CSOWM Exam 2026 | Certified Safety and Occupational Waste Management Study Guide & Practice
Questions
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
,CSOWM Exam 2026 | Certified Safety and Occupational Waste Management Study Guide & Practice
Questions
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
, CSOWM Exam 2026 | Certified Safety and Occupational Waste Management Study Guide & Practice
Questions
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
Questions
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
,CSOWM Exam 2026 | Certified Safety and Occupational Waste Management Study Guide & Practice
Questions
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
, CSOWM Exam 2026 | Certified Safety and Occupational Waste Management Study Guide & Practice
Questions
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