409 5 Flashcards

1
Q

Obesity

A

an abnormal increase in the proportion of fat cells mainly in the viscera and subcutaneous tissues of the body

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2
Q

Genetics accounts for ____ differences in people’s weight

A

30—40%

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3
Q

Food availability, cultural norms, and level of physical exercise account for ___ of weight differences

A

70%

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4
Q

Appetite is regulated primarily by the

A

hypothalamus

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5
Q

In the obese, the normal postprandial decline in

A

ghrelin levels does not occur, which can lead to increased appetite and overeating

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6
Q

Released from descending colon and rectum in proportion to the amount of calories consumed at a meal

A

Peptide YY

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7
Q

Peptide YY Inhibits appetite by

A

slowing motility

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8
Q

in obese people levels of peptide YY are

A

decreased

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9
Q

Cholecystokinin

A

Secreted in the duodenum and jejunum. Inhibits gastric emptying and sends satiety signals to the hypothalamus

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10
Q

Obesity may be associated with hyperactivity of the production of c____

A

cortisol

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11
Q

People prone to obesity have an “inborn” reduction in their catabolic responses to

A

glucose and insulin

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12
Q

one of the factors that decreases older adults nutrition status

A

Decreased visual acuity

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13
Q

BMI 25-29

A

overweight

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14
Q

BMI 30 to 39

A

obese

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15
Q

BMI 40

A

severe obesity

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16
Q

Waist-to-hip ratio

A

A number greater than 1 in men and 0.8 in women = overweight

17
Q

Waist-to-hip ratio is especially important when calculating risk for

A

CAD

18
Q

Combination of obesity, hypertension, high blood sugar, and dyslipidemia =

A

metabolic syndrome

19
Q

With gastric sleeve surgery you don’t have to worry about

A

dumping syndrome because the sphincter is still there

20
Q

Least invasive and least effective weight loss surgery

A

gastric band

21
Q

Gastric sleeve: the portion of the stomach that produces ___ is removed

A

ghrelin

22
Q

Palliative Care

A

not about curing; managing symptoms and improve quality of life

23
Q

when should Palliative Care be started

A

at the beginning of the disease

24
Q

Adjuvant analgesics

A

TCA
Benzo
Phenytoin/GABA

25
Q

a normal process appetite in the dying patient that should not be confused with cachexia-anorexia syndrome

A

loss of appetite

26
Q

Brain death occurs when

A

the cerebral cortex stops functioning

27
Q

PATHOLOGIC GRIEF-CHRONIC GRIEF

A

INTENSITY DOES NOT WANE AFTER THE FIRST YEAR

28
Q

CONFLICTED GRIEF

A

WHEN THE BEREAVED PERSON HAS NOT RESOLVED AMBIVALENT FEELINGS TOWARD THE DECEASED

29
Q

ABSENT GRIEF

A

BEREAVED PERSON APPEARS TO BE COPING AND CARRYING ON AS IF NOTHING HAS HAPPENED

30
Q

MALADAPTIVE OR DYSFUNCTIONAL GRIEF

A

GRIEF THAT IS PROLONGED OR UNRESOLVED

31
Q

Verbal Directive

A

Can be given to MD with specific instructions in the presence of two witnesses