Name: Score:
129 Multiple choice questions
Term 1 of 129
GLP 1 is secreted where and its action?
Distal small bowel and colon (L cells)
Insulin incretin effect, reduces hepatic gluconeogenesis via glucagon suppression, slows
gastric emptying
BMI < 18.5: 28-40 lb
18.5-24.9: 25-35 lbs (twins 37-54)
25.0-29.9: 15-25 lbs (31-50)
>30: 11-20 lbs (25-42)
Difficulty suppressing appetite and insulin resistance
Tx: Setmelanotide
Cirrhosis, portal HTN, esophageal varices, uncorrected significant hiatal hernia,
pacemakers, defibrillator, etc
Term 2 of 129
An energy deficit of approximately ______ is recommended to achieve weight loss?
>500kcal/day
=1000kcal/day
>1000kcal/day
<200kcal/day
,Term 3 of 129
Contraindications to vagal nerve blockade?
Age > 18 with BMI 40-45 or 35-39 with >1 obesity related co-morbidity and have failed one
supervised weight management program within past 5 years
Decrease in ghrelin, increase in peptide YY
Decreases activation of NPY/AgRP orexigenic pathway (weight gaining)
Distal small bowel and colon (L cells)
Insulin incretin effect, reduces hepatic gluconeogenesis via glucagon suppression, slows
gastric emptying
Cirrhosis, portal HTN, esophageal varices, uncorrected significant hiatal hernia,
pacemakers, defibrillator, etc
Term 4 of 129
Endoscopic sleeve gastroplasty involves?
Removing the stomach entirely and connecting the esophagus to the intestine
Plicating the stomach with sutures reducing the stomach size
Creating a bypass around the stomach to reduce absorption
Inserting a balloon to expand the stomach capacity
Term 5 of 129
What may be the presenting sign of an anastomotic leak? (Besides tachycardia)
Gastric regurgitation leading to pulmonary aspiration
Failure to extubate
Carbohydrate breath test
Bile acid gastritis; convert to roux-en-y
,Term 6 of 129
What will the RQ be if low energy exercise is being performed? (marathon running)
0.5 indicating protein utilization
0.7 due to lipids being used for energy
1.0 indicating a balanced energy source
0.9 suggesting carbohydrate dominance
Term 7 of 129
GIP is secreted where and its action?
Distal small bowel and colon (L cells)
Insulin incretin effect, reduces hepatic gluconeogenesis via glucagon suppression, slows
gastric emptying
Duodenum and jejunum (K cells)
Insulin incretin effects and slows gastric emptying
(10 x weight kg) + (6.25 x height cm) - (5 x age) + 5
Distal small bowel, colon, and rectum (L cells)
Appetite suppression and delays gastric and intestinal emptying
Term 8 of 129
BMI cut off value for screening of excess adiposity in South Asian, Southeast Asian, and East Asian
adults?
24-25.9
<20
21-22.9
>23
, Term 9 of 129
Side effects of raspberry extract?
Hepatic injury
Significant burping
Carb restriction: 60-90g daily
fruits, dairy, carbs, and starch vegetables are restricted
caution: reduce insulin or monitor sglt2 if on ketogenic diet due to risk of ketoacidosis
Indigestion, bloating, constipation
Term 10 of 129
What organ and muscle group makes up the largest portion of resting metabolic rate?
Liver and skeletal muscle, 20% each
Vyvanse (lisdexamfetamine)
Prior hypersensitivity, family history of medullary thyroid cancer, MEN type 2, pregnancy,
severe gastroparesis, pancreatitis
Severity of obesity related comorbidities, psychologic symptoms, and functional limitations
Term 11 of 129
Amount of a nutrient estimated to meet the requirement of half of all healthy individuals in the
population?
E66 (obesity due to excess calories, etc)
Roux-en-Y and biliopancreatic diversion with duodenal switch
Estimated average requirement
ascending muscle weakness, nystagmus
days to weeks
129 Multiple choice questions
Term 1 of 129
GLP 1 is secreted where and its action?
Distal small bowel and colon (L cells)
Insulin incretin effect, reduces hepatic gluconeogenesis via glucagon suppression, slows
gastric emptying
BMI < 18.5: 28-40 lb
18.5-24.9: 25-35 lbs (twins 37-54)
25.0-29.9: 15-25 lbs (31-50)
>30: 11-20 lbs (25-42)
Difficulty suppressing appetite and insulin resistance
Tx: Setmelanotide
Cirrhosis, portal HTN, esophageal varices, uncorrected significant hiatal hernia,
pacemakers, defibrillator, etc
Term 2 of 129
An energy deficit of approximately ______ is recommended to achieve weight loss?
>500kcal/day
=1000kcal/day
>1000kcal/day
<200kcal/day
,Term 3 of 129
Contraindications to vagal nerve blockade?
Age > 18 with BMI 40-45 or 35-39 with >1 obesity related co-morbidity and have failed one
supervised weight management program within past 5 years
Decrease in ghrelin, increase in peptide YY
Decreases activation of NPY/AgRP orexigenic pathway (weight gaining)
Distal small bowel and colon (L cells)
Insulin incretin effect, reduces hepatic gluconeogenesis via glucagon suppression, slows
gastric emptying
Cirrhosis, portal HTN, esophageal varices, uncorrected significant hiatal hernia,
pacemakers, defibrillator, etc
Term 4 of 129
Endoscopic sleeve gastroplasty involves?
Removing the stomach entirely and connecting the esophagus to the intestine
Plicating the stomach with sutures reducing the stomach size
Creating a bypass around the stomach to reduce absorption
Inserting a balloon to expand the stomach capacity
Term 5 of 129
What may be the presenting sign of an anastomotic leak? (Besides tachycardia)
Gastric regurgitation leading to pulmonary aspiration
Failure to extubate
Carbohydrate breath test
Bile acid gastritis; convert to roux-en-y
,Term 6 of 129
What will the RQ be if low energy exercise is being performed? (marathon running)
0.5 indicating protein utilization
0.7 due to lipids being used for energy
1.0 indicating a balanced energy source
0.9 suggesting carbohydrate dominance
Term 7 of 129
GIP is secreted where and its action?
Distal small bowel and colon (L cells)
Insulin incretin effect, reduces hepatic gluconeogenesis via glucagon suppression, slows
gastric emptying
Duodenum and jejunum (K cells)
Insulin incretin effects and slows gastric emptying
(10 x weight kg) + (6.25 x height cm) - (5 x age) + 5
Distal small bowel, colon, and rectum (L cells)
Appetite suppression and delays gastric and intestinal emptying
Term 8 of 129
BMI cut off value for screening of excess adiposity in South Asian, Southeast Asian, and East Asian
adults?
24-25.9
<20
21-22.9
>23
, Term 9 of 129
Side effects of raspberry extract?
Hepatic injury
Significant burping
Carb restriction: 60-90g daily
fruits, dairy, carbs, and starch vegetables are restricted
caution: reduce insulin or monitor sglt2 if on ketogenic diet due to risk of ketoacidosis
Indigestion, bloating, constipation
Term 10 of 129
What organ and muscle group makes up the largest portion of resting metabolic rate?
Liver and skeletal muscle, 20% each
Vyvanse (lisdexamfetamine)
Prior hypersensitivity, family history of medullary thyroid cancer, MEN type 2, pregnancy,
severe gastroparesis, pancreatitis
Severity of obesity related comorbidities, psychologic symptoms, and functional limitations
Term 11 of 129
Amount of a nutrient estimated to meet the requirement of half of all healthy individuals in the
population?
E66 (obesity due to excess calories, etc)
Roux-en-Y and biliopancreatic diversion with duodenal switch
Estimated average requirement
ascending muscle weakness, nystagmus
days to weeks
