Obesity TCD

Question 1

What are the BMI classes for obesity?

Answer 1

healthy weight: 18.5–24.9 kg/m2
overweight: 25–29.9 kg/m2
obesity I: 30–34.9 kg/m2
obesity II: 35–39.9 kg/m2
obesity III: 40 kg/m2 or more.

Question 2

Reasons for bariatric surgery

Answer 2

They have a BMI of 40 kg/m2 or more, or between 35 kg/m2and 40 kg/m2 and other significant disease (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight.
All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss.
The person has been receiving or will receive intensive management in a tier 3 service
The person is generally fit for anaesthesia and surgery.
The person commits to the need for long-term follow-up.

Question 3

Common reasons for ischaemic adrenal necrosis

Answer 3

circulatory shock – particularly in patients who have had severe post-partum haemorrhage, is a very well recognised clinical entity.

Question 4

Conditions that raise UFC

Answer 4

PCOS, depression and obesity

Question 5

Best time for testing cortisol in cushings

Answer 5

Midnight

Question 6

When is CBG raised and suppressed?

Answer 6

Raised with oestrogens e.g COP, suppressed in illness

Question 7

Three signs of adrenal crisis

Answer 7

Very sick patient, hypotension, hyponatraemia

Question 8

What to give in adrenal crisis

Answer 8

100mg IV every six hours of hydrocortisone and fluids

Question 9

Drug that can be used to block ADH in SIADH

Answer 9

Demeclocyline

Question 10

Drug that is a spesific vasopressin antagonist?

Answer 10

tolvaptan