Misc.

Question 1

Gourmand Syndrome

Answer 1

Damage to right frontal lobe
Passion for gourmet foods

Question 2

Hypothalamic obesity

Answer 2

Most common is chraniopharyngioma, damage to ventromedial hypothalamus

Question 3

Workout intensity- METS

Answer 3

Light, <3 (walk < 2mph)
Mod 3-6
Vigorous >6 (jog, bike 10mph, tennis singles)

Question 4

HR intensity

Answer 4

220-age is max HR
Moderate 64-76
High 77-93

Question 5

STOP BANG

Answer 5

Snore, tired, observed apnea, pressure
BMI 35, age 50, neck 40, gender male

Less than 2, low risk
More than 5, high risk

Question 6

Calculate BMR

Answer 6

(Kgx10)+(cm x 6.26) - (age x 5 {+5 or -161})

Question 7

USDA macro recs

Answer 7

Carb 45-65%
Fat 25-35%
Protein 10-35%

Question 8

RMR by organ

Answer 8

Liver 20
Muscle 20
Brain 15
Heart and gut 10
Kidney and fat 5

Question 9

Respiratory quotient carb/protein/fat

Answer 9

1/ 0.8/ 0.7

Question 10

4 processes of motivational interviewing

Answer 10

1. Engage - OARS, tell me your weight hx
2. Evoke- readiness, DARN, desire, ability,reasons, need
3. Focus on challenges
4. Plan- SMART goals, specific, measurable, achievable, realistic, time related

Question 11

Stages of change

Answer 11

Precontemplation
Contemplation w/in 6mo
Preparation w/in 1 mo
Action over 6mo
Maintenance
Relapse

Question 12

SHBG changed

Answer 12

Low with obesity and PCOS
Higher after bypass and with age

Question 13

Vbloc C/I

Answer 13

Cirrhosis, portal HTN, esophageal varices, hiatal hernia

Question 14

Calculate kcal/min

Answer 14

METSx3.5xkg / 200

Question 15

What is 1 MET

Answer 15

Amount of energy expended for 1 min lying down, depends on body weight

Question 16

Telogen Effluvium

Answer 16

Hair follicles prematurely enter the 3mo rest phase (telogen). Normally only 10% of hair but up to 35% of hair during telogen efuvium

Hair cycle: growth (2-7yrs), transformation, rest, falls out

Think zinc, biotin, iron, or niacin deficiency