HBIO 202 MIDTERM 2 EXAM ACTUAL QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
Comorbidities that come along with obesity
Type 2 Diabetes
Hypertension
cardiovascular disease
Chronic obstructive pulmonary disease
Liver disease
Cancers
Gastroesophageal reflux disease (heartburn)
Obese patient has BMI 25-30 or age 25-27 with obesity-related disorders. They will
receive ______ therapy
Diet and behavioral therapy
Obese patient has BMI >30 or BMI >27 with obesity-related disorders. They will
receive ______ therapy
Pharmacotherapy and Diet Therapy
Obese patient has BMI > 40 or BMI >35 with obesity-related disorders. They will
receive ______ therapy
Bariatric Surgery & Diet Therapy
BMI of obese person
over 30
,Successful intervention for obesity includes
Dietary interventions
Physical activity
Behavior therapy
Desirable BMI
18.5-24.9
Ideal weight loss
Initial weight-loss of 5-10% of baseline weight within 6 months
Weight loss is usually greater during the first 6 months (4-12 kg) with smaller losses
maintained for up to 2 years
Estimated Energy Requirement (EER)
Realistic caloric requirement that an individual should consume to perform normal
functions and maintain a state of health
This formula does not consider any physical activity/exercise
Two drug therapy options for obese patients
1) ORLISTAT: Orlistat is a drug that inhibits the function of lipases (the enzymes that
break down fat)
If fat is consumed, it cannot be digested. If it cannot be digested, it cannot be stored. It
just passes through the body
, 2) LORCASERIN (BELVIQ): Mechanism of Action: reacts with serotonin-2C receptor;
anorectic effect (not wanting to eat) mainly working in the brain
Two kinds of bariatric procedures
Gastric banding and gastric bypass
Gastric Banding procedure
Common, Reversible
Restrictive surgery: reduces the size of the stomach to promote satiety
Laparoscopic
Gastric Bypass (AKA Roux-en-Y GB) procedure
- Common
- Restrictive and Malabsorptive (it also shortens the functional length of the intestine)
- Gold standard of bariatric surgery
- Can be done laparoscopically
- Stomach content is released in the intestine too quickly causing complications/diarrhea
(dumping syndrome)
Requirements for Medicare to cover gastric band surgery
1) BMI (body mass index) of 35 or greater
2) At least one comorbidity
3) Documented evidence of obesity for the last 5 years
4) Documented participation in a medically supervised weight loss program.
5) Doctor's letter
6) Psychological evaluation
7) All other treatable medical diseases have been ruled out as a possible cause for
COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
Comorbidities that come along with obesity
Type 2 Diabetes
Hypertension
cardiovascular disease
Chronic obstructive pulmonary disease
Liver disease
Cancers
Gastroesophageal reflux disease (heartburn)
Obese patient has BMI 25-30 or age 25-27 with obesity-related disorders. They will
receive ______ therapy
Diet and behavioral therapy
Obese patient has BMI >30 or BMI >27 with obesity-related disorders. They will
receive ______ therapy
Pharmacotherapy and Diet Therapy
Obese patient has BMI > 40 or BMI >35 with obesity-related disorders. They will
receive ______ therapy
Bariatric Surgery & Diet Therapy
BMI of obese person
over 30
,Successful intervention for obesity includes
Dietary interventions
Physical activity
Behavior therapy
Desirable BMI
18.5-24.9
Ideal weight loss
Initial weight-loss of 5-10% of baseline weight within 6 months
Weight loss is usually greater during the first 6 months (4-12 kg) with smaller losses
maintained for up to 2 years
Estimated Energy Requirement (EER)
Realistic caloric requirement that an individual should consume to perform normal
functions and maintain a state of health
This formula does not consider any physical activity/exercise
Two drug therapy options for obese patients
1) ORLISTAT: Orlistat is a drug that inhibits the function of lipases (the enzymes that
break down fat)
If fat is consumed, it cannot be digested. If it cannot be digested, it cannot be stored. It
just passes through the body
, 2) LORCASERIN (BELVIQ): Mechanism of Action: reacts with serotonin-2C receptor;
anorectic effect (not wanting to eat) mainly working in the brain
Two kinds of bariatric procedures
Gastric banding and gastric bypass
Gastric Banding procedure
Common, Reversible
Restrictive surgery: reduces the size of the stomach to promote satiety
Laparoscopic
Gastric Bypass (AKA Roux-en-Y GB) procedure
- Common
- Restrictive and Malabsorptive (it also shortens the functional length of the intestine)
- Gold standard of bariatric surgery
- Can be done laparoscopically
- Stomach content is released in the intestine too quickly causing complications/diarrhea
(dumping syndrome)
Requirements for Medicare to cover gastric band surgery
1) BMI (body mass index) of 35 or greater
2) At least one comorbidity
3) Documented evidence of obesity for the last 5 years
4) Documented participation in a medically supervised weight loss program.
5) Doctor's letter
6) Psychological evaluation
7) All other treatable medical diseases have been ruled out as a possible cause for
