CSOWM ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 2026
Management of BMI >/= 25 - CORRECT ANSWER -Diet, Exercise, Behavior
Management of BMI >/=30 - CORRECT ANSWER -Diet, exercise, behavior + pharmacotherapy
Management of BMI >/= 27 + comorbidity - CORRECT ANSWER -Diet, exercise, behavior +
pharmacotherapy
Management of BMI >/=35 + cormorbidity - CORRECT ANSWER -Bariatric surgery
Management of BMI >/=40 - CORRECT ANSWER -Bariatric surgery
Co-morbidities - CORRECT ANSWER -T2DM
HTN
OSA and other respiratory disorders
NAFLD
OA
lipid abnormalities
gastrointestinal disorders
heart disease
Medication assessment - CORRECT ANSWER -Every month x3 months, then every 3 months
Effective weight loss % - CORRECT ANSWER ->/=5% in 3 months
,Avoid these wt loss meds with HTN/HD - CORRECT ANSWER -Sympathomimetics
(phentermine/diethylproprion)
Avoid these wt loss medications with CVD - CORRECT ANSWER -Sypathomimetics
T2DM treatment + medications to support weight loss - CORRECT ANSWER -GLP-1 analog
(mitigates associated weight gain due to insulin) or SGLT-2 inhibitors + metformin. If using
insulin, recommend basal instead of combo
Drugs that induce weight gain - CORRECT 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)
Hormonal signals for appetite - CORRECT 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
GLP-1 - CORRECT ANSWER -Secreted in response to glucose and promotes insulin release from
pancreas and satiety
Ghrelin - CORRECT ANSWER -produced in the stomach, orexigenic
Leptin - CORRECT ANSWER -proportional to fat mass, anorexigenic
Inhibits appetite
PYY - CORRECT ANSWER -Ileum and colon, anorexigenic
CCK - CORRECT ANSWER -duodenum, anorexigenic
Insulin - CORRECT ANSWER -Pancreas, anorexigenic
Phentermine - CORRECT ANSWER -noradrenergic, dopaminergic sympathomimetic amine
Start with 7.5-15mg/d, increase only with no results
Do not prescribe for someone with hx of psych dz or substance abuse
Lorcaserin (Belviq) - CORRECT ANSWER -Seratonin agent, stimulates seratonin type 2 receptor
CORRECT ANSWERS 2026
Management of BMI >/= 25 - CORRECT ANSWER -Diet, Exercise, Behavior
Management of BMI >/=30 - CORRECT ANSWER -Diet, exercise, behavior + pharmacotherapy
Management of BMI >/= 27 + comorbidity - CORRECT ANSWER -Diet, exercise, behavior +
pharmacotherapy
Management of BMI >/=35 + cormorbidity - CORRECT ANSWER -Bariatric surgery
Management of BMI >/=40 - CORRECT ANSWER -Bariatric surgery
Co-morbidities - CORRECT ANSWER -T2DM
HTN
OSA and other respiratory disorders
NAFLD
OA
lipid abnormalities
gastrointestinal disorders
heart disease
Medication assessment - CORRECT ANSWER -Every month x3 months, then every 3 months
Effective weight loss % - CORRECT ANSWER ->/=5% in 3 months
,Avoid these wt loss meds with HTN/HD - CORRECT ANSWER -Sympathomimetics
(phentermine/diethylproprion)
Avoid these wt loss medications with CVD - CORRECT ANSWER -Sypathomimetics
T2DM treatment + medications to support weight loss - CORRECT ANSWER -GLP-1 analog
(mitigates associated weight gain due to insulin) or SGLT-2 inhibitors + metformin. If using
insulin, recommend basal instead of combo
Drugs that induce weight gain - CORRECT 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)
Hormonal signals for appetite - CORRECT 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
GLP-1 - CORRECT ANSWER -Secreted in response to glucose and promotes insulin release from
pancreas and satiety
Ghrelin - CORRECT ANSWER -produced in the stomach, orexigenic
Leptin - CORRECT ANSWER -proportional to fat mass, anorexigenic
Inhibits appetite
PYY - CORRECT ANSWER -Ileum and colon, anorexigenic
CCK - CORRECT ANSWER -duodenum, anorexigenic
Insulin - CORRECT ANSWER -Pancreas, anorexigenic
Phentermine - CORRECT ANSWER -noradrenergic, dopaminergic sympathomimetic amine
Start with 7.5-15mg/d, increase only with no results
Do not prescribe for someone with hx of psych dz or substance abuse
Lorcaserin (Belviq) - CORRECT ANSWER -Seratonin agent, stimulates seratonin type 2 receptor
