Diagnosis And evaluation

Question 1

Which essential amino acids may be deficient ina plant based diet?

Answer 1

Valine and lysine

Question 2

Ideal omega 6:3 ratio. What are nutritional benefits/harms?

Answer 2

4:1. Typically 10:1. Omega 6’s are associated with inflammation and cancer. Omega 3’s protect against strokes, heart disease.

Question 3

How to replete thiamin? When is deficiency commonly seen?

Answer 3

100 mg/day in a multivitamin for 7-10 days. Precipitated by carb loading or RYGB and vomiting for 3 months.

Question 4

Folic avid deficiency causes

Answer 4

Gloss it is, stomatitis

Diarrhea, malabsorption

Question 5

Vitamin A deficiency

Answer 5

Follicular hyperkeratosis
Night blindness
Scaling skin

Food sources: colored fruits, liver

Question 6

Vitamin D deficiency

Answer 6

Bone pain
Osteomalacia/rockets

Salmon
Milk
Cereal
Eggs

Question 7

Waist circumference for Asian, South, or Central

Americans

Answer 7

Makes: >35 inches
Females: >31 inches

Question 8

Causacians

Waist circumference

Answer 8

> 40 make

>35 female

Question 9

African and Mediterranean east circumference

Answer 9

> 36.5 male

>31 female

Question 10

Good standard book for binge eating

Answer 10

Overcoming binge eating by dr Fairburn; however, CBT reduces binges by not reducing weight

Question 11

Binge eating disorder medications

Answer 11

Topamax
Lisdexamphetamine

Progressive muscle relaxation

Question 12

Treatment for sleep related eating disorder

Answer 12

Benzos

Question 13

Metabolic syndrome criteria

Answer 13

WC >102 in men, 88 in women
Trigs >150
HDL <40 men, <50 women
BP >135/80
Fasting glucose >100

Question 14

Weight loss in PCOS improves…

Answer 14

1. Menstrual irregularities
2. Hirsutism
3. Metabolic abnormalities

Question 15

JNC 8 BP goals >60

Answer 15

150/90

Question 16

Concern with diuretics in metabolic syndrome?

Answer 16

Worsening diabetes

Question 17

2 cancers that are the most correlated with obesity

Answer 17

Uterine

Esophageal adenocarcinoma

Question 18

NES treatment

Answer 18

Sertraline and topamax

Question 19

Pre-exercise testing

Answer 19

ACC recommends:
Stress testing (they say treadmill) before vigorous exercise program for intermediate risk patients who are:
-asymptomatic diabetics
-men >45 
-women >55

Question 20

USPTF 2012 reccs for stress testing before exercise

Answer 20

No stress test if asymtpmatic, low risk
No stress test for slowly progressive regimen
No recommendations for asymptomatic high risk or intermediate risk

Question 21

Exercise goals to:
Maintain health
Prevent weight gain
Weight loss
Weight maintenance

Answer 21

Goals are:
150 - maintain health
150-250 - prevent gain
150-250 - weight loss
250 - maintenance