CSOWM - AOM + Others UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Obesity - CORRECT ANSWER - Chronic multi-system disease associated with multiple
anatomical, physiological, psychological consequences
5 Stages of Behavior Change Transtheoretical Model - CORRECT ANSWER -
precontemplation, contemplation, preparation, action, maintenance
Precontemplation - CORRECT ANSWER - Not willing to make change; appears resistant
+ unmotivated
Contemplation - CORRECT ANSWER - Ambivalent/uncertain about wanting to make a
behavior change
Preparation - CORRECT ANSWER - Now thinking about a behavior change and actually
planning first steps
Action - CORRECT ANSWER - Now motivated to change and receptive to conversations
r/t potential behavior change interventions ready to go
Maintenance - CORRECT ANSWER - Pt. continues w/ behavior changes and practices
healthy strategies to continue to maintain success
What stage would a pt. actually start to see us? - CORRECT ANSWER - preparation
Elements of comprehensive lifestyle intervention - CORRECT ANSWER - Diet, Increased
PA, Frequency + duration of treatment, behavior strategies, technology to support programs
, Diet - CORRECT ANSWER - Low calorie diet (1200-1500 kcal/d for women; 1500-1800
kcal/day for men) using dietary approaches based on pt preference & Health aspects
Increased PA - CORRECT ANSWER - >150 min/week of aerobic activity to 300
min/week for additional benefits. Additional benefits w/ muscle -strengthening activities for 2 or
more days/week
Frequency + duration of treatment - CORRECT ANSWER - >/= 14 in-person counseling
sessions (individual or group) in the 1st 6 months w/ a trained interventionalist (RDN mostly).
Cont'd contact w/ this person for wt maintenance, along w/ feedback and support
Behavioral strategies - CORRECT ANSWER - Monitoring food intake & PA using paper
diaries/apps. Daily-weekly monitoring of wt and strategies Ex: goal setting, problem solving,
stimulus support.
Technology to support programs - CORRECT ANSWER - Telehealth options
When to choose only lifestyle therapy - CORRECT ANSWER - 1) The patient has no
complications. 2) Mild-moderate complications when lifestyle therapy is anticipated to achieve
sufficient wt loss to ameliorate complications (tertiary prevention) or based on clinical
judgement.
Starting meds as adjunct to lifestyle - CORRECT ANSWER - 1) Lifestyle therapy fails,
medication added d/t progressive wt gain or lack of clinical improvement in wt r/t complications
on lifestyle alone. 2) Wt regain on lifestyle therapy add meds for pts who are overweight (BMI
27-29.9) or obesity if weight is regained following initial success w/ lifestyle. 3) Presence of wt
r/t complications meds initiated for overweight or obese + need to achieve sufficient weight loss
to ameliorate complications
FDA criteria for all weight loss meds - CORRECT ANSWER - BMI > 30kg/m2 or BMI
>/=27 kg/m2 with significant comorbidity
ACTUAL Exam Questions and CORRECT
Answers
Obesity - CORRECT ANSWER - Chronic multi-system disease associated with multiple
anatomical, physiological, psychological consequences
5 Stages of Behavior Change Transtheoretical Model - CORRECT ANSWER -
precontemplation, contemplation, preparation, action, maintenance
Precontemplation - CORRECT ANSWER - Not willing to make change; appears resistant
+ unmotivated
Contemplation - CORRECT ANSWER - Ambivalent/uncertain about wanting to make a
behavior change
Preparation - CORRECT ANSWER - Now thinking about a behavior change and actually
planning first steps
Action - CORRECT ANSWER - Now motivated to change and receptive to conversations
r/t potential behavior change interventions ready to go
Maintenance - CORRECT ANSWER - Pt. continues w/ behavior changes and practices
healthy strategies to continue to maintain success
What stage would a pt. actually start to see us? - CORRECT ANSWER - preparation
Elements of comprehensive lifestyle intervention - CORRECT ANSWER - Diet, Increased
PA, Frequency + duration of treatment, behavior strategies, technology to support programs
, Diet - CORRECT ANSWER - Low calorie diet (1200-1500 kcal/d for women; 1500-1800
kcal/day for men) using dietary approaches based on pt preference & Health aspects
Increased PA - CORRECT ANSWER - >150 min/week of aerobic activity to 300
min/week for additional benefits. Additional benefits w/ muscle -strengthening activities for 2 or
more days/week
Frequency + duration of treatment - CORRECT ANSWER - >/= 14 in-person counseling
sessions (individual or group) in the 1st 6 months w/ a trained interventionalist (RDN mostly).
Cont'd contact w/ this person for wt maintenance, along w/ feedback and support
Behavioral strategies - CORRECT ANSWER - Monitoring food intake & PA using paper
diaries/apps. Daily-weekly monitoring of wt and strategies Ex: goal setting, problem solving,
stimulus support.
Technology to support programs - CORRECT ANSWER - Telehealth options
When to choose only lifestyle therapy - CORRECT ANSWER - 1) The patient has no
complications. 2) Mild-moderate complications when lifestyle therapy is anticipated to achieve
sufficient wt loss to ameliorate complications (tertiary prevention) or based on clinical
judgement.
Starting meds as adjunct to lifestyle - CORRECT ANSWER - 1) Lifestyle therapy fails,
medication added d/t progressive wt gain or lack of clinical improvement in wt r/t complications
on lifestyle alone. 2) Wt regain on lifestyle therapy add meds for pts who are overweight (BMI
27-29.9) or obesity if weight is regained following initial success w/ lifestyle. 3) Presence of wt
r/t complications meds initiated for overweight or obese + need to achieve sufficient weight loss
to ameliorate complications
FDA criteria for all weight loss meds - CORRECT ANSWER - BMI > 30kg/m2 or BMI
>/=27 kg/m2 with significant comorbidity
