CSOWM Practice Exam Prep
CSOWM PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
Which of the following increases the risk of cardiovascular disorders in patients
with obesity?
a. Osteoporosis
b. Excess abdominal fat
c. Psychological disorders
d. Gastric Ulcer - Correct Answer-Answer: B: Excess abdominal fat. Complications,
including coronary artery disease, are more likely in patients with fat that is
concentrated abdominally. Choices A, C, and D do not increase the risk of
cardiovascular disorders in patients with obesity.
What is the role of ghrelin in food intake-regulating pathways?
a. It increases food intake.
b. It decreases food intake.
c. Level decreases when weight is lost.
d. It integrates energy balance signals. - Correct Answer-Answer: A: Ghrelin,
secreted primarily by the stomach, increases food intake. B, C, and D: Other
hormones and regulatory substances have these effects.
Which type of exercise is MOST effective for increasing BMR?
1|Page
, CSOWM Practice Exam Prep
a. Aerobic exercise
b. Resistance exercise
c. Balancing exercise
d. Flexibility exercise - Correct Answer-Answer: B: Resistance (strengthening)
exercises are the most effective way to increase BMR. Resistance exercises
increase muscle mass. Because muscle tissue burns more calories at rest than
does fat tissue, increasing muscle mass produces lasting increases in BMR. Choices
A, C, and D can also be effective in a weight management program. A combination
of aerobic and resistance exercise is better than either alone, particularly when
patients choose activities they enjoy.
Obesity Key Points - Correct Answer-Obesity increases the risk of many common
health problems and causes up to 300,000 premature deaths each year in the US,
making it second only to cigarette smoking as a preventable cause of death.
Excess caloric intake and too little physical activity contribute the most to obesity,
but genetic susceptibility and various disorders (including eating disorders) may
also contribute.
Screen patients using BMI and waist circumference and, when body composition
analysis is indicated, by measuring skinfold thickness or using bioelectrical
impedance analysis.
Screen obese patients for common comorbid disorders, such as obstructive sleep
apnea, diabetes, dyslipidemia, hypertension, fatty liver, and depression.
2|Page
, CSOWM Practice Exam Prep
Encourage patients to lose even 5 to 10% of body weight by changing their diet,
increasing physical activity, and using behavioral interventions if possible.
Try treating patients with orlistat, phentermine, phentermine/topiramate,
naltrexone/bupropion, liraglutide, or semaglutide if BMI is ≥ 30 or if BMI is ≥ 27
and they have complications (eg, hypertension, insulin resistance); however, for
severe obesity, surgery is most effective.
Encourage all patients to exercise, to eat healthily, to get enough sleep, and to
manage stress.
Screening for metabolic syndrome is important. A family history plus
measurement of waist circumference and BP are part of routine care. If patients
have a family history of type 2 diabetes, particularly those ≥ 40 yr, and have a
large waist circumference, laboratory tests are done to evaluate which of the
following?
a. Serum uric acid
b. Lipid profile
c. Kidney function
d. Liver function - Correct Answer-Answer: B: Lipid profile. Fasting plasma glucose
should also be measured.
Which of the following drugs is not used in the treatment of metabolic syndrome?
a. Pioglitazone
b. Metformin
c. Insulin
3|Page
, CSOWM Practice Exam Prep
d. Rosiglitazone - Correct Answer-Answer: C: Insulin. In metabolic syndrome,
insulin resistance with hyperinsulinemia occurs. A, B, and D: Metformin, an insulin
sensitizer, or a thiazolidinedione (eg, rosiglitazone, pioglitazone) may be useful.
Treatment of patients with metabolic syndrome is based on which of the
following?
a. Losing weight
b. Statins
c. Antihypertensive drugs
d. Smoking cessation - Correct Answer-Answer: A. Losing weight. Treatment of
metabolic syndrome is similar to that of obesity. Optimally, the management
approach results in weight loss based on a healthy diet and regular physical
activity. Weight loss of ≈ 7% may be sufficient to reverse the syndrome. B, C, and
D: Other cardiovascular risk factors need to be managed (eg, with drugs or
smoking cessation) as needed.
Metabolic Syndrome Key Points - Correct Answer-Excess abdominal fat leads to
abnormal fasting plasma glucose or insulin resistance, dyslipidemias, and
hypertension.
Metabolic syndrome is extremely common (eg, prevalence in the US of possibly >
40% in people > 50 years).
Determine waist circumference, blood pressure, fasting plasma glucose, and lipid
profile.
4|Page
CSOWM PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
Which of the following increases the risk of cardiovascular disorders in patients
with obesity?
a. Osteoporosis
b. Excess abdominal fat
c. Psychological disorders
d. Gastric Ulcer - Correct Answer-Answer: B: Excess abdominal fat. Complications,
including coronary artery disease, are more likely in patients with fat that is
concentrated abdominally. Choices A, C, and D do not increase the risk of
cardiovascular disorders in patients with obesity.
What is the role of ghrelin in food intake-regulating pathways?
a. It increases food intake.
b. It decreases food intake.
c. Level decreases when weight is lost.
d. It integrates energy balance signals. - Correct Answer-Answer: A: Ghrelin,
secreted primarily by the stomach, increases food intake. B, C, and D: Other
hormones and regulatory substances have these effects.
Which type of exercise is MOST effective for increasing BMR?
1|Page
, CSOWM Practice Exam Prep
a. Aerobic exercise
b. Resistance exercise
c. Balancing exercise
d. Flexibility exercise - Correct Answer-Answer: B: Resistance (strengthening)
exercises are the most effective way to increase BMR. Resistance exercises
increase muscle mass. Because muscle tissue burns more calories at rest than
does fat tissue, increasing muscle mass produces lasting increases in BMR. Choices
A, C, and D can also be effective in a weight management program. A combination
of aerobic and resistance exercise is better than either alone, particularly when
patients choose activities they enjoy.
Obesity Key Points - Correct Answer-Obesity increases the risk of many common
health problems and causes up to 300,000 premature deaths each year in the US,
making it second only to cigarette smoking as a preventable cause of death.
Excess caloric intake and too little physical activity contribute the most to obesity,
but genetic susceptibility and various disorders (including eating disorders) may
also contribute.
Screen patients using BMI and waist circumference and, when body composition
analysis is indicated, by measuring skinfold thickness or using bioelectrical
impedance analysis.
Screen obese patients for common comorbid disorders, such as obstructive sleep
apnea, diabetes, dyslipidemia, hypertension, fatty liver, and depression.
2|Page
, CSOWM Practice Exam Prep
Encourage patients to lose even 5 to 10% of body weight by changing their diet,
increasing physical activity, and using behavioral interventions if possible.
Try treating patients with orlistat, phentermine, phentermine/topiramate,
naltrexone/bupropion, liraglutide, or semaglutide if BMI is ≥ 30 or if BMI is ≥ 27
and they have complications (eg, hypertension, insulin resistance); however, for
severe obesity, surgery is most effective.
Encourage all patients to exercise, to eat healthily, to get enough sleep, and to
manage stress.
Screening for metabolic syndrome is important. A family history plus
measurement of waist circumference and BP are part of routine care. If patients
have a family history of type 2 diabetes, particularly those ≥ 40 yr, and have a
large waist circumference, laboratory tests are done to evaluate which of the
following?
a. Serum uric acid
b. Lipid profile
c. Kidney function
d. Liver function - Correct Answer-Answer: B: Lipid profile. Fasting plasma glucose
should also be measured.
Which of the following drugs is not used in the treatment of metabolic syndrome?
a. Pioglitazone
b. Metformin
c. Insulin
3|Page
, CSOWM Practice Exam Prep
d. Rosiglitazone - Correct Answer-Answer: C: Insulin. In metabolic syndrome,
insulin resistance with hyperinsulinemia occurs. A, B, and D: Metformin, an insulin
sensitizer, or a thiazolidinedione (eg, rosiglitazone, pioglitazone) may be useful.
Treatment of patients with metabolic syndrome is based on which of the
following?
a. Losing weight
b. Statins
c. Antihypertensive drugs
d. Smoking cessation - Correct Answer-Answer: A. Losing weight. Treatment of
metabolic syndrome is similar to that of obesity. Optimally, the management
approach results in weight loss based on a healthy diet and regular physical
activity. Weight loss of ≈ 7% may be sufficient to reverse the syndrome. B, C, and
D: Other cardiovascular risk factors need to be managed (eg, with drugs or
smoking cessation) as needed.
Metabolic Syndrome Key Points - Correct Answer-Excess abdominal fat leads to
abnormal fasting plasma glucose or insulin resistance, dyslipidemias, and
hypertension.
Metabolic syndrome is extremely common (eg, prevalence in the US of possibly >
40% in people > 50 years).
Determine waist circumference, blood pressure, fasting plasma glucose, and lipid
profile.
4|Page
