Obesity

Question 1

What is the definition of obesity?

Answer 1

BMI over 30

Question 2

How common is obesity?

Answer 2

¼ of under 16 england obese in 2008

Question 3

What are some RF for obesity?

Answer 3

1. Hypothyroidism
2. Hypercortisolism
3. Corticosteroid therapy

Question 4

What are some symptoms and signs for obesity?

Answer 4

• asymptomatic
• height
• weight
• waist circumference

Question 5

What are possible DDx for obesity?

Answer 5

1. Hypothyroidism, primary
2. Hypothyroidism central
3. Cushing’s syndrome

Question 6

How do you diagnose obesity?

Answer 6

clinical exam

Question 7

What is the management plan for obesity?

Answer 7

1. Diet + exercise
2. Psychological therapy
3. surgery
4. pharmacotherapy

Question 8

When are obese patients offered surgery?

Answer 8

if BMI over 40 or 35 with other comorbidities e.g. sleeve gastrectomy

Question 9

What is an example of pharmacotherapy offered for obesity?

Answer 9

orlistat: 120 mg orally three times daily with fat-containing meals for up to 4 years

Question 10

What are examples of complications for obesity?

Answer 10

1. Post surgical DVT
2. Restrictive surgery-related nausea and vomiting
3. Post surgical atelectasis and pneumonia

Question 11

Which hormones come from the posterior pituitary?

Answer 11

1. Vasopressin

2. Oxytocin

Question 12

Which hormones come from the anterior pituitary?

Answer 12

1. LH/FSH
2. GH
3. TSH
4. Prolactin
5. ACTH

Question 13

What surgical interventions are available for obesity?

Answer 13

1. Laparoscopic adjustable gastric banding
2. Sleeve gastrectomy
3. Roux-en-Y gastric bypass