NR 667 VISE Assignment (Latest Update
) Questions with Correct
Answers {Grade A }100% Verified
Etiology: Obesity - correct answer -Multifactorial: physiologic, genetic, environmental,
psychological, cultural
-physiologic: imbalance between food intake and energy expenditure; dysregulation
between hunger and satiety hormones
-Genetic: several single genes cause rare forms of obesity; dozens of genes influence
common forms
-Environmental: decreased activity, energy-dense foods
-Obesogenic medications: antihistamines, steroids, beta blockers, SSRIs) can cause or
contribute to weight gain
Risk factors: Obesity - correct answer -Parental obesity
,-Decreased socioeconomic status
-Intake of calorically dense, nutrient-deficient, highly palatable foods
-Sedentary lifestyle/inactivity
-Increased screen use, esp. among children
Assessment findings: Obesity - correct answer -Staging is based on complication-
specific criteria
-Waist circumference: Women > 35 inches; men > 40 inches
Differential diagnosis: Obesity - correct answer -Acromegaly
-Ascites
-Iatrogenic Cushing syndrome
-Mesomorphic body states: elevated BMI due to muscle mass rather than adiposity
,Final diagnosis: Obesity - correct answer -Perform focused history and physical exam
to evaluate for obesity complications and comorbidities
-None needed for dx, but can assist with identifying obesity-related comorbidities:
thyroid function, lipid panel, fasting glucose, A1C, fasting insulin, LFTs, CBC, CMP,
lipase, amylase, ECG, screening for anxiety/depression and OSA
Prevention: Obesity - correct answer -Well-balanced diet
-Reduce sedentary behavior, increase regular physical activity; goal 150 mins/week,
including resistance exercise
-Sufficient sleep: inadequate sleep causes gherkin to increase and leptin to decrease,
producing greater hunger than when rested
Non-pharm management: Obesity - correct answer -Counseling about lifelong
strategies with use of 5As of obesity: ask, assess, advise, aggress, assist
, -Behavioral interventions: realistic goal setting, education, health outcomes, focus on
progress
-Determine caloric requirement for body weight, then institute a 500 cal/day deficit
during weight loss
-Track food and activity
-Regular f/u for health outcomes, weight loss tracking, motivation, and improvement
of obesity-related complications
Pharmacological management: Obesity - correct answer -May be helpful as adjuvant
therapy with lifestyle interventions for patients with BMI > 30 or 27 with comorbidities
-If one option doesn't work, consider others
-D/c medications in patients who do not respond with weight loss of at least 5% in 12
weeks
-Avoid in pregnancy
) Questions with Correct
Answers {Grade A }100% Verified
Etiology: Obesity - correct answer -Multifactorial: physiologic, genetic, environmental,
psychological, cultural
-physiologic: imbalance between food intake and energy expenditure; dysregulation
between hunger and satiety hormones
-Genetic: several single genes cause rare forms of obesity; dozens of genes influence
common forms
-Environmental: decreased activity, energy-dense foods
-Obesogenic medications: antihistamines, steroids, beta blockers, SSRIs) can cause or
contribute to weight gain
Risk factors: Obesity - correct answer -Parental obesity
,-Decreased socioeconomic status
-Intake of calorically dense, nutrient-deficient, highly palatable foods
-Sedentary lifestyle/inactivity
-Increased screen use, esp. among children
Assessment findings: Obesity - correct answer -Staging is based on complication-
specific criteria
-Waist circumference: Women > 35 inches; men > 40 inches
Differential diagnosis: Obesity - correct answer -Acromegaly
-Ascites
-Iatrogenic Cushing syndrome
-Mesomorphic body states: elevated BMI due to muscle mass rather than adiposity
,Final diagnosis: Obesity - correct answer -Perform focused history and physical exam
to evaluate for obesity complications and comorbidities
-None needed for dx, but can assist with identifying obesity-related comorbidities:
thyroid function, lipid panel, fasting glucose, A1C, fasting insulin, LFTs, CBC, CMP,
lipase, amylase, ECG, screening for anxiety/depression and OSA
Prevention: Obesity - correct answer -Well-balanced diet
-Reduce sedentary behavior, increase regular physical activity; goal 150 mins/week,
including resistance exercise
-Sufficient sleep: inadequate sleep causes gherkin to increase and leptin to decrease,
producing greater hunger than when rested
Non-pharm management: Obesity - correct answer -Counseling about lifelong
strategies with use of 5As of obesity: ask, assess, advise, aggress, assist
, -Behavioral interventions: realistic goal setting, education, health outcomes, focus on
progress
-Determine caloric requirement for body weight, then institute a 500 cal/day deficit
during weight loss
-Track food and activity
-Regular f/u for health outcomes, weight loss tracking, motivation, and improvement
of obesity-related complications
Pharmacological management: Obesity - correct answer -May be helpful as adjuvant
therapy with lifestyle interventions for patients with BMI > 30 or 27 with comorbidities
-If one option doesn't work, consider others
-D/c medications in patients who do not respond with weight loss of at least 5% in 12
weeks
-Avoid in pregnancy
