Deck 65: Obesity

Question 1

Clinically, obesity is defined as which of the following body mass index (BMI)?

A) < 16.00
B) 16.00-18.49
C) 18.50-24.99
D) 25.00-29.99
E) ≥ 30.00

Answer 1

E

Question 2

A 19-year-old patient with BMI of 28 would like to learn about the likely cause of obesity. You educate the patient with the following statement: Most common causes of obesity in adults are:

A) The result of energy imbalance such as the lack of exercise and excessive caloric intake
B) Cushing syndrome
C) Hypothyroidism
D) Medications such as corticosteroids or second generation antipsychotics
E) Genetic

Answer 2

C

Question 3

A 62-year-old obese patient has been told to implement diet change and exercise to manage her recent weight gain. She returns today complaining that despite exercising for 60 minutes four times a week, she has not lost any weight. Which of the following is a medical problem that may contribute to the cause of obesity?

A) Hypertension
B) Hypothyroidism
C) Vitamin D deficiency
D) Type 1 diabetes
E) Dyslipidemia

Answer 3

B

Question 4

Which of the following patients has metabolic syndrome?

A) Caucasian female with waist circumference of 90 cm, HDL of 40, and triglycerides of 134 mg/dl
B) Asian male with waist circumference of 83 cm, HDL of 50, and triglycerides of 169 mg/dl
C) African American male with HDL of 35, fasting glucose of 145 mg/dl, and blood pressure of 130/85.
D) Middle Eastern male with waist circumference of 90 cm, triglycerides of 130 mg/dl, and blood pressure of 135/90.
E) Caucasian male with HDL of 38, triglycerides of 159 mg/dl, and fasting glucose of 110 mg/dl.

Question 5

A 34-year-old female patient has a BMI of 31. She just learned about chronic illness associated with obesity and would now like to engage in treatment for weight loss. Which of the following is the most appropriate for first-line treatment?

A) Prescribe bupropion/natrexone (Contrave®).
B) Recommend bariatric surgery as it is known to be the most effective treatment.
C) Refer the patient to a nutritionist and help develop an activity regimen.
D) Prescribe phentermine for short-term use of 12 weeks.
E) Recommend eliminating carbohydrate from diet.

Question 6

A comprehensive dietary history is important when evaluating patients with obesity. The following are appropriate to review except:

A) 24-hour recall of current usual foods, including quantity, type, and meal times
B) Emotional and behavioral cues to eating
C) Cultural orientation to food and weight
D) Birth weight and feeding pattern during infancy

Question 7

The Plate Method can be a helpful way to start with balancing nutrients and food quantity. Which statement reflects the best way to use the plate method:

A) Limit protein (lean meat, poultry, or fish) to half of your plate.
B) Fill half of the plate with nonstarchy vegetables.
C) Limit starch (bread, rice, grains, cereal…) to half of your plate.
D) Milk and yogurt are good sources of protein with little carbohydrate, so you can have an unlimited quantity of these foods.

Question 8

Long-term use of appetite suppressants is not recommended due to:

A) Cost
B) Potential for tolerance and dependence
C) Increasing side effects over time
D) Emotional lability

Question 9

When prescribing Orlistat, it is important to educate the patient about:

A) Possibility for GI side effects such as flatus, abdominal cramping, oily fecal staining
B) Reduced fat-soluble vitamin absorption
C) Signs and symptoms of liver disease
D) All of the above

Question 10

Prevention of obesity is a major public health concern. The following are objectives laid out in Healthy People 2020 except:

A) Reduce the consumption of protein and dairy products
B) Increase the number of primary care providers who regularly calculate the BMI of their patients
C) Eliminate very low food security among children in the United States
D) Reduce the number of children and adolescents who are obese