question results · which of the following patients is the best candidate for weight-loss...
TRANSCRIPT
MD/DO Learner got 15 of 15 possible points on the Biology, Medications, and Surgical Options Post-Test.Total score: 100 %
Question ResultsQuestion #1 of 15: Multiple choice question
Mr. Gregory wants a weight-loss surgery that is likely to help him lose at least 50% of his excess weight. He is willing to make the required diet and exercise changes and obtain behavioral support. Which of the following gastric surgeries is unlikely to help him lose that much weight?
Laparoscopic Adjustable Gastric Band
Vagal Blocking Therapy
Vertical (Sleeve) Gastrectomy
Roux-En-Y Gastric Bypass
Mr. Gregory is not likely to lose 50% of his excess weight with any of the above surgeries.
Response:
Laparoscopic Adjustable Gastric Band
Vagal Blocking Therapy
Feedback:
Correct!
Vertical (Sleeve) Gastrectomy
Roux-En-Y Gastric Bypass
Mr. Gregory is not likely to lose 50% of his excess weight with any of the above surgeries.
Question #2 of 15: Multiple choice question
After weight loss surgery, which of the following diet approaches are recommended for optimal weight loss with fewest side effects?
A high-carb diet
Limiting soda intake to no more than 2 per day
Low fat diet taken in 3 meals per day
Small, protein-based meals
Response:
A high-carb diet
Limiting soda intake to no more than 2 per day
Low fat diet taken in 3 meals per day
Small, protein-based meals
Feedback:
Correct!
Question #3 of 15: Multiple choice question
High fat/high sugar foods resemble addictive substances by (choose best answer):
Decreasing serotonin levels
Inhibiting neurons in the nucleus accumbens
Increasing dopamine levels
Decreasing mood
All of the above
Response:
Decreasing serotonin levels
Inhibiting neurons in the nucleus accumbens
Increasing dopamine levels
Feedback:
Correct!
Decreasing mood
All of the above
Question #4 of 15: Multiple choice question
Which of the following medications can produce weight loss but is NOT FDA-approved for weight-loss treatment in non-diabetics?
Bupropion/Naltrexone
Liraglutide
Metformin
Nortriptyline
Response:
Bupropion/Naltrexone
Liraglutide
Metformin
Feedback:
Correct!
Nortriptyline
Question #5 of 15: Multiple choice question
Mr. Murphy is obese and is taking a beta blocker for hypertension. Which provider explanation most accurately and appropriately discusses this with him?
"Your blood pressure medication causes weight gain, but you need it to control your bloodpressure. So, we need to add a weight-loss medication."
"Your blood pressure is well-controlled by your antihypertensive but your medication maycontribute to weight gain. Other medications might control your blood pressure and notcause weight gain. Would you be open to trying one of them?"
"Your anti-hypertensive medication is a good choice because it controls your blood pressurewell and helps with weight loss at the same time."
"Your anti-hypertensive medication is a good choice because it does not cause you to gainweight."
Response:
"Your blood pressure medication causes weight gain, but you need it to control yourblood pressure. So, we need to add a weight-loss medication."
"Your blood pressure is well-controlled by your antihypertensive but your medicationmay contribute to weight gain. Other medications might control your blood pressureand not cause weight gain. Would you be open to trying one of them?"
Feedback:
Correct!
"Your anti-hypertensive medication is a good choice because it controls your bloodpressure well and helps with weight loss at the same time."
"Your anti-hypertensive medication is a good choice because it does not cause you togain weight."
Question #6 of 15: Multiple choice question
Ms. Jessica Lincoln meets criteria for weight-loss medication and has been diagnosed with mild depression. Which of the following weight-loss medications also could help with depression?
Liraglutide
Bupropion/Naltrexone
Phentermine with Topiramate ER
Orlistat
Response:
Liraglutide
Bupropion/Naltrexone
Feedback:
Correct!
Phentermine with Topiramate ER
Orlistat
Question #7 of 15: Multiple choice question
Edith Worthington is obese with obstructive cholestasis and mild malabsorption. She agreed to start weight-loss pharmacotherapy. Which of the following medications is a POOR FIT for her:
Liraglutide
Phentermine with Topiramate ER
Lorcaserin
Orlistat
Response:
Liraglutide
Phentermine with Topiramate ER
Lorcaserin
Orlistat
Feedback:
Correct!
Question #8 of 15: Multiple choice question
Ruth Petty was prescribed lorcaserin for weight loss. All of the following are topics that should be discussed with her regarding this treatment EXCEPT:
Likely effectiveness of medication
Possible weight regain once medication is stopped
Need for concurrent lifestyle changes and counselor support
Need for a daily injection
Response:
Likely effectiveness of medication
Possible weight regain once medication is stopped
Need for concurrent lifestyle changes and counselor support
Need for a daily injection
Feedback:
Correct!
Question #9 of 15: Multiple choice question
Which of the following commonly occurs following significant weight loss?
Decrease in circulating leptin levels
Increase in resting energy expenditure
Decrease in circulating ghrelin levels
Stimulation of anorexigenic pathways
All of the above
Response:
Decrease in circulating leptin levels
Feedback:
Correct!
Increase in resting energy expenditure
Decrease in circulating ghrelin levels
Stimulation of anorexigenic pathways
All of the above
Question #10 of 15: Multiple choice question
Ms. Lindsay complains of weight gain from taking Quetiapine (Seroquel®) for psychosis. Which of the following antipsychotic medications is likely to produce less weight gain or no weight gain?
Chlorpromazine (Thorazine®)
Ziprasidone (Geodon®)
Olanzipine (Zyprexa®)
Clozapine (Clozaril®)
Response:
Chlorpromazine (Thorazine®)
Ziprasidone (Geodon®)
Feedback:
Correct!
Olanzipine (Zyprexa®)
Clozapine (Clozaril®)
Question #11 of 15: Multiple choice question
Ms. Ellington is moderately obese and needs to be prescribed medication for type 2 diabetes. Which of the following medications being considered is most likely to cause weight gain?
Metformin
GLP-1 Analogs (e.g., exanatide, liraglutide)
Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors (e.g., canagliflozin, dapagliflozin,empagliflozin)
Sulfonylureas (e.g. glipizide, glimepiride, glyburide)
Response:
Metformin
GLP-1 Analogs (e.g., exanatide, liraglutide)
Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors (e.g., canagliflozin, dapagliflozin,empagliflozin)
Sulfonylureas (e.g. glipizide, glimepiride, glyburide)
Feedback:
Correct!
Question #12 of 15: Multiple choice question
Question: Which patient best meets guidelines for weight-loss surgery consideration?
Mr. George, BMI 37, has no comorbidities but says he cannot lose weight on his own.
Ms. Rounds, BMI 35, has diabetes. She has tried diet and exercise with no success.
Ms. Paul, BMI 39, has no comorbidities and does not want to try pharmacotherapy.
Mr. Frank, BMI 31, has issues with impulse control. He sees surgery as his only option forweight loss.
Response:
Mr. George, BMI 37, has no comorbidities but says he cannot lose weight on his own.
Ms. Rounds, BMI 35, has diabetes. She has tried diet and exercise with no success.
Feedback:
Correct!
Ms. Paul, BMI 39, has no comorbidities and does not want to try pharmacotherapy.
Mr. Frank, BMI 31, has issues with impulse control. He sees surgery as his only optionfor weight loss.
Question #13 of 15: Multiple choice question
Ms. Boothe meets all criteria for weight-loss surgery. She prefers to have a surgery that can be reversed even if that means her overall weight loss will be less. Which type of surgery fits that criterion?
“Long Limb” Gastric Bypass
Roux-En-Y Gastric Bypass
Laparoscopic Adjustable Gastric Banding (LAGB)
Vertical (Sleeve) Gastrectomy
Response:
“Long Limb” Gastric Bypass
Roux-En-Y Gastric Bypass
Laparoscopic Adjustable Gastric Banding (LAGB)
Feedback:
Correct!
Vertical (Sleeve) Gastrectomy
Question #14 of 15: Multiple choice question
Which of the following patients is the best candidate for weight-loss pharmacotherapy?
Larry (BMI 26) has had minor success with dieting and exercise.
Walter (BMI 24) has had little success losing weight with diet and exercise.
Olive (BMI 29) has hypertension and dyslipidemia and has tried dieting and exercise to loseweight with no success.
Dina (BMI 30) is seeking pharmacotherapy as a substitution for diet and exercise.
Response:
Larry (BMI 26) has had minor success with dieting and exercise.
Walter (BMI 24) has had little success losing weight with diet and exercise.
Olive (BMI 29) has hypertension and dyslipidemia and has tried dieting and exercise tolose weight with no success.
Feedback:
Correct!
Dina (BMI 30) is seeking pharmacotherapy as a substitution for diet and exercise.
Question #15 of 15: Multiple choice question
Patient: Scott Rowe, age 35
Presentation: Mr. Rowe has a BMI of 29 kg/m2. He also has high cholesterol and hypertensionand takes 20 mg of fluoxetine (SSRI) daily, for depression. He has been unable to lose weight byany other method and indicates that he is interested in pharmacotherapy for weight loss.
Question: After determining that he is indeed eligible for such treatment, which medicationwould NOT be appropriate to prescribe Mr. Rowe?
Orlistat
Lorcaserin
Phentermine
Phentermine-Topiramate
Response:
Orlistat
Lorcaserin
Feedback:
Lorcaserin can interact with SSRIs; these medications should not be prescribedtogether.
Phentermine
Phentermine-Topiramate