Obesity

Question 1

Healthy weight BMI

Answer 1

18.5 - 24.9kg/m2

Question 2

Overweight BMI

Answer 2

25- 29.9 kg/m2

Question 3

Obesity I BMI

Answer 3

30-34.9kg/m2

Question 4

Obesity II BMI

Answer 4

35 - 39.9 kg/m2

Question 5

Obesity III BMI

Answer 5

40kg/m2 or more

Question 6

Drugs causing obesity

Answer 6

BB

TCA
sodium valproate
Lithium
Antipsychotics

Sulphonylureas
Insulin

Question 7

Conditions causing obesity

Answer 7

Hypothyroidism

T2DM

Question 8

Obesity management

Answer 8

1. Lifestyle
2. Orlistat
   - vitamin supplements with orlistat
3. Surgery

Question 9

Orlistat given to…..

Dose

Requirement….

Omit dose when….

Answer 9

If ur BMI is above 30kg or >28kg with other conditions (T2DM, hypothyroidism)

120mg TDS

Only continue treatment if theyve lost 5% of their body weight within first 3 months (target lower for T2DM)

Omit dose when you miss a meal or if you have a meal with no dietary fat

Question 10

Orlistat MOA

Answer 10

Lipase inhibitor- reduces absorption of dietary fat

Question 11

Orlistat requires vitamin supplements alongside it, why?

Answer 11

Orlistat stops absorption of vitamins ADEK

Question 12

When is bariatric surgery an option

BMI

Answer 12

In patients with BMI more than or equal to 40kg/m2 or in those BMI 35-39.9 with risk factor - hypertension, T2DM etc.

Question 13

When is saxenda (liraglutide) used in obesity

Discontinue if?

Max dose

Answer 13

Adjunct use with lifestyle in patients with BMI more than or equal to 30kg/m2 or 28kg/m2 with risk

Discontinue if theyve not lost at least 5% after 3 months of use

Max dose is 3mg daily

Question 14

Saxenda (liraglutide) isnt recommended in which medical association

Answer 14

Scottish med consortium

Question 15

Avoid saxenda (liraglutide) if crcl is

Answer 15

< 30ml/min

Question 16

Liraglutide moa

Answer 16

GLP1 receptor agonist