Deck 14: Heart Disease, Stroke, Cancer, and Aids:

Question 1

Match the following disorders with their descriptions in
May be associated with Pneumocystis carinii pneumonia and eventual encephalopathy.

A)angina pectoris
B)myocardial infarction
C)carcinoma
D)stroke
E)AIDS

Answer 1

AIDS

Question 2

People who express little negative emotion during bereavement experience more grief over time compared to those who express a lot of negative emotion.

Answer 2

False

Question 3

Match the following disorders with their descriptions in
Caused by a brief or incomplete blockage of oxygenated blood to the heart.

A)angina pectoris
B)myocardial infarction
C)carcinoma
D)stroke
E)AIDS

Answer 3

angina pectoris

Question 4

Match the following treatments with their description in
Is used to treat blockages in coronary arteries.

A)balloon angioplasty
B)external beam therapy
C)chemotherapy
D)lumpectomy
E)HAART

Question 5

Match the following disorders with their descriptions in
Characterized by an unrestrained proliferation of cell growth.

A)angina pectoris
B)myocardial infarction
C)carcinoma
D)stroke
E)AIDS

Question 6

Match the following treatments with their description in
May prolong survival, but is not a cure for HIV/AIDS

A)balloon angioplasty
B)external beam therapy
C)chemotherapy
D)lumpectomy
E)HAART

Question 7

Match the following treatments with their description in
A treatment for a limited breast cancer

A)balloon angioplasty
B)external beam therapy
C)chemotherapy
D)lumpectomy
E)HAART

Question 8

The criteria for diagnosis of AIDS has been changed to include low T-cell counts.

Question 9

Match the following treatments with their description in
Results in anticipatory nausea in 25-50% of those treated.

A)balloon angioplasty
B)external beam therapy
C)chemotherapy
D)lumpectomy
E)HAART

Question 10

Cancer is the most frequent cause of death in Canada.

Question 11

The highest rate of cancer deaths today is from neoplasms in the breast.

Question 12

Women are more likely to have heart attacks, but less likely to die from them than men.

Question 13

Match the following disorders with their descriptions in
Results in motor or cognitive deficits and possible emotional lability.

A)angina pectoris
B)myocardial infarction
C)carcinoma
D)stroke
E)AIDS

Question 14

Match the following disorders with their descriptions in
The destruction of heart muscle due to lack of blood.

A)angina pectoris
B)myocardial infarction
C)carcinoma
D)stroke
E)AIDS

Question 15

Ischemic strokes are caused when blood supply to the brain is cut off by a blood clot or a plaque.

Question 16

Aphasias are language disorders that can be caused by a stroke in the left hemisphere of the brain.

Question 17

50% of patients who begin an exercise program as part of their cardiac rehabilitation discontinue within the first six months.

Question 18

The vast majority of those smokers who suffer a myocardial infarction quit smoking.

Question 19

Cognitive adjustments patients make to high-mortality illnesses include developing positive reappraisals of their life situations, gaining a sense of control, and restoring their self-esteem.

Question 20

Match the following treatments with their description in
A radiation treatment for cancer.

A)balloon angioplasty
B)external beam therapy
C)chemotherapy
D)lumpectomy
E)HAART

Question 21

Recurrent chest pain following a heart attack

A)is uncommon.
B)indicates a greater risk of heart attack in the near future.
C)all of the above
D)none of the above

Question 22

The helplessness that a person with a high-mortality illness experiences, coupled with nurturance from his or her family, can lead to ____ on the part of the patient.

A)high self esteem
B)dependence
C)self-efficacy
D)hardiness

Question 23

Within the first six months of beginning an exercise program about 50% of heart attack victims

A)have substantial weight gain.
B)have another heart attack
C)are re-hospitalized.
D)discontinue the program.

Question 24

Following her recent heart attack Jamie's surgeon placed a balloon in one of her blocked blood vessels and inflated it.This procedure is called

A)angioplasty.
B)bypass surgery.
C)cardiac resuscitation.
D)angina pectoris.

Question 25

When a person has been diagnosed with a high-mortality disease such as cancer, they

A)probably have only a matter of months to live.
B)seldom make it to the 5-year survival window.
C)may be totally cured.
D)are no more likely of dying than a healthy person.

Question 26

Another term for "heart attack" is

A)myocardial infarction.
B)angina pectoris.
C)transient ischemic attacks.
D)cerebral infarction.

Question 27

Which of the following is least likely to be advised by a physician to a heart attack victim?

A)Stop smoking.
B)Increase alcohol consumption.
C)Lose weight.
D)Exercise.

Question 28

Which of the following statements best captures the experience of relapse in high-mortality diseases?

A)Relapse is a low occurrence event.
B)Patients respond better to relapses than they did to the original diagnosis.
C)Relapse is often viewed as a bad sign and that the prognosis is worse.
D)Patients use the same coping strategies and continue to experience just as much hope as at the time of the original diagnosis.

Question 29

The pain associated with a brief blockage of oxygenated blood to the heart is called

A)myocardial infarction.
B)angina pectoris.
C)transient ischemic attacks.
D)atherosclerosis.

Question 30

During the first few months after diagnosis of a life‑threatening illness,

A)patients usually plan for the future with assurance.
B)patients are usually pessimistic.
C) more active approaches in coping begin to be utilized.
D)the use of avoidance coping grows stronger.

Question 31

Following a heart attack, prior family problems

A)tend to be viewed as trivial.
B)often are worked through more realistically.
C)often become worse.
D)have no impact on adherence to cardiac rehabilitation regimen.

Question 32

Which of the following is NOT considered a high-mortality chronic illness?

A)cancer
B)heart disease
C)stroke
D)asthma

Question 33

Which of the following contributes to a greater likelihood of heart damage following a heart attack?

A)Getting to the hospital as quickly as possible following onset of symptom.
B)Getting to the hospital within an hour of symptom onset.
C)Getting to the hospital within 3 hours of symptom onset.
D)The greatest amount of damage occurs immediately - delay seldom affects levels of heart damage.

Question 34

Dan's cardiologist discovers he has an enlarged heart with poor pumping capability which contributes to his shortness of breath when he walks up his apartment stairs.Dan is likely to be diagnosed with

A)myocardial infarction.
B)angina pectoris.
C)transient ischemic attacks.
D)congestive heart failure.

Question 35

Which sociocultural group has the lowest death rates from heart disease?

A)African.
B)Hispanic.
C)First Nations.
D)Japanese.

Question 36

Compared to European Canadians, heart attacks are more common

A)among men.
B)in the morning.
C)in Aboriginal Canadians.
D)all of the above.

Question 37

May has dealt with her breast cancer by focusing on the good things in life and living each day to the fullest.This approach best fits what Taylor would categorize as

A)finding meaning.
B)avoidance.
C)restoring self‑esteem.
D)gaining control.

Question 38

Which of the following describes the course of anxiety that occurs following a heart attack?

A)Anxiety remains high through hospitalization and continues to be higher than non-cardiac patients for years after the event.
B)Anxiety is best eliminated through the use of denial.
C)Anxiety is natural and rarely affects recovery from heart attack.
D)Anxiety levels are high initially but then generally start to decline.

Question 39

Which is not a biological risk factor for heart disease?

A)Family history of the disease.
B)Contact with an infected person.
C)Hypertension.
D)High LDL and total cholesterol levels.

Question 40

Which of the following describes the role of work following a heart attack?

A)It is often viewed as a sign of recovery by patients.
B)Most cardiac patients return to work but in a diminished job capacity.
C)Returning to work has been linked to long-term well-being.
D)all of the above.

Question 41

Mini-strokes, which may occur one or more times before a full stroke, are called

A)myocardial infarctions.
B)angina pectoris.
C)transient ischemic attacks.
D)atherosclerosis.

Question 42

Cancers of the blood‑forming organs are called

A)sarcomas.
B)lymphomas.
C)leukemias.
D)carcinomas.

Question 43

The use of denial is most common in which of the following disorders?

A)Stroke.
B)Heart disease.
C)Cancer.
D)Diabetes.

Question 44

Another common name for a tumour is

A)protoplasm.
B)neoplasm.
C)cytoplasm.
D)plasma.

Question 45

Common forms of effective rehabilitation treatments for victims of stroke include:

A)speech therapy.
B)physical therapy.
C)biofeedback.
D)all of the above.

Question 46

Sal had a stroke that occurred very suddenly.His daughter found him unconscious on the living room floor.His stroke was probably caused by

A)hemorrhage.
B)blood clot.
C)a piece of plaque lodged in a cerebral artery.
D)shock.

Question 47

The phenomenon of visual neglect occurs when there is damage in the _____ hemisphere and is characterized by the failure to process information from the _____ visual field.

A)right; right
B)left; left
C)right; left
D)left; right

Question 48

The most common deficits experienced by stroke patients involve

A)speech.
B)motor action.
C)cognitive dysfunction.
D)memory loss.

Question 49

Studies of wives' evaluations of the post‑heart attack physical abilities of their husbands indicate that wives develop more accurate evaluations by

A)having heart attack patients tell them about their capabilities.
B)simply observing the physical activity of patients.
C)personally participating in patients' activities.
D)having physicians tell them what their husbands were capable of doing.

Question 50

Alain experienced a sudden, severe headache, followed by blindness in one eye and dizziness. These are symptoms of

A)a myocardial infarction.
B)diabetes.
C)AIDS.
D)a stroke.

Question 51

Which of the following deficits would be most characteristic of right hemisphere damage from stroke?

A)Receptive aphasia.
B)Expressive aphasia.
C)Visual and emotional disorders.
D)Paralysis of the right side of the body.

Question 52

Which sociocultural group has the highest death rates due to stroke?

A)Aboriginal Canadians.
B)African Canadians.
C)South Asian Canadians.
D)all of the above

Question 53

_____ is a direct cause of death due to cancer whereas _____ is an indirect cause of death due to cancer.

A)Organ failure; painful pressure on organs.
B)Organ failure; impaired appetite
C)Impaired appetite; organ failure.
D)Impaired appetite; reduced immune function.

Question 54

The increase in cancer death rate since 1970 is attributable to cancer of the

A)lung
B)liver
C)breast
D)pancreas

Question 55

Which of the following outcomes is NOT produced by cardiac rehabilitation programs that include both psychosocial counseling and health/regimen education?

A)Reduced mortality.
B)Reduced anxiety and depression.
C)Lower recurrence of heart problems.
D)Reduced risk factors.

Question 56

Cancers of the muscle, bone, or connective tissue are called

A)carcinomas.
B)sarcomas.
C)lymphomas.
D)leukemias.

Question 57

Which of the following is true regarding the demographic characteristics of cancer?

A)Incidence rates remain roughly the same across the life span.
B)Women and men in Canada now have equal incidence rates.
C)Aboriginal Canadians have very high levels of cancer compared to persons from other racial-ethnic groups.
D)Cancer prevalence varies greatly between countries.

Question 58

The majority of human cancers are

A)carcinomas.
B)sarcomas.
C)lymphomas.
D)leukemias.

Question 59

The spread of cancers to other parts of the body from the primary site through the blood or lymphatic system is called

A)osmosis
B)leukocytosis
C)metastasis
D)metamorphosis

Question 60

Which of the following statements regarding strokes is TRUE?

A)Strokes caused by hemorrhages produce the most extensive damage.
B)Strokes caused by infarction tend to produce unconsciousness.
C)Strokes due to infarctions are less common than strokes due to hemorrage.
D)Infarctions cause more death than due hemorrhages.

Question 61

In regards to HIV/AIDS, the number of viral particles in a blood sample is called

A)opportunistic infection
B)T-cell count.
C)viral load.
D)HIV count.

Question 62

In North America, the number of new HIV diagnoses annually is highest among

A)20- to 49-year-old adults.
B)men.
C)women.
D)both a and b.

Question 63

This is the type of grief that most resembles post-traumatic stress disorder and is characterized by intense yearning, bitterness, depression, and intrusive thoughts about death.

A)complicated grief
B)anticipatory grief
C)delayed-onset grief
D)sudden loss grief

Question 64

The surgical removal and analysis of tissue to detect cancer is called

A)radiology.
B)anesthetic.
C)biopsy.
D)imaging.

Question 65

Anticipatory nausea in chemotherapy patients

A)is probably learned by classical conditioning.
B)occurs in about 25-50% of long‑time recipients of the treatment.
C)contributes to some people stopping treatment and, thus, shortening their lives.
D)all of the above

Question 66

Which of the following is an accurate statement regarding the nature of bereavement?

A)Family urging the bereaved to "get on with life" is critical to good adjustment.
B)When children seem unconcerned following a death it is most likely due to denial.
C)Most bereaved people appreciate the isolation they experience following the death of a loved one.
D)Although most people make positive adjustments following a death, some people never adjust to the loss.

Question 67

The organ most commonly afflicted with cancer in Canada is the

A)lung.
B)skin.
C)prostate.
D)breast.

Question 68

During the treatment of childhood leukemia, the inpatient treatment phase is known as the _____ phase whereas the outpatient treatment phase is known as the _____ phase.

A)induction; maintenance
B)maintenance; induction
C)chemotherapy; psychosocial therapy
D)psychosocial therapy; chemotherapy

Question 69

AIDS may be cured by

A)psychotherapy.
B)HAART.
C) chemotherapy.
D)no curative treatment is available at this time.

Question 70

According to the Sarafino text, the stigma associated with AIDS affects health in three ways.Which of the following is NOT one of the three ways mentioned in the text?

A)Refusal of societies to acknowledge the disease, therefore allowing its spread.
B)It causes some people to believe that if they aren't gay or use drugs, they can't get the disease.
C)It causes some people to delay getting tested and, if HIV-positive, get treatment.
D)Progression of HIV disease slows down once serostatus is disclosed to others.

Question 71

What is one way to prevent the learned food aversions associated with chemotherapy?

A)Use imaging therapy.
B)Provide a scapegoat food prior to chemotherapy.
C)Use progressive relaxation techniques.
D)Use less powerful chemicals.

Question 72

Carmela is experiencing a great deal of pain due to her advanced cancer. According to research, she is likely to experience the greatest benefits from which of the following?

A)Only narcotic drugs will provide her with relief.
B)Using systematic desensitization procedures.
C)Participation in a tailored cognitive-behavioural program.
D)Using guided imagery.

Question 73

Among Canadian men, AIDS mortality rates are

A)higher for Blacks and Aboriginals than Whites.
B)higher for Whites than Blacks or Aboriginals.
C)higher for Aboriginals than both Blacks and Whites
D)none of the above.

Question 74

An AIDS diagnosis is made based on which of the following symptoms?

A)Presence of an "opportunistic" disease.
B)Low T-cell count.
C)Behavioural history that confirms the person is at risk.
D)both a and b.

Question 75

Which of the following statements about adapting to cancer is TRUE?

A)Psychosocial functioning following cancer is often the same, if not better, than before the disease occurred.
B)The amount of physical disability is only weakly linked to level of depression.
C)Having cancer can significantly interfere with social relationships.
D)Some cancers increase sexual functioning.

Question 76

Studies on the effects of psychosocial interventions with AIDS patients have found

A)different intervention needs for those patients with access to antiretroviral regimen than for those without access to these medications.
B)stress management is the most important aspect of treatment.
C)immune functioning is not affected by psychosocial intervention.
D)psychosocial interventions are not as effective as the strict use of antiretroviral regimen.

Question 77

Among Canadian women, AIDS mortality rates are

A)higher for Blacks and Aboriginals than Whites.
B)higher for Whites than Blacks or Aboriginals.
C)higher for Aboriginals than both Blacks and Whites
D)none of the above.

Question 78

The brain disorder often associated with AIDS is called

A)Kaposi's sarcoma.
B)nephritis.
C)encephalopathy.
D)stroke.

Question 79

New HIV infections remain concentrated in

A)men who have sex with men.
B)intravenous drug users.
C)Aboriginal and Black Canadians.
D)all of the above.

Question 80

In order to be effective, a compliance rate of at least _______ is optimal for the HIV/AIDS HAART regimen.

A)95%
B)90%
C)75%
D)60%