| 1. | Approximately what fraction of adults in the United States have hypertension or cardiovascular disease, or die from cardiovascular disease? | 
  |  |    |  | a. one-fifth |   |  | b. one-quarter |   |  | c. one-third |   |  | d. one-half |  | 
  
     | 5. | Which of the following is NOT a feature of atherosclerosis? | 
  |  |    |  | a. Atherosclerotic plaque often blocks blood flow causing a myocardial infarction. |   |  | b. It is an inflammatory disease. |   |  | c. Hypertension can initiate the process of plaque formation. |   |  | d. Foam cells are the source of the lipid deposits that form plaque. |  | 
  
    | 7. | Which of the following is NOT a risk factor for cardiovascular disease? | 
  |  |    |  | a. diets low in whole grains |   |  | b. eight drinks a week for a woman |   |  | c. intake of fatty foods such as avocados and olives |   |  | d. diets low in polyunsaturated fats |  | 
  
    | 9. | Which type of dietary fat has the most detrimental effect on CVD risk? | 
  |  |    |  | a. trans fat |   |  | b. saturated fat |   |  | c. animal fats |   |  | d. plant oils |  | 
  
    | 10. | Regularly eating which of the following is NOT associated with reducing the risk of CVD? | 
  |  |    |  | a. nuts |   |  | b. low-fat foods |   |  | c. oily fish |   |  | d. whole grain oats, rye, and barley |  | 
  
    | 11. | Which of the following dietary substitutions will result in the smallest reduction in the risk of CVD? | 
  |  |    |  | a. substituting monounsaturated fats with carbohydrates |   |  | b. substituting saturated fats with polyunsaturated fats |   |  | c. substituting saturated fats with carbohydrates |   |  | d. substituting trans fats with unsaturated fats |  | 
  
    | 12. | Which of the following statements about trans fats is NOT true? | 
  |  |    |  | a. Trans fat consumption lowers HDL cholesterol and raises LDL cholesterol. |   |  | b. Trans fat intake should be limited to no more than 1% of total calories. |   |  | c. A product that contains 0.4 g of trans fats will show 0 grams on the label. |   |  | d. They are present only in foods that contain partially hydrogenated oils. |  | 
  
    | 13. | Which of the following statements about fatty acids is NOT true? | 
  |  |    |  | a. A ratio of dietary omega-6 to omega-3 fatty acids of 10:1 is generally recommended. |   |  | b. Increased intake of EPA and DHA reduces blood triglycerides. |   |  | c. Omega-6 fatty acids should make up 5% to 10% of total calories. |   |  | d. Increased intake of omega-3 fatty acids can delay clotting. |  | 
  
    | 14. | Which of the following is NOT a risk factor that is linked with metabolic syndrome? | 
  |  |    |  | a. hypertension |   |  | b. elevated HDL cholesterol |   |  | c. elevated blood glucose levels |   |  | d. large waistline |  | 
  
    | 15. | Which of the following statements about brain health is NOT true? | 
  |  |    |  | a. Interruption of blood flow to the brain causes a stroke. |   |  | b. Atherosclerosis in cerebral arteries increases the risk of dementia. |   |  | c. Metabolic syndrome does not increase the risk of stroke. |   |  | d. Increased intakes of docosahexaenoic acid (DHA) may lower the risk of dementia. |  | 
  
       | 1. | Approximately what fraction of  adults in the United States have hypertension or cardiovascular  disease, or die from cardiovascular disease? | 
    |  |       |  | a. one-fifth |    |  | b. one-quarter |    |  | c. one-third |    |  | d. one-half |  | 
    
Answers:
 1. b. One quarter
 5. c. Hypertension can initiate the process of plaque formation
 7. b. Eight drinks a week for a women
 9. a. Trans fat
 10. c. Oily fish
 11. c. Substituting saturated fat with carbohydrates
 12. b. Trans fat intake should be limited to not more than 1 of total calories