Balanced Deficit Diet and Evidence
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Questions and Answers

What is the current percentage of adult obesity in the US?

  • 41.9% (correct)
  • 30.5%
  • 16.1%
  • 50%
  • Which factors contribute to weight gain according to the learning objectives?

  • Behavioral and environmental factors
  • Behavioral and biologic factors
  • Genetic and behavioral factors
  • Genetic, environmental, and biologic factors (correct)
  • What age group has the highest percentage of adult obesity in the US?

  • 30-40 years old
  • 40-59 years old (correct)
  • 20-39 years old
  • 60+ years
  • What are the determinants of weight gain according to the learning objectives?

    <p>Behavioral and environmental factors</p> Signup and view all the answers

    Which population is disproportionately affected by adult obesity in the US?

    <p>Black</p> Signup and view all the answers

    How much is the additional annual cost due to adult obesity in the US?

    <p>$1,861/year</p> Signup and view all the answers

    What is the maximum number of days Saxenda (liraglutide) can be stored at room temperature after opening?

    <p>30 days</p> Signup and view all the answers

    Which injection sites are recommended for subcutaneous injection of GLP-1 Agonists?

    <p>Abdomen, back of arm, or thigh</p> Signup and view all the answers

    What is the evaluation strategy for Semaglutide (Wegovy) if 5% weight loss is not achieved within 3 months?

    <p>Discontinue the medication</p> Signup and view all the answers

    Which of the following is a potential risk associated with bariatric surgeries?

    <p>Wound infections</p> Signup and view all the answers

    What type of bariatric surgery bypasses a portion of the intestine to limit nutrient absorption?

    <p>Roux-en-Y Gastric Bypass</p> Signup and view all the answers

    Which drug class has numerous agents that may cause weight gain?

    <p>Antipsychotics</p> Signup and view all the answers

    What is the general recommendation for post-surgical bariatric multivitamin supplements?

    <p>Recommended for life, especially with specific vitamins and minerals</p> Signup and view all the answers

    Which medication can be stored at room temperature for 28 days after opening?

    <p>(Semaglutide) Wegovy</p> Signup and view all the answers

    What is the potential risk associated with dumping syndrome after malabsorptive surgeries?

    <p>(VTE) Venous Thromboembolism</p> Signup and view all the answers

    What is the recommended angle for subcutaneous injection of GLP-1 Agonists?

    <p>90-degree angle</p> Signup and view all the answers

    What is the maximum number of days Wegovy (semaglutide) can be stored at room temperature after opening?

    <p>28 days</p> Signup and view all the answers

    What is the recommended storage duration for unopened pens of Zepbound (tirzepatide)?

    <p>21 days</p> Signup and view all the answers

    Which type of diet is supported by evidence for reducing the risk of major cardiovascular events?

    <p>DASH diet</p> Signup and view all the answers

    What is the recommended daily caloric intake range for men to achieve weight loss?

    <p>1500-1800 kcal</p> Signup and view all the answers

    Which drug was banned by the FDA due to the increased risk of colorectal, pancreatic, and lung cancers?

    <p>Belviq</p> Signup and view all the answers

    What is the mechanism of action of sympathomimetics in reducing appetite?

    <p>Increasing release of NE in CNS</p> Signup and view all the answers

    Which drug combination has a boxed warning for not being approved to treat depression and increasing the risk of suicidality in kids & young adults?

    <p>Bupropion/naltrexone (Contrave)</p> Signup and view all the answers

    What is the primary mechanism of action of phentermine/topiramate (Qsymia) in causing weight loss?

    <p>Increasing release of NE in CNS</p> Signup and view all the answers

    Which drug class includes analogs of human incretin hormones and poses a risk for thyroid C-cell tumors?

    <p>Incretin mimetics</p> Signup and view all the answers

    What is the main adverse effect related to the use of Orlistat (Alli, Xenical)?

    <p><em><strong>Oily rectal leakage</strong></em></p> Signup and view all the answers

    Which condition is a contraindication for using sympathomimetics for weight loss?

    <p><em><strong>Diabetes</strong></em></p> Signup and view all the answers

    Which diet modification strategy is generally recommended to achieve weight loss?

    <p>Reducing daily caloric intake through energy deficit</p> Signup and view all the answers

    What is the primary mechanism of action of lipase inhibitors in causing weight loss?

    <p>Reversibly inhibits gastric &amp; pancreatic lipases needed for food breakdown</p> Signup and view all the answers

    Which class of drugs has a boxed warning for not being approved to treat depression and may increase the risk of suicidality in kids & young adults?

    <p>Combination: bupropion/naltrexone (Contrave)</p> Signup and view all the answers

    What is the most common appetite stimulator?

    <p>Ghrelin</p> Signup and view all the answers

    Which condition is not listed as a chronic disease associated with obesity?

    <p>Type 1 Diabetes</p> Signup and view all the answers

    What is the effect of a high-protein diet on weight loss, according to the text?

    <p>The effect is confounded by limiting calories</p> Signup and view all the answers

    What is the primary concern associated with very low-calorie diets?

    <p>Potential for complications</p> Signup and view all the answers

    What change in obesity leads to highly variable outcomes in drug distribution?

    <p>Increased visceral blood flow</p> Signup and view all the answers

    What is the primary concern associated with low-carb diets in patients with diabetes?

    <p>Increased risk of hypoglycemia</p> Signup and view all the answers

    What benefit is associated with a 5% weight loss?

    <p>-5 mmHg reduction in blood pressure</p> Signup and view all the answers

    Who should provide very low-calorie diets, according to the text?

    <p>Trained practitioners in a medical care setting</p> Signup and view all the answers

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