CSOWM
QUESTIONS WITH COMPLETE ANSWERS (100%
ACCURATE)
Question 1.
Management of BMI >/= 25
ANSWER
Diet, Exercise, Behavior
Question 2.
Management of BMI >/=30
ANSWER
Diet, exercise, behavior + pharmacotherapy
Question 3.
Management of BMI >/= 27 + comorbidity
ANSWER
Diet, exercise, behavior + pharmacotherapy
Question 4.
Management of BMI >/=35 + cormorbidity
ANSWER
Bariatric surgery
Question 5.
Management of BMI >/=40
ANSWER
Bariatric surgery
,Question 6.
Co-morbidities
ANSWER
T2DM
HTN
OSA and other respiratory disorders
NAFLD
OA
lipid abnormalities
gastrointestinal disorders
heart disease
Question 7.
Medication assessment
ANSWER
Every month x3 months, then every 3 months
Question 8.
Effective weight loss %
ANSWER
>/=5% in 3 months
Question 9.
Avoid these wt loss meds with HTN/HD
ANSWER
Sympathomimetics (phentermine/diethylproprion)
Question 10.
Avoid these wt loss medications with CVD
ANSWER
Sypathomimetics
,Question 11.
T2DM treatment + medications to support weight loss
ANSWER
GLP-1 analog (mitigates associated weight gain due to insulin) or SGLT-2 inhibitors +
metformin. If using insulin, recommend basal instead of combo
Question 12.
Drugs that induce weight gain
ANSWER
Tricyclic antidepressants (Amitriptyline)
oral contraceptives (Ortho Tri-Cyclen, Yaz)
antipsychotics (Risperidone)
anticonvulsants
glucocorticoids (cortisol)
sulfonyureas- ( Glimepiride, Glipizide)
glitazones (Actos)
B-blockers (Propranolol, Metoprolol, Atenolol)
Question 13.
Hormonal signals for appetite
ANSWER
CCK- duodenum
K cells- duodenum and jejunum: gatric inhibitory polypeptide PYY- ileum and colon
GLP-1 -ileum
Pancreas- Insulin
Adipose tissue: Leptin
Liver- glucagon
Question 14.
GLP-1
ANSWER
Secreted in response to glucose and promotes insulin release from pancreas and satiety
, Question 15.
Ghrelin
ANSWER
produced in the stomach, orexigenic
Question 16.
Leptin
ANSWER
proportional to fat mass, anorexigenic
Inhibits appetite
Question 17.
PYY
ANSWER
Ileum and colon, anorexigenic
Question 18.
CCK
ANSWER
duodenum, anorexigenic
Question 19.
Insulin
ANSWER
Pancreas, anorexigenic
QUESTIONS WITH COMPLETE ANSWERS (100%
ACCURATE)
Question 1.
Management of BMI >/= 25
ANSWER
Diet, Exercise, Behavior
Question 2.
Management of BMI >/=30
ANSWER
Diet, exercise, behavior + pharmacotherapy
Question 3.
Management of BMI >/= 27 + comorbidity
ANSWER
Diet, exercise, behavior + pharmacotherapy
Question 4.
Management of BMI >/=35 + cormorbidity
ANSWER
Bariatric surgery
Question 5.
Management of BMI >/=40
ANSWER
Bariatric surgery
,Question 6.
Co-morbidities
ANSWER
T2DM
HTN
OSA and other respiratory disorders
NAFLD
OA
lipid abnormalities
gastrointestinal disorders
heart disease
Question 7.
Medication assessment
ANSWER
Every month x3 months, then every 3 months
Question 8.
Effective weight loss %
ANSWER
>/=5% in 3 months
Question 9.
Avoid these wt loss meds with HTN/HD
ANSWER
Sympathomimetics (phentermine/diethylproprion)
Question 10.
Avoid these wt loss medications with CVD
ANSWER
Sypathomimetics
,Question 11.
T2DM treatment + medications to support weight loss
ANSWER
GLP-1 analog (mitigates associated weight gain due to insulin) or SGLT-2 inhibitors +
metformin. If using insulin, recommend basal instead of combo
Question 12.
Drugs that induce weight gain
ANSWER
Tricyclic antidepressants (Amitriptyline)
oral contraceptives (Ortho Tri-Cyclen, Yaz)
antipsychotics (Risperidone)
anticonvulsants
glucocorticoids (cortisol)
sulfonyureas- ( Glimepiride, Glipizide)
glitazones (Actos)
B-blockers (Propranolol, Metoprolol, Atenolol)
Question 13.
Hormonal signals for appetite
ANSWER
CCK- duodenum
K cells- duodenum and jejunum: gatric inhibitory polypeptide PYY- ileum and colon
GLP-1 -ileum
Pancreas- Insulin
Adipose tissue: Leptin
Liver- glucagon
Question 14.
GLP-1
ANSWER
Secreted in response to glucose and promotes insulin release from pancreas and satiety
, Question 15.
Ghrelin
ANSWER
produced in the stomach, orexigenic
Question 16.
Leptin
ANSWER
proportional to fat mass, anorexigenic
Inhibits appetite
Question 17.
PYY
ANSWER
Ileum and colon, anorexigenic
Question 18.
CCK
ANSWER
duodenum, anorexigenic
Question 19.
Insulin
ANSWER
Pancreas, anorexigenic
