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CSOWM exam with complete solutions 2024_2025.
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CSOWM exam with complete solutions 2024_2025.
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CSOWM exam with complete solutions2024/2025
Management of BMI >/= 25 - ANSWER✓✓-Diet, Exercise, Behavior
Management of BMI >/=30 - ANSWER✓✓-Diet, exercise, behavior +
pharmacotherapy
Management of BMI >/= 27 + comorbidity - ANSWER✓✓-Diet,
exercise, behavior + pharmacotherapy
Management of BMI >/=35 + cormorbidity - ANSWER✓✓-Bariatric
surgery
Management of BMI >/=40 - ANSWER✓✓-Bariatric surgery
Co-morbidities - ANSWER✓✓-T2DM
HTN
OSA and other respiratory disorders
NAFLD
OA
lipid abnormalities
gastrointestinal disorders
heart disease
Medication assessment - ANSWER✓✓-Every month x3 months, then
every 3 months
Effective weight loss % - ANSWER✓✓->/=5% in 3 months
Avoid these wt loss meds with HTN/HD - ANSWER✓✓-
Sympathomimetics (phentermine/diethylproprion)
,Avoid these wt loss medications with CVD - ANSWER✓✓-
Sypathomimetics
T2DM treatment + medications to support weight loss - ANSWER✓✓-
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 - ANSWER✓✓-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 - ANSWER✓✓-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 - ANSWER✓✓-Secreted in response to glucose and promotes
insulin release from pancreas and satiety
Ghrelin - ANSWER✓✓-produced in the stomach, orexigenic
Leptin - ANSWER✓✓-proportional to fat mass, anorexigenic
Inhibits appetite
PYY - ANSWER✓✓-Ileum and colon, anorexigenic
, CCK - ANSWER✓✓-duodenum, anorexigenic
Insulin - ANSWER✓✓-Pancreas, anorexigenic
Phentermine - ANSWER✓✓-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) - ANSWER✓✓-Seratonin agent, stimulates
seratonin type 2 receptor
Brand name: Phentermine/Topiramate - ANSWER✓✓-Qysemia
Phentermine/Topiramate (Qysemia) - ANSWER✓✓-Phentermine-
stimulant
Topiramate- neurostabilizer + antiseizure
Bupropion (Wellbutrin) - ANSWER✓✓-Dopamine + norepinepherine
reuptake inhibitor
Stimulates POMC neurons
Sibutramine (Meridia) - ANSWER✓✓-Discontinued-
Norepinephrine, Serotonin, and Dopamine Reuptake Inhibitor Anorectic
Approved for use in adolescents >/=16
Orlistat - ANSWER✓✓-blocks absorption of 25-30% of fat calories
SLGT-2 inhibitors (best for T2DM patients)- ex. Invokana -
ANSWER✓✓-promote weight loss by preventing the reabsorption of
glucose as well as water
Band name: Victoza/Sandexa - ANSWER✓✓-Liraglutide
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