CSOWM EXAM QUESTIONS AND
ANSWERS
Management of BMI >/= 25 - Correct Answers -Diet, Exercise, Behavior
Management of BMI >/=30 - Correct Answers -Diet, exercise, behavior +
pharmacotherapy
Management of BMI >/= 27 + comorbidity - Correct Answers -Diet, exercise, behavior +
pharmacotherapy
Management of BMI >/=35 + cormorbidity - Correct Answers -Bariatric surgery
Management of BMI >/=40 - Correct Answers -Bariatric surgery
Co-morbidities - Correct Answers -T2DM
HTN
OSA and other respiratory disorders
NAFLD
OA
lipid abnormalities
gastrointestinal disorders
heart disease
Medication assessment - Correct Answers -Every month x3 months, then every 3
months
Effective weight loss % - Correct Answers ->/=5% in 3 months
Avoid these wt loss meds with HTN/HD - Correct Answers -Sympathomimetics
(phentermine/diethylproprion)
Avoid these wt loss medications with CVD - Correct Answers -Sypathomimetics
Iron deficiency treatment - Correct Answers -Ferrous sulfate, fumerate, gluconate
150-200mg elemental iron daily + vit C
Selenium deficiency markers - Correct Answers -Unexplained anemia/fatigue, persistant
diarrhea, cardiomyopathy, metabolic bone disease
,T2DM treatment + medications to support weight loss - Correct Answers -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 Answers -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 Answers -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 Answers -Secreted in response to glucose and promotes insulin
release from pancreas and satiety
Ghrelin - Correct Answers -produced in the stomach, orexigenic
Leptin - Correct Answers -proportional to fat mass, anorexigenic
Inhibits appetite
PYY - Correct Answers -Ileum and colon, anorexigenic
CCK - Correct Answers -duodenum, anorexigenic
Insulin - Correct Answers -Pancreas, anorexigenic
Phentermine - Correct Answers -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 Answers -Seratonin agent, stimulates seratonin type 2
receptor
Brand name: Phentermine/Topiramate - Correct Answers -Qysemia
Phentermine/Topiramate (Qysemia) - Correct Answers -Phentermine- stimulant
Topiramate- neurostabilizer + antiseizure
Bupropion (Wellbutrin) - Correct Answers -Dopamine + norepinepherine reuptake
inhibitor
Stimulates POMC neurons
Sibutramine (Meridia) - Correct Answers -Discontinued-
Norepinephrine, Serotonin, and Dopamine Reuptake Inhibitor Anorectic
Approved for use in adolescents >/=16
Orlistat - Correct Answers -blocks absorption of 25-30% of fat calories
SLGT-2 inhibitors (best for T2DM patients)- ex. Invokana - Correct Answers -promote
weight loss by preventing the reabsorption of glucose as well as water
Band name: Victoza/Sandexa - Correct Answers -Liraglutide
Liraglutide (Victoza/Sandexa) - Correct Answers -Injectable, long acting GLP-1 receptor
agonist
Diethylpropion - Correct Answers -Anorexiants, Sympathomimetic Amine Anorectic
Cautions with use of Phentermine and Diethylpropion - Correct Answers -may elevate
mean BP and pulse
Do not use with pts. with hx of CVD
Monitor patient with HTN
Caution with: HTN, cardiac arrhythemia, seizures
Better choice: Lorcaserin (Seratonin receptor angonist)
cautions with Obese patients on SSRI/SNRI - Correct Answers -Do not use
LORCASERIN (seratonin syndrome)
ANSWERS
Management of BMI >/= 25 - Correct Answers -Diet, Exercise, Behavior
Management of BMI >/=30 - Correct Answers -Diet, exercise, behavior +
pharmacotherapy
Management of BMI >/= 27 + comorbidity - Correct Answers -Diet, exercise, behavior +
pharmacotherapy
Management of BMI >/=35 + cormorbidity - Correct Answers -Bariatric surgery
Management of BMI >/=40 - Correct Answers -Bariatric surgery
Co-morbidities - Correct Answers -T2DM
HTN
OSA and other respiratory disorders
NAFLD
OA
lipid abnormalities
gastrointestinal disorders
heart disease
Medication assessment - Correct Answers -Every month x3 months, then every 3
months
Effective weight loss % - Correct Answers ->/=5% in 3 months
Avoid these wt loss meds with HTN/HD - Correct Answers -Sympathomimetics
(phentermine/diethylproprion)
Avoid these wt loss medications with CVD - Correct Answers -Sypathomimetics
Iron deficiency treatment - Correct Answers -Ferrous sulfate, fumerate, gluconate
150-200mg elemental iron daily + vit C
Selenium deficiency markers - Correct Answers -Unexplained anemia/fatigue, persistant
diarrhea, cardiomyopathy, metabolic bone disease
,T2DM treatment + medications to support weight loss - Correct Answers -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 Answers -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 Answers -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 Answers -Secreted in response to glucose and promotes insulin
release from pancreas and satiety
Ghrelin - Correct Answers -produced in the stomach, orexigenic
Leptin - Correct Answers -proportional to fat mass, anorexigenic
Inhibits appetite
PYY - Correct Answers -Ileum and colon, anorexigenic
CCK - Correct Answers -duodenum, anorexigenic
Insulin - Correct Answers -Pancreas, anorexigenic
Phentermine - Correct Answers -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 Answers -Seratonin agent, stimulates seratonin type 2
receptor
Brand name: Phentermine/Topiramate - Correct Answers -Qysemia
Phentermine/Topiramate (Qysemia) - Correct Answers -Phentermine- stimulant
Topiramate- neurostabilizer + antiseizure
Bupropion (Wellbutrin) - Correct Answers -Dopamine + norepinepherine reuptake
inhibitor
Stimulates POMC neurons
Sibutramine (Meridia) - Correct Answers -Discontinued-
Norepinephrine, Serotonin, and Dopamine Reuptake Inhibitor Anorectic
Approved for use in adolescents >/=16
Orlistat - Correct Answers -blocks absorption of 25-30% of fat calories
SLGT-2 inhibitors (best for T2DM patients)- ex. Invokana - Correct Answers -promote
weight loss by preventing the reabsorption of glucose as well as water
Band name: Victoza/Sandexa - Correct Answers -Liraglutide
Liraglutide (Victoza/Sandexa) - Correct Answers -Injectable, long acting GLP-1 receptor
agonist
Diethylpropion - Correct Answers -Anorexiants, Sympathomimetic Amine Anorectic
Cautions with use of Phentermine and Diethylpropion - Correct Answers -may elevate
mean BP and pulse
Do not use with pts. with hx of CVD
Monitor patient with HTN
Caution with: HTN, cardiac arrhythemia, seizures
Better choice: Lorcaserin (Seratonin receptor angonist)
cautions with Obese patients on SSRI/SNRI - Correct Answers -Do not use
LORCASERIN (seratonin syndrome)
