CSOWM QUESTIONS WITH CORRECT ANSWERS

CSOWMQUESTIONSWITHCORRECT v v v




ANSWERS 2025 v v




Management of BMI >/= 25 - CORRECT ANSWER -Diet, Exercise, Behavior
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Management of BMI >/=30 - CORRECT ANSWER -Diet, exercise, behavior + pharmacotherapy
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Management of BMI >/= 27 + comorbidity - CORRECT ANSWER - Diet,
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exercise, behavior + pharmacotherapy
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Management of BMI >/=35 + cormorbidity - CORRECT ANSWER -Bariatric surgery
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Management of BMI >/=40 - CORRECT ANSWER -Bariatric surgery
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Co-morbidities - CORRECT ANSWER -T2DM HTN v v v v v




OSA and other respiratory disorders
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v NAFLD

OA

lipid abnormalities
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v gastrointestinal disorders v




heart disease
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Medication assessment - CORRECT ANSWER -Every month x3 months, then every 3 months
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Effective weight loss % - CORRECT ANSWER ->/=5% in 3 months
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Avoid these wt loss meds with HTN/HD - CORRECT ANSWER -
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Sympathomimetics (phentermine/diethylproprion)
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,Avoid these wt loss medications with CVD - CORRECT ANSWER -Sypathomimetics
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T2DM treatment + medications to support weight loss - CORRECT ANSWER -GLP-
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1 analog (mitigates associated weight gain due to insulin) or SGLT-
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2 inhibitors + metformin. If using insulin, recommend basal instead of combo
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Drugs that induce weight gain - CORRECT ANSWER -Tricyclic antidepressants (Amitriptyline)
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v oral contraceptives (Ortho Tri-Cyclen, Yaz)
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antipsychotics (Risperidone) v




v anticonvulsants

glucocorticoids (cortisol)
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sulfonyureas- ( Glimepiride, Glipizide) v v v




v glitazones (Actos) v




B-blockers (Propranolol, Metoprolol, Atenolol) v v v




Hormonal signals for appetite - CORRECT ANSWER -CCK- duodenum K
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v cells- duodenum and jejunum: gatric inhibitory polypeptide
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PYY- ileum and colon
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v GLP-1 -ileum v




Pancreas- Insulin v




Adipose tissue: Leptin v v




Liver- glucagon v




GLP-1 - CORRECT ANSWER - v v v v




Secreted in response to glucose and promotes insulin release from pancreas and satiety
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Ghrelin - CORRECT ANSWER -produced in the stomach, orexigenic
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, Leptin - CORRECT ANSWER -proportional to fat mass, anorexigenic
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Inhibits appetite v




PYY - CORRECT ANSWER -Ileum and colon, anorexigenic
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CCK - CORRECT ANSWER -duodenum, anorexigenic
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Insulin - CORRECT ANSWER -Pancreas, anorexigenic
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Phentermine - CORRECT ANSWER -noradrenergic, dopaminergic sympathomimetic amine
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Start with 7.5-15mg/d, increase only with no results
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Do not prescribe for someone with hx of psych dz or substance abuse
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Lorcaserin (Belviq) - CORRECT ANSWER -Seratonin agent, stimulates seratonin type 2 receptor
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Brand name: Phentermine/Topiramate - CORRECT ANSWER -Qysemia
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Phentermine/Topiramate (Qysemia) - CORRECT ANSWER -Phentermine- stimulant v v v v v v




Topiramate- neurostabilizer + antiseizure v v v




Bupropion (Wellbutrin) - CORRECT ANSWER -Dopamine + norepinepherine reuptake inhibitor
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Stimulates POMC neurons v v