2 of 10

2. Question
What gets activated during a fight-or-flight stress response?
- a. Parasympathetic nervous system
- b. Sympathetic nervous system
- c. Enteric nervous system
- d. Peripheral nervous system
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Question 3 of 10

3. Question
What is the root difference that makes modern stress more harmful than most evolutionary stressors?
- a. It is immediate and distinct.
- b. It is more often life threatening.
- c. It is nearly constant, albeit often at a lower intensity.
- d. A & B
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Question 4 of 10

4. Question
What lifestyle difference(s) make responses to stress different for modern people?
- a. Less nutrient-dense diet.
- b. Out of sync with natural light and dark cycles.
- c. Less sleep.
- d. All of the above.
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Question 5 of 10

5. Question
The repeated activation of the HPA axis eventually leads to downregulated response to new stressors.
- a. True. This is the body’s attempt to protect itself from chronically elevated cortisol levels.
- b. False. New stressors always elicit HPA response since there is a novelty component that is activating.
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Question 6 of 10

6. Question
What causes most stress-induced changes in physiological function?
- a. Inflammation from food sensitivities.
- b. Alterations in gene regulation triggered by glucocorticoids.
- c. Genetic predisposition as people age.
- d. Metabolic load from difficult-to-metabolize drugs.
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Question 7 of 10

7. Question
In a normal stress response, we see stress levels always reaching the same maximum, but returning to normal after each event.
- a. True. Due to the unpredictable nature of stress, it always causes the same response, but in healthy individuals, it always returns to baseline.
- b. False. Repeated bouts of the same stress event lead to a decreasing maximum stress response.
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Question 8 of 10

8. Question
What aspect(s) of the modern lifestyle contribute to HPA-D and thus the vast majority of chronic disease?
- a. Overmedication.
- b. Nearly continual activation of the sympathetic nervous system.
- c. Inflammation.
- d. B & C
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Question 9 of 10

9. Question
If a patient’s fight-or-flight system is activated because of stress, they cannot also simultaneously be in a parasympathetic rest-and-digest response.
- a. True. The stress response system is binary, so stress response and normal physiological functions are carried out by the same cells.
- b. False. Stress response can be modulated in intensity, so cells can be sending signals for stress response and normal function simultaneously.
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Question 10 of 10

10. Question
Allostatic load refers to the price the body pays for being forced to adapt to adverse psychological or physical situations.
- a. True. It represents either the presence of too much stress or the inefficient operation of the stress hormone response system.
- b. False. It refers to the built-up metabolic load that is placed on organs that are stressed and do not have proper nutrients for recovery.
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