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| 1 |  |  According to “Are Bad Times Healthy?”, compared to downturns, during economic boom times, people: |
|  | A) | take better care of themselves. |
|  | B) | drink less. |
|  | C) | experience more stress. |
|  | D) | spend more time at the doctor’s office. |
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| 2 |  |  As reported in “Are Bad Times Healthy?”, studies have shown that when the price of coffee goes up, people in Colombia: |
|  | A) | spend less time at home. |
|  | B) | have more time for their children. |
|  | C) | have lower mortality rates. |
|  | D) | are generally healthier. |
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| 3 |  |  As stated in “Are Bad Times Healthy?”, people who have health insurance rarely go bankrupt because of a healthcare crisis. |
|  | A) | True |
|  | B) | False |
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| 4 |  |  One reason why college students engage in so many poor health habits, as put forth in "The Perils of Higher Education," is that: |
|  | A) | college is their first experience away from parental supervision. |
|  | B) | they believe this is the way they are expected to act in college. |
|  | C) | they are pressured by peers. |
|  | D) | they are still trying to develop their own unique lifestyle. |
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| 5 |  |  According to "The Perils of Higher Education," cognitive difficulties, both short and long term, can arise from a diet that is high in: |
|  | A) | sugars. |
|  | B) | unsaturated fat. |
|  | C) | artificial sweeteners. |
|  | D) | trans fat. |
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| 6 |  |  As reported in "The Perils of Higher Education," a recent study has found that more than half of all college students eat too much saturated fat. |
|  | A) | True |
|  | B) | False |
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| 7 |  |  According to “We Can Do Better—Improving the Health of the American People,” the United States ranks poorly on nearly every measure of health status despite the fact that: |
|  | A) | it spends more on healthcare than any other nation in the world. |
|  | B) | there are more doctors per capita in the United States than in other countries. |
|  | C) | U.S. medical training is widely acknowledged to be the best available. |
|  | D) | it has the lowest rates of infant and new mother mortality in the world. |
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| 8 |  |  As stated in “We Can Do Better—Improving the Health of the American People,” about 200,000 of the 435,000 people who die from tobacco-related diseases each year are people: |
|  | A) | who also suffer from obesity. |
|  | B) | who are nonsmokers affected by secondhand smoke. |
|  | C) | with chronic mental illness or substance-abuse problems. |
|  | D) | suffering from a number of other physical illnesses as well. |
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| 9 |  |  As explained in “We Can Do Better—Improving the Health of the American People,” a major issue in healthcare access in the United States is that 45 million citizens do not have health insurance. |
|  | A) | True |
|  | B) | False |
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| 10 |  |  As stated in “On the Road to Wellness,” 75 percent of the U.S. spending on healthcare each year is for: |
|  | A) | trauma centers. |
|  | B) | hospice and other end-of-life care. |
|  | C) | treatment for chronic diseases. |
|  | D) | prenatal and well-child care. |
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| 11 |  |  As said by U.S. Secretary of Health and Human Services Mike Leavitt in “On the Road to Wellness,” the four pillars of the HealthierUS initiative are physical activity, good diet, healthy choices, and: |
|  | A) | prompt treatment. |
|  | B) | immunization. |
|  | C) | vitamin supplements. |
|  | D) | preventive screening. |
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| 12 |  |  According to “On the Road to Wellness,” 44.5 million U.S. adults continue to smoke cigarettes, even though this will result in death or disability for half of them. |
|  | A) | True |
|  | B) | False |
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| 13 |  |  The author of “Redefining Depression as Mere Sadness,” states, regarding depression, that most psychiatrists believe that: |
|  | A) | over-treatment of “normal sadness” is the major problem. |
|  | B) | drugs such as Prozac and Zoloft do little to relieve depression. |
|  | C) | serious depression is always linked to losses or disappointments in patients’ lives. |
|  | D) | under-treatment of severe depression is a more pressing issue than over-treatment. |
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| 14 |  |  As asserted in “Stressed Out Nation,” nearly 20 percent of those most concerned about stress said that they could get back on track and relieve some of their stress if they: |
|  | A) | were able to take a long vacation. |
|  | B) | had more help at home from their spouse. |
|  | C) | saw a mental-health professional. |
|  | D) | were prescribed antidepressants. |
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| 15 |  |  As discussed in “Stressed Out Nation,” a higher percentage of people reported being very concerned about stress if, in the week prior to the survey, they had: |
|  | A) | gotten less sleep than they usually did. |
|  | B) | eaten at a fast-food restaurant. |
|  | C) | attempted to give up smoking. |
|  | D) | been criticized at work by a superior. |
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| 16 |  |  As mentioned in “Stressed Out Nation,” the survey sponsors presented the results of the survey on The Oprah Winfrey Show. |
|  | A) | True |
|  | B) | False |
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| 17 |  |  As defined in “Seasonal Affective Disorder,” patients with SAD tend, during winter, to experience episodes of: |
|  | A) | major depression. |
|  | B) | mania. |
|  | C) | panic disorder. |
|  | D) | bulimia nervosa. |
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| 18 |  |  According to “Seasonal Affective Disorder,” SAD is one of two disorders described as “disorders of central under-arousal coupled with a heightened sensitivity to stimuli from the physical environment”; the other disorder, which may be associated with SAD, is: |
|  | A) | bulimia nervosa. |
|  | B) | schizophrenia |
|  | C) | ADHD. |
|  | D) | paranoia. |
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| 19 |  |  As postulated in “Seasonal Affective Disorder,” the prevalence of SAD may be higher at southern latitudes. |
|  | A) | True |
|  | B) | False |
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| 20 |  |  As profiled in “Dealing with the Stressed,” despite the fact that stress is not easily defined, it has become a political priority in Canada because: |
|  | A) | it has cost billions of dollars in lost productivity and medical costs. |
|  | B) | of the number of politicians suffering from stress. |
|  | C) | it affects the families, especially children, of stressed workers. |
|  | D) | of the association with other medical issues. |
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| 21 |  |  Identified in “Dealing with the Stressed” as “the silent scourge of productivity” is: |
|  | A) | depression. |
|  | B) | presenteeism. |
|  | C) | fatigue. |
|  | D) | lack of technical skills. |
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| 22 |  |  As mentioned in “Dealing with the Stressed,” unionized workers such as prison guards and dockyard workers consistently used the least amount of sick leave of any type of employees, according to a recent study. |
|  | A) | True |
|  | B) | False |
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| 23 |  |  As detailed in “Fat City,” trans fats are considered even worse than saturated fats because trans fats: |
|  | A) | are artificial rather than naturally occurring. |
|  | B) | affect not only cholesterol but also the immune system. |
|  | C) | not only raise “bad” cholesterol but also lower “good” cholesterol. |
|  | D) | build up in the body rather than being passed through it. |
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| 24 |  |  According to “Fat City,” one of the hardest items to make without trans fats is: |
|  | A) | yeast-raised doughnuts. |
|  | B) | fried chicken. |
|  | C) | foie gras. |
|  | D) | cake doughnuts. |
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| 25 |  |  As revealed in “Fat City,” McDonald’s originally used beef tallow as the fat for its french fries. |
|  | A) | True |
|  | B) | False |
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| 26 |  |  According to “Eating Well in a Downsized Food Budget,” of the following, the food with the lowest number of calories is: |
|  | A) | a cup of cooked cabbage. |
|  | B) | a cup of raw cabbage. |
|  | C) | a five ounce baked potato. |
|  | D) | a cup of cooked kale. |
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| 27 |  |  As reported in “Eating Well in a Downsized Food Budget,” the plant food richest in protein is: |
|  | A) | avocado. |
|  | B) | squash. |
|  | C) | potato. |
|  | D) | beans. |
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| 28 |  |  As pointed out in “Eating Well in a Downsized Food Budget,” there is more vitamin C in a glass of orange juice made from frozen concentrate than in freshly squeezed orange juice. |
|  | A) | True |
|  | B) | False |
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| 29 |  |  As revealed in “Suck on This,” infant formula was originally conceived in the late 1800s for: |
|  | A) | a supplement to breast milk. |
|  | B) | twins or triplets whose mothers could not provide enough milk. |
|  | C) | foundlings and orphans who would otherwise have starved. |
|  | D) | babies whose mothers developed “milk fever” and could not breastfeed. |
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| 30 |  |  As stated in “Suck on This,” the most important nutrient in breast milk is: |
|  | A) | whey. |
|  | B) | omega-3s. |
|  | C) | casein. |
|  | D) | immunoglobulins. |
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| 31 |  |  As cited in “Suck on This,” the leader of the pack when it comes to reinterpreting the International Code of Marketing of Breastmilk Substitutes to suit the company’s marketing strategies is Nestle. |
|  | A) | True |
|  | B) | False |
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| 32 |  |  As explained in “An Oldie Vies for Nutrient of the Decade,” although vitamin D has recently been touted as helping to prevent a variety of diseases, it has traditionally been valued for its role in: |
|  | A) | fighting arthritis. |
|  | B) | bolstering the immune system. |
|  | C) | bolstering the immune system. |
|  | D) | helping maintain mental acuity. |
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| 33 |  |  As presented in “An Oldie Vies for Nutrient of the Decade,” vitamin D can be obtained from food, supplements, or: |
|  | A) | sunshine. |
|  | B) | injections. |
|  | C) | an inhaler. |
|  | D) | absorbed through the skin in cream or ointment form. |
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| 34 |  |  As postulated in “An Oldie Vies for Nutrient of the Decade,” high levels of vitamin D in the blood have been linked with a number of types of cancer. |
|  | A) | True |
|  | B) | False |
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| 35 |  |  As reported in “What Good Is Breakfast? The New Science of the Loneliest Meal,” Marion Nestle of New York University contends that: |
|  | A) | breakfast is the most important meal of the day. |
|  | B) | children who skip breakfast do not fare as well academically. |
|  | C) | it is especially important for adult women to eat breakfast. |
|  | D) | when you eat is as important as what you eat. |
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| 36 |  |  As noted in “What Good Is Breakfast? The New Science of the Loneliest Meal,” Maureen Timlin and Mark Pereira found that: |
|  | A) | frequency of eating breakfast has increased in recent decades. |
|  | B) | there is no correlation between breakfast and overall health. |
|  | C) | adolescents who skip breakfast are heavier than those who do not. |
|  | D) | rates of obesity are declining. |
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| 37 |  |  As pointed out in “What Good Is Breakfast? The New Science of the Loneliest Meal,” smokers are less likely to eat breakfast than nonsmokers. |
|  | A) | True |
|  | B) | False |
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| 38 |  |  As discussed in “A Big-Time Injury Striking Little Players’ Knees,” it is now known, contrary to previous misconceptions, that in reference to anterior cruciate ligament (A.C.L.) injuries: |
|  | A) | more girls than boys suffer from them. |
|  | B) | children almost never suffer from them. |
|  | C) | an operation to repair the injury rarely results in a return to full function. |
|  | D) | contact injuries, such as tackles in football, are the most common cause of these injuries. |
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| 39 |  |  As given in “A Big-Time Injury Striking Little Players’ Knees,” doctors often suggest delaying surgery for young people with A.C.L. injuries until: |
|  | A) | they are of legal age. |
|  | B) | the off-season, so that the child does not miss playing sports. |
|  | C) | they have stopped growing. |
|  | D) | most of the swelling associated with the injury has dissipated. |
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| 40 |  |  As disclosed in “A Big-Time Injury Striking Little Players’ Knees,” the operation used to repair A.C.L. injuries in adults is not suitable for children because it may cause permanent damage to bones that are still growing. |
|  | A) | True |
|  | B) | False |
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| 41 |  |  As stated in “The Skinny Sweepstakes,” the author feels that American colleges are incubators of: |
|  | A) | academic excellence. |
|  | B) | individuality. |
|  | C) | marriage. |
|  | D) | eating disorders. |
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| 42 |  |  As noted in “The Skinny Sweepstakes,” the strongest predictor of eating disorders among middle-school girls today is: |
|  | A) | amount of criticism from parents. |
|  | B) | exposure to media such as television, movies, and magazines. |
|  | C) | actual body mass. |
|  | D) | the importance that peers place on weight and eating. |
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| 43 |  |  Chloe, a young woman profiled in “The Skinny Sweepstakes,” would see children and think that when she was older, that little 3-year-old girl would steal her husband. |
|  | A) | True |
|  | B) | False |
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| 44 |  |  As discussed in “Dieting on a Budget,” the largest group in the research study was people who were: |
|  | A) | always thin. |
|  | B) | successful dieters. |
|  | C) | never dieters--always overweight. |
|  | D) | failed dieters. |
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| 45 |  |  As reported in “Dieting on a Budget,” of all eating behaviors, the one that most correlated with having a lower Body Mass Index was: |
|  | A) | limit fat. |
|  | B) | eat at home. |
|  | C) | portion control. |
|  | D) | eat whole grains. |
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| 46 |  |  As stated in “Dieting on a Budget,” the majority of those who successfully lost weight and kept if off used a commercial diet program. |
|  | A) | True |
|  | B) | False |
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| 47 |  |  The hormone believed to play the largest role in the regulation of weight gain and loss, as put forth in "Fat Chance," is: |
|  | A) | dopamine. |
|  | B) | serotonin. |
|  | C) | insulin. |
|  | D) | leptin. |
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| 48 |  |  According to "Fat Chance," there is evidence that an individual's body reaches a weight "set point" somewhere around the time of: |
|  | A) | early childhood. |
|  | B) | puberty. |
|  | C) | early adulthood. |
|  | D) | middle age. |
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| 49 |  |  In one recent study of obesity, as reported in "Fat Chance," volunteers found it surprisingly easy to put on additional weight by overeating. |
|  | A) | True |
|  | B) | False |
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| 50 |  |  As described in “Great Drug, But Does It Prolong Life?”, researchers are finding that, for patients with high cholesterol but no established heart disease, statin drugs: |
|  | A) | tend to extend life. |
|  | B) | may actually raise cholesterol levels. |
|  | C) | do not appear to extend life. |
|  | D) | are not the best treatment for the high cholesterol. |
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| 51 |  |  As identified in “Great Drug, But Does It Prolong Life?”, statin drugs include: |
|  | A) | Advair, Proventil, and Singulair. |
|  | B) | Lipitor, Crestor, and Pravachol. |
|  | C) | Altace, Dyazide, and Zestril. |
|  | D) | Avandia, Prandin, and Tolinase. |
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| 52 |  |  As explained in “Great Drug, But Does It Prolong Life?”, although statins may lower the risk of heart attacks, the same number of patients end up dying, whether they are taking statins or not. |
|  | A) | True |
|  | B) | False |
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| 53 |  |  As explained in "Some Cold Medicines Moved Behind the Counter," sales of cold medications are being regulated if they contain pseudoephedrine, an ingredient used in the manufacture of the illegal drug: |
|  | A) | Ecstasy. |
|  | B) | crack cocaine. |
|  | C) | methamphetamine. |
|  | D) | GHB. |
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| 54 |  |  A key element of binge drinking today, as reported in "Drinking Too Much: Too Young," is that unlike earlier generations, the Millennials: |
|  | A) | were unlikely to have begun drinking in high school. |
|  | B) | are able to mail order, or shop online, for the alcohol they consume. |
|  | C) | celebrate their binge drinking episodes on the Internet. |
|  | D) | are likely to have parents willing to purchase alcohol for them. |
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| 55 |  |  According to "Drinking Too Much: Too Young," in the last half of 2004, six college-age students died as a result of binge drinking in: |
|  | A) | Maine. |
|  | B) | California. |
|  | C) | Texas. |
|  | D) | Colorado. |
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| 56 |  |  More than half of all men and women who are binge drinkers, as cited in "Drinking Too Much: Too Young," consider themselves to be moderate or light drinkers. |
|  | A) | True |
|  | B) | False |
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| 57 |  |  As presented in "The Changing Face of Teenage Drug Abuse--The Trend Toward Prescription Drugs," survey results from the most recent Monitoring the Future survey indicate that the greatest percentage of twelfth graders had misused: |
|  | A) | tranquilizers. |
|  | B) | anti-anxiety medications. |
|  | C) | stimulants. |
|  | D) | painkillers. |
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| 58 |  |  As given in "The Changing Face of Teenage Drug Abuse--The Trend Toward Prescription Drugs," teenagers stated that they generally used illicitly obtained prescription drugs: |
|  | A) | for recreation. |
|  | B) | to counter the effects of street drugs. |
|  | C) | for practical effects. |
|  | D) | to gain the approval of their peers. |
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| 59 |  |  Teenagers included in the Monitoring the Future survey, as cited in "The Changing Face of Teenage Drug Abuse--The Trend Toward Prescription Drugs," generally believe that prescription drugs are safer than street drugs, even if they are used without a prescription. |
|  | A) | True |
|  | B) | False |
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| 60 |  |  As asserted in “Helping Workers Kick the Habit,” the best practices for programs that help people quit smoking feature: |
|  | A) | quit medications and coaching. |
|  | B) | counseling and hypnosis. |
|  | C) | a nicotine-replacement drug delivered by injection. |
|  | D) | frequent in-person meetings of support groups. |
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| 61 |  |  As shown in “Helping Workers Kick the Habit,” employers can provide, for under 5 cents per employee per month, the lowest-price program to help workers quit, a: |
|  | A) | series of taped motivational talks. |
|  | B) | brochure and log to keep track of smoking behaviors. |
|  | C) | telephone quit line. |
|  | D) | list of helpful Internet sites. |
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| 62 |  |  As pointed out in “Helping Workers Kick the Habit,” there might be a problem in starting a quit-smoking program if the CEO is a cigar smoker and refuses to quit. |
|  | A) | True |
|  | B) | False |
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| 63 |  |  As related in “Scents and Sensibility,” psychologist Estelle Campenni knew she had met the man she wanted to marry at first smell; his scent turned her on but also made her feel: |
|  | A) | giddy. |
|  | B) | safe. |
|  | C) | happy. |
|  | D) | nostalgic. |
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| 64 |  |  As reported in “Scents and Sensibility,” one notable exception to the rule that women preferred the smell of men whose MHC gene complements were different from theirs applied to women who: |
|  | A) | were on birth-control pills. |
|  | B) | had not yet had sex. |
|  | C) | were already divorced at least once. |
|  | D) | preferred women to men as sexual partners. |
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| 65 |  |  As told in “Scents and Sensibility,” body odor was so pervasive in the nineteenth century that it was dubbed “The Great Stink of 1880” in Paris. |
|  | A) | True |
|  | B) | False |
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| 66 |  |  As profiled in “Love at the Margins,” Allison and Madeleine live in suburban New Jersey because: |
|  | A) | it is far from their families, who disapprove of the lesbian relationship. |
|  | B) | the community there is warm and accepting of them. |
|  | C) | that is where Madeleine’s job is, and she is the breadwinner. |
|  | D) | New Jersey allows gay couples to be legally married. |
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| 67 |  |  As presented in “Love at the Margins,” Stephanie, a Chinese-American from California, met and fell in love with: |
|  | A) | Gino, an Italian-American dancer. |
|  | B) | Juan, a construction worker in Honduras. |
|  | C) | Andrew, a British businessman 25 years her senior. |
|  | D) | Phillip, a student from Kenya. |
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| 68 |  |  According to “Love at the Margins,” the greatest stressor on nontraditional relationships is usually the pressure from the couple’s families. |
|  | A) | True |
|  | B) | False |
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| 69 |  |  According to “Girl or Boy?”, most of the procedures to pick a baby’s sex before a woman becomes pregnant were originally developed: |
|  | A) | in China, where the one-child-per-family policy means couples are eager to select the sex beforehand. |
|  | B) | to treat infertility or prevent genetic diseases. |
|  | C) | for use with dairy herds, in which cows can outnumber bulls by 20 to 1. |
|  | D) | in research laboratories, using lab rats. |
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| 70 |  |  As given in “Girl or Boy?”, the most reliable method for sex selection involves: |
|  | A) | sperm sorting. |
|  | B) | amniocentesis. |
|  | C) | genetic testing. |
|  | D) | in vitro fertilization. |
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| 71 |  |  As mentioned in “Girl or Boy?”, sex selection is illegal in nearly half of the U.S. states. |
|  | A) | True |
|  | B) | False |
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| 72 |  |  According to “Is Pornography Adultery?”, polls on pornography show that: |
|  | A) | most people think it is bad for relationships. |
|  | B) | it is generally considered demeaning to women. |
|  | C) | most people think it is both harmless and inevitable. |
|  | D) | there is a division of opinion along gender lines. |
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| 73 |  |  As stated in “Is Pornography Adultery?”, cultural critic Laura Kipnis wrote that pornography is: |
|  | A) | alternate reality experienced as actuality. |
|  | B) | mythological and hyperbolic. |
|  | C) | as much a form of intercourse as prostitution. |
|  | D) | allegory come to life. |
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| 74 |  |  As noted in “Is Pornography Adultery?”, internet pornography plays a part in an increasing number of divorce cases. |
|  | A) | True |
|  | B) | False |
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| 75 |  |  As given in "'Diabesity,' a Crisis in an Expanding Country," factors that contribute to the increase in the incidence of diabetes in the United States include all of the following EXCEPT: |
|  | A) | less physical activity than in the past. |
|  | B) | excess weight. |
|  | C) | nutritional supplements. |
|  | D) | genetics. |
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| 76 |  |  As explained in “Sex, Drugs, Prisons, and HIV,” prison officials have mostly stopped the influx of needles into prisons, with the result that: |
|  | A) | the use of illicit drugs has dropped dramatically. |
|  | B) | needles that do get in become immensely valuable in the trade among prisoners. |
|  | C) | the rates of disease associated with drug use have dropped by half. |
|  | D) | inmates who take illicit drugs usually snort or swallow them. |
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| 77 |  |  According to “Sex, Drugs, Prisons, and HIV,” nearly half of the increase in prison populations between 1995 and 2003 was because of: |
|  | A) | drug-related offenses. |
|  | B) | sexual crimes such as rape and pedophilia. |
|  | C) | property crimes such as theft and larceny. |
|  | D) | white-collar crimes, including embezzlement and insider trading. |
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| 78 |  |  As cited in “Sex, Drugs, Prisons, and HIV,” the rate of HIV among prison inmates is more than four times the rate in the general U.S. population. |
|  | A) | True |
|  | B) | False |
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| 79 |  |  As presented in "The Battle Within: Our Anti-Inflammation Diet," inflammation can be considered a: |
|  | A) | dangerous side effect of injury. |
|  | B) | vital immune response. |
|  | C) | sign of immune-system failure. |
|  | D) | precursor to disease. |
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| 80 |  |  As defined in "The Battle Within: Our Anti-Inflammation Diet," C-reactive protein (CRP) is a: |
|  | A) | nutrient that fights inflammation. |
|  | B) | type of cholesterol. |
|  | C) | medication to control inflammation. |
|  | D) | blood measure of inflammation. |
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| 81 |  |  As claimed in "The Battle Within: Our Anti-Inflammation Diet," people with healthy levels of cholesterol and normal blood pressure are at very low risk of heart attack. |
|  | A) | True |
|  | B) | False |
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| 82 |  |  As reported in “Who Still Dies of AIDS and Why,” the current treatment for HIV infection: |
|  | A) | is not effective. |
|  | B) | has no side effects. |
|  | C) | is always successful. |
|  | D) | is very arduous. |
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| 83 |  |  As noted in “Who Still Dies of AIDS and Why,” the largest percentage of AIDS deaths is: |
|  | A) | men who have sex with men. |
|  | B) | professional sex workers. |
|  | C) | intravenous drug users. |
|  | D) | women. |
|
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| 84 |  |  As stated in “Who Still Dies of AIDS and Why,” among men who have sex with other men over age 30, the rate of AIDS infection is declining. |
|  | A) | True |
|  | B) | False |
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| 85 |  |  As stated in “A Mandate in Texas,” the governor of Texas has issued an executive order for the HPV vaccine to be given to all: |
|  | A) | girls entering college. |
|  | B) | pregnant women. |
|  | C) | girls entering the sixth grade. |
|  | D) | women and girls receiving Medicaid. |
|
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| 86 |  |  As revealed in “A Mandate in Texas,” the most important risk factor for genital HPV infection is: |
|  | A) | a genetic predisposition. |
|  | B) | the number of sexual partners. |
|  | C) | a lack of condom use. |
|  | D) | not having been vaccinated against it. |
|
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| 87 |  |  As explained in “A Mandate in Texas,” Governor Perry’s mandate is supported by most expert medical opinion. |
|  | A) | True |
|  | B) | False |
|
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| 88 |  |  In the United States generally, as explained in "Pharmacist Refusals: A Threat to Women's Health," pharmacists have the right to refuse to dispense a medication for all of the following reasons EXCEPT that they: |
|  | A) | are concerned about therapeutic duplications. |
|  | B) | believe a medication is morally wrong. |
|  | C) | identify drug-disease contraindications. |
|  | D) | suspect drug abuse. |
|
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| 89 |  |  According to "Pharmacist Refusals: A Threat to Women's Health," all of the following states explicitly grant pharmacists the right to refuse to dispense prescriptions for birth control based on personal belief EXCEPT: |
|  | A) | Georgia. |
|  | B) | South Dakota. |
|  | C) | Alaska. |
|  | D) | Arkansas. |
|
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| 90 |  |  As noted in "Pharmacist Refusals: A Threat to Women's Health," women rely on prescription contraceptives for a range of medical reasons in addition to birth control and may suffer serious health consequences if they are denied their medications by a pharmacist. |
|  | A) | True |
|  | B) | False |
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 |
| 91 |  |  In the opinion of the author of “Curbing Medical Costs,” the only tried and effective way to control costs is: |
|  | A) | to pass them on to the consumer. |
|  | B) | through the free market. |
|  | C) | universal health care. |
|  | D) | greatly limiting the use of advanced technology. |
|
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| 92 |  |  According to “Curbing Medical Costs,” we now spend three times more of our gross domestic product on healthcare than on: |
|  | A) | defense. |
|  | B) | education. |
|  | C) | infrastructure. |
|  | D) | the environment. |
|
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 |
| 93 |  |  As noted in “Curbing Medical Costs,” because of limited funding, Medicare has been forced to take costs into account when considering which technologies and treatments it will cover. |
|  | A) | True |
|  | B) | False |
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| 94 |  |  As stated in “Thanks, But No Thanks,” in 2004 big pharmaceutical companies spent $23 billion on: |
|  | A) | television advertising. |
|  | B) | government lobbyists. |
|  | C) | government lobbyists. |
|  | D) | marketing to physicians. |
|
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| 95 |  |  As profiled in “Thanks, But No Thanks,” Dr. Jonathan Mohrer decided to stop accepting visits from drug representatives after the withdrawal from the market of a drug he had been getting pitches for nearly every week; that drug was: |
|  | A) | Fen-phen. |
|  | B) | Vioxx. |
|  | C) | Palladone. |
|  | D) | Thalidomide. |
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| 96 |  |  As revealed in “Thanks, But No Thanks,” drug-company representatives arrive at a doctor’s office already knowing if the doctor prescribes a competitor’s drug and can discover whether or not the doctor switches after the sales call. |
|  | A) | True |
|  | B) | False |
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 |
| 97 |  |  As related in “The Silent Epidemic,” the 64-year-old diabetic patient profiled in the article was diagnosed as illiterate by: |
|  | A) | a medical student. |
|  | B) | a nurse. |
|  | C) | his social worker. |
|  | D) | his pharmacist. |
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| 98 |  |  As revealed in “The Silent Epidemic,” Medicare enrollees with low health literacy were more likely than enrollees with adequate health literacy to: |
|  | A) | overdose on medications. |
|  | B) | be accompanied on office visits by their children or other relatives. |
|  | C) | use folk remedies or seek spiritual healing. |
|  | D) | use the emergency room and be admitted as inpatients. |
|
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 |
| 99 |  |  As maintained in “The Silent Epidemic,” physicians are reluctant to inquire about literacy because they do not know what their response to the problem should be. |
|  | A) | True |
|  | B) | False |
|
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 |
| 100 |  |  According to “Alone, Incapacitated and Treated to Death,” in the case of Mr. Green, the patient: |
|  | A) | was aware of his medical condition. |
|  | B) | was incapacitated by an accident. |
|  | C) | had made his wishes expressly known. |
|  | D) | had made his wishes expressly known. |
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| 101 |  |  As reported in “Alone, Incapacitated and Treated to Death,” the laws of the state of New York: |
|  | A) | prohibit the withholding of life-sustaining treatment without clear evidence of the patient’s wishes. |
|  | B) | give no decision-making power to identified surrogates. |
|  | C) | allow “do not resuscitate” orders solely at the discretion of the attending physician. |
|  | D) | sanction euthanasia. |
|
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 |
| 102 |  |  As noted in “Alone, Incapacitated and Treated to Death,” the laws regarding end-of-life decisions vary from state to state. |
|  | A) | True |
|  | B) | False |
|
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 |
| 103 |  |  Some dentists, as put forth in "Dentists Frown at Overuse of Whiteners," compare the "serial whiteners" among their patients to: |
|  | A) | drug addicts. |
|  | B) | body builders. |
|  | C) | people with bulimia. |
|  | D) | compulsive shoppers. |
|
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| 104 |  |  Clinical studies, as cited in "Dentists Frown at Overuse of Whiteners," indicate that it is safe for teeth to be bleached: |
|  | A) | once or twice per week. |
|  | B) | once or twice per month. |
|  | C) | once or twice per year. |
|  | D) | every two or three years. |
|
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| 105 |  |  One area of concern regarding the overuse of tooth whitening products, as pointed out in "Dentists Frown at Overuse of Whiteners," is that experts do not know how the body handles frequent exposure to high concentrations of peroxide. |
|  | A) | True |
|  | B) | False |
|
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 |
| 106 |  |  As presented in “Medical Tourism: What You Should Know,” West Virginia lawmaker Ray Canterbury drew attention to medical tourism by introducing a bill to: |
|  | A) | forbid enrollees in the state government’s health plan to travel to foreign countries for surgery and other medical services. |
|  | B) | allow enrollees in the state government’s health plan to travel to foreign countries for surgery and other medical services. |
|  | C) | tax citizens of the state who spent money purchasing medical services in foreign countries. |
|  | D) | adopt certification procedures for foreign hospitals similar to those used in the United States. |
|
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| 107 |  |  As described in “Medical Tourism: What You Should Know,” the hospital with five-star hotel quality rooms, valet parking, an international staff and interpreters, and a travel agent is in: |
|  | A) | Mumbai, India. |
|  | B) | Tokyo, Japan. |
|  | C) | Bangkok, Thailand. |
|  | D) | Uppsala, Sweden. |
|
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 |
| 108 |  |  As noted in “Medical Tourism: What You Should Know,” the rate of healthcare inflation in the United States is almost four times the rate of overall inflation. |
|  | A) | True |
|  | B) | False |
|
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 |
| 109 |  |  As postulated in “Caution: Killing Germs May Be Hazardous to Your Health,” the question we should be asking ourselves is not how to kill bacteria, but how to: |
|  | A) | kill only the bad bacteria. |
|  | B) | protect ourselves from resistant strains. |
|  | C) | live with them. |
|  | D) | introduce beneficial bacteria into our systems. |
|
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| 110 |  |  As mentioned in “Caution: Killing Germs May Be Hazardous to Your Health,” MRSA was responsible for more deaths in the United States in 2005 than: |
|  | A) | heart disease. |
|  | B) | stroke. |
|  | C) | cancer. |
|  | D) | AIDS. |
|
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 |
| 111 |  |  As related in “Caution: Killing Germs May Be Hazardous to Your Health,” 12-year-old Hunter Spence survived MRSA but was left with only 35 percent of normal lung capacity. |
|  | A) | True |
|  | B) | False |
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 |
| 112 |  |  According to “Tattoos: Leaving Their Mark,” laser tattoo removal; |
|  | A) | costs the same as getting a tattoo. |
|  | B) | is faster than getting a tattoo. |
|  | C) | may make the tattoo darker. |
|  | D) | removes all traces of the tattoo. |
|
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| 113 |  |  As noted in “Tattoos: Leaving Their Mark,” among the documented harms caused by tattoos are all of the following except: |
|  | A) | full fledged skin cancer. |
|  | B) | staphylococcus aureus. |
|  | C) | keratoacanthoma growth. |
|  | D) | pseudoepitheliomatous growth. |
|
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 |
| 114 |  |  As pointed out n “Tattoos: Leaving Their Mark,” tattooing has never been accepted in the American mainstream. |
|  | A) | True |
|  | B) | False |
|
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 |
| 115 |  |  As reported in “Hazardous Health Plans,” insurance experts say the problem with insuring people as individuals rather than in groups is: |
|  | A) | they tend to be in poorer health. |
|  | B) | there is a lack of group accountability. |
|  | C) | the high cost of treatment in the United States. |
|  | D) | ignorance of health treatment options. |
|
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| 116 |  |  As noted in “Hazardous Health Plans,” the reason a patient with breast cancer in California pays more overall for treatment than a patient in Massachusetts is that: |
|  | A) | California has coverage gaps. |
|  | B) | California has higher premiums. |
|  | C) | California has higher deductibles. |
|  | D) | Massachusetts has limited life time benefits. |
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 |
| 117 |  |  According to “Hazardous Health Plans,” the fact that health insurance is sold in states but regulated on the federal level contributes to confusion. |
|  | A) | True |
|  | B) | False |
|
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 |
| 118 |  |  As noted in “When Government Makes Us Sick,” the sad state of federal management is largely due to: |
|  | A) | inability to attract top flight scientists. |
|  | B) | a command-and-control approach to governance. |
|  | C) | lack of funding. |
|  | D) | congressional interference. |
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 |
| 119 |  |  As reported in “When Government Makes Us Sick,” the only government agency that has the government-wide scope to deal with management issues in a comprehensive and continuous manner is the: |
|  | A) | Congressional Budget Office. |
|  | B) | Office of Management and Budget. |
|  | C) | Attorney General’s Office. |
|  | D) | Office of Personnel Management. |
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 |
| 120 |  |  As stated in “When Government Makes Us Sick,” the Food and Drug Administration contends that the manufacturer is to blame for the problem that made the author sick. |
|  | A) | True |
|  | B) | False |
|
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 |
| 121 |  |  As defined in “From Smoking Boom, A Major Killer of Women,” chronic obstructive pulmonary disease (C.O.P.D.) comprises two illnesses, emphysema and: |
|  | A) | asthma. |
|  | B) | chronic bronchitis. |
|  | C) | pneumonia. |
|  | D) | lung cancer. |
|
|
 |
| 122 |  |  As reported in “From Smoking Boom, A Major Killer of Women,” a recent study shows that prior to being admitted to the hospital for C.O.P.D., most patients: |
|  | A) | were unaware they had anything wrong. |
|  | B) | were already on the appropriate medications. |
|  | C) | assumed they had heart disease. |
|  | D) | had been incorrectly treated. |
|
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 |
| 123 |  |  According to “From Smoking Boom, A Major Killer of Women,” although smoking is associated with C.O.P.D., only about 5 percent of smokers develop chronic lung disease. |
|  | A) | True |
|  | B) | False |
|
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 |
| 124 |  |  As discussed in “Sound the Alarm? A Swine Flu Bind,” from history and observation of influenza viruses, scientists know: |
|  | A) | how viruses mutate to cause pandemics. |
|  | B) | what makes some viruses lethal. |
|  | C) | when mutations of viruses will occur in the total human population. |
|  | D) | that viruses mutate on a world-wide basis about twice a century. |
|
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 |
| 125 |  |  At the time “Sound the Alarm? A Swine Flu Bind” was written, the only reported deaths from the swine flu were in: |
|  | A) | the United States. |
|  | B) | China. |
|  | C) | Mexico. |
|  | D) | Peru. |
|
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 |
| 126 |  |  As pointed out in “Sound the Alarm? A Swine Flu Bind,” the information considered most reliable in evaluating outbreaks is the number of cases reported in the days immediately after detection. |
|  | A) | True |
|  | B) | False |
|
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 |
| 127 |  |  In discussing the role of the Food and Drug Administration in the Bisphenol A controversy, the author of “Chemical in Plastic Bottles Fuels Science, Concern--and Litigation” notes that the agency: |
|  | A) | has no jurisdiction over containers. |
|  | B) | does not use industry-sponsored studies for data. |
|  | C) | is satisfied that there is no harm to humans. |
|  | D) | has called for extensive product recalls. |
|
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 |
| 128 |  |  As noted in “Chemical in Plastic Bottles Fuels Science, Concern--and Litigation,” lawsuits against makers of baby bottles including Gerber and Playtex: |
|  | A) | have been filed in every state. |
|  | B) | claim various forms of personal injury. |
|  | C) | seek no damages. |
|  | D) | claim violations of consumer-protection acts. |
|
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 |
| 129 |  |  As stated in “Chemical in Plastic Bottles Fuels Science, Concern--and Litigation,” research suggests that fetuses cannot metabolize Bisphenol A. |
|  | A) | True |
|  | B) | False |
|
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 |
| 130 |  |  As stated in “HIV Apathy,” advances in testing technology in the past several years have effectively eliminated the: |
|  | A) | number of false positives obtained. |
|  | B) | waiting time for test results. |
|  | C) | risk that confidentiality will be compromised. |
|  | D) | need for multiple test sites in urban areas. |
|
|
 |
| 131 |  |  As portrayed in “HIV Apathy,” the campaign to kick off a new effort to encourage Washington, D.C., residents to take action against HIV featured local officials gathering and: |
|  | A) | promising to allocate millions of dollars to fight the disease. |
|  | B) | being publicly tested for HIV. |
|  | C) | presenting information about the advances in drug therapy for HIV. |
|  | D) | protesting what they saw as a failure to protect residents’ privacy in the new campaign. |
|
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 |
| 132 |  |  As explained in “HIV Apathy,” recent laws regarding privacy in health issues mean that the privacy requirements surrounding HIV testing are more stringent than ever before. |
|  | A) | True |
|  | B) | False |
|
|
 |
| 133 |  |  As related in “Methicillin-Resistant Staphylococcus Aureus,” staph infections were successfully treated by penicillin when it was first introduced in the early 1940s, but penicillin-resistant strains were seen: |
|  | A) | within a decade, around 1950. |
|  | B) | as early as 1942. |
|  | C) | in the early 1960s. |
|  | D) | mostly in laboratory settings; penicillin remains an effective antibiotic for staph. |
|
|
 |
| 134 |  |  As specified in “Methicillin-Resistant Staphylococcus Aureus,” of the 19,000 people who died of MRSA in 2005, 86 percent acquired the infection through: |
|  | A) | blood transfusions. |
|  | B) | community contacts. |
|  | C) | sports-related injuries. |
|  | D) | healthcare environments. |
|
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 |
| 135 |  |  As noted in “Methicillin-Resistant Staphylococcus Aureus,” Medicare and other groups have been mandated by law to reimburse for hospital-acquired infections such as MRSA. |
|  | A) | True |
|  | B) | False |
|
|
 |
| 136 |  |  As set forth in “The Noisy Epidemic,” research reveals that excessive noise had all of the following effects on people except: |
|  | A) | interfering with physical coordination. |
|  | B) | making them angry and aggressive. |
|  | C) | impairing their ability to learn. |
|  | D) | increasing their risk of heart problems. |
|
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 |
| 137 |  |  As profiled in “The Noisy Epidemic,” Doctor Louis Hagler became concerned about the noise of trains passing near his home after he retired and attempted to: |
|  | A) | watch television in the afternoons at home. |
|  | B) | make telephone calls as a volunteer for a political campaign. |
|  | C) | meditate and practice yoga to keep fit. |
|  | D) | learn to play the piano. |
|
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 |
| 138 |  |  As related in “The Noisy Epidemic,” Prince Harry of Great Britain beat a nightclub owner in Kenya because he was so enraged by the loud music blaring from inside. |
|  | A) | True |
|  | B) | False |
|
|