Vol. 29, No. 4

1. According to the article, bisphenol A (BPA) can be found in all of the following, EXCEPT:

a. Polycarbonate tableware

b. Water bottles

c. Baby bottles

d. Glass containers

2. In a study cited in the article, among women undergoing in vitro fertilization not consuming soyfoods, live birth rates _______ as urinary BPA levels _________.

a. decreased; increased

b. increased; decreased

c. decreased; decreased

d. were unaffected; increased

3. The article states that review of the observational and clinical study outcomes likely to be affected by endocrine-active substances suggest:

a. Soyfoods classify as endocrine disruptors.

b. Isoflavones classify as endocrine disruptors.

c. Neither soyfoods nor isoflavones warrant classification as endocrine disruptors.

d. Both soyfoods and isoflavones warrant classification as endocrine disruptors.

4. According to the article, extensive clinical data shows that isoflavones____________ T4 and/or T3 in euthyroid individuals.

a. highly increase

b. highly decrease

c. do not adversely affect

d. adversely affect

5. Intake of which of the following affect levels of estrogen, estradiol, and/or total/free testosterone in men, according to the article?

a. Soyfoods

b. Isoflavones

c. Both soyfoods and isoflavones

d. Neither soyfoods nor isoflavones

6. According to the literature, exposure to which of the following significantly affects reproductive hormone levels in women?

a. Soy intake

b. Isoflavones

c. Neither soy intake nor isoflavones

d. Both soy intake and isoflavones

7. Evidence suggests that post-diagnosis soy intake ____________ for breast cancer survivors.

a. is safe

b. is concerning

c. should be avoided

d. should be drastically reduced

8. In regards to the effect of soy isoflavones and endometrial cancer risk compared with endometriosis, results seem to suggest:

a. A strong association

b. A weak association

c. A protective or a null effect

d. A negative association

9. Current evidence suggests ______________ between a high habitual intake of soyfoods with advanced puberty onset.

a. a strong association

b. no clear relationship

c. an inverted association

d. a parallel relationship

10. The available evidence ___________________ relationship between soy intake and hormone levels in children.

a. points to a strong

b. does not support a meaningful

c. suggests a possible

d. supports an inverse

11. In regards to fetal effects of maternal soy/isoflavone intake, evidence suggests that isoflavones are _____________ to exert an estrogenic effect on the fetus.

a. likely to

b. very likely to

c. unlikely to

d. unrelated

12. The article suggests that breastfed infants ____________affected by maternal soy consumption.

a. are very likely to be positively

b. are very likely to be negatively

c. are likely to be partially

d. are unlikely to be

Continuing Professional Education Credit