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LATEST 2025 OBESITY MEDICINE BOARD FINAL EXAM
(ABOM) EXAM / OBESITY MEDICINE BOARD REAL EXAM
TESTBANK ALL 300 ACTUAL EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (VERIFIED ANSWERS) A NEW
UPDATED VERSION 2026-2027| GUARANTEED PASS A+
(BRAND NEW!!)




Phentermine/Topiramate ER dose


-3.75/23mg qam x 2 wks
-7.5/46mg qam x 12 weeks
IF <3% TBW loss at 12 wks increase to 11.25/69 qam x 2 wks -->15/92mg qam
-D/C if <5% weight loss at 12 wks at 15/92mg dose
-titrate down from 15/92mg dose with every other day dosing x 7 days (may
precipitate seizure)
-renal impairment dose: CrCl<50mL/min = max dose 7.5/46mg qam


-take with or without food


DOCUMENT BC AND NEGATIVE PREG TEST ON STARTING & MONTHLY

,Phentermine/Topiramate efficacy


-8-11% TBW
>than placebo
-45% lost 5% TBW in 1 yr
-35% lost 10% TBW in 1 yr

,Phentermine/topiramate side effects


-Increased BP/HR
-parasthesias
-insomnia
-agitation
-dry mouth
-headache
-tremor
-SI
-acute glaucoma
-mood/sleep disorders
-cognitive impairment (dopamax)
-elevated Cr
-hypokalemia
-metabolic acidosis
-kidney stones (reduce risk with increasing fluid intake)

, Phentermine/Topiramate Exclusions-VA


-pregnancy (topiramate=cleft palate)
-glaucoma
-hyperT4
-recent (<6 mo) cardiac/cerebrovascular events/unstable angina
-ESRD on HD
-severe hepatic impairment
-gallstones in <6 mo
-hx of kidney stones
-hx of SI/severe depression
-use of MAO- in last 14d
-other weight loss med use
-acetazolamide use
->100mg topiramate dose for other condition


Phentermine/Topiramate Indications


-BMI >30 or >27 with comorbidity
-total dose of topiramate should not exceed 100mg
-neg pregnancy test and monthly is required for topiramate use
-f/u after initial therapy w/in 2-8 wks