Obesity

  • Obesity is defined as having a BMI equal to or greater than ______ kg/m^2.

    • 30

  • Which of the following is an example of an appropriate question to pose to a person with obesity who is in the precontemplation change stage?

    • “How do you feel about your weight?”

  • Which of the following is an example of an appropriate question to pose to a person with obesity who is in the contemplation change stage?

    • “What are barriers you see to losing weight?”

  • When advising a person who will be using orlistate (Xenical, Alli) as part of a weight loss program, the NP provides the following information about when to take the medication:

    • Within an hour of each meal that contains fat

  • Contrave is believed to effect which part of the brain involved in the regulation of food intake?

    • hypothalamus

  • A pound of fat contains approximately ________ stored calories.

    • 3,500

  • The commonly recommended physical activity level of 10,000 steps per day is roughly the equivalent of walking ______ miles. 

    • 4 to 5

  • With the use of weight loss medications, if the patient has not acheived a 5% weight loss by week ______ of treatment, the therapy should be discontinued.

    • 12

  • In a person with obesity, weight loss of _______% or more yields an immediate reduction in death rates from cardiovascular and cerebrovascular disease.

    • 10

  • When counseling about malabsorptive bariatric surgery such as gastric bypass, the NP provides the following information:

    • The most dramatic weight losses are seen in the first few postoperative months.

  • The use of which of the following medications is often associated with weight gain?

    • Risperidone (Risperdal)

  • You are counseling a patient who is considering gastric bypass surgery for weight loss. You advise the following. (More than one can apply)

    • Calcium absorption will be reduced

    • Rapid weight loss after obesity surgery can contribute to the development of gallstones

    • Lifelong vitamin B12 supplementation is recommended

  • Weight loss medications. True or False?

    • The same liraglutide dose is used for chronic weight loss management and for management of type 2 diabetes mellitus.

      • False

    • Phentermine/topiramate (Qsymia) carries a warning about potential teratogenic effects.

      • True

    • Phentermine’s mechanism of action in weight loss is as a product that reduces GI motility.

      • False

      • In general, weight lost after gastric bypass is significantly more when compared with the postoperative course of a restrictive procedure such as adjustable gastric band or gastric sleeve. 

        • True

      • Use of naltrexone/bupropion (Contrave) is associated with an increased risk of suicidal ideation. 

        • True

    • Which of the following is a possible consequence of obesity? (more than one can apply)

      • Obstructive apnea

      • Steatohepatitis

      • Female infertility 

      • Endometrial cancer