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

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

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
a normal process appetite in the dying patient that should not be confused with cachexia-anorexia syndrome
loss of appetite
26
Brain death occurs when
the cerebral cortex stops functioning
27
PATHOLOGIC GRIEF-CHRONIC GRIEF
INTENSITY DOES NOT WANE AFTER THE FIRST YEAR
28
CONFLICTED GRIEF
WHEN THE BEREAVED PERSON HAS NOT RESOLVED AMBIVALENT FEELINGS TOWARD THE DECEASED
29
ABSENT GRIEF
BEREAVED PERSON APPEARS TO BE COPING AND CARRYING ON AS IF NOTHING HAS HAPPENED
30
MALADAPTIVE OR DYSFUNCTIONAL GRIEF
GRIEF THAT IS PROLONGED OR UNRESOLVED
31
Verbal Directive
Can be given to MD with specific instructions in the presence of two witnesses