Bariatrics

Question 1

Lipidema

Answer 1

affects physical size and distribution of fat cells
bilateral, symmetrical, soft swelling in LE of women.
Initial symptoms tend to present at times of significant hormonal changes (like menopause and pregnancy)
tenderness to palpation
column like fat distribution in LE
increased edema as day progresses and subsides overnight

Question 2

Pear shape or

Answer 2

gluteofemoral obesity
common in women and associated with lower incidence of obesity related risk factors

Question 3

Apple shape or

Answer 3

central fat distribution
more highly correlated with risk factors like CVD and diabetes

Question 4

Waist measurement >___in for men and >___in for women is indicative of central obesity.

Answer 4

40
36

Question 5

Waist to hip ratio > ___ in males and > ___ in females is suggestive of central obesity.

Answer 5

1.0
.85

Question 6

Bulimia is associated with health concerns like

Answer 6

heart failure
gastric rupture
esophageal inflammation
tooth decay
dehydration
peptic ulcers
pancreatitis
bowel irregularity

Question 7

Anorexia health concerns

Answer 7

heart failure due to slowed HR, decreased BP, kidney failure due to dehydration, osteoporosis, muscle atrophy

Question 8

___-___ cal/day restriction is sufficient to lose 1-2 lbs per week. This rate can be maintained for how long before slowing or plateauing?

Answer 8

500-1000
6 months

Question 9

Lipase inhibitors decrease body’s ability to

Answer 9

absorb dietary fats, decreasing overall intake

Question 10

Bariatric surgery is for those with BMI > or >__ with additional comorbidities.

Answer 10

40
35

Question 11

Gastric bypass is

Answer 11

combo of restrictive and malabsorptive

Question 12

Common restrictive bariatric surgery

Answer 12

lap band

Question 13

Fat-soluble vitamins

Answer 13

A
D
E
K

Question 14

Vitamin A is good for

Answer 14

eye
epithelial tissue
normal growth and development
reproduction

Question 15

Vitamin A sources

Answer 15

green, orange, yellow vegetables
liver
butter
egg yolks

Question 16

Vitamin D is good for

Answer 16

blood flow levels of minerals: Ca and phosphorus

Question 17

Food sources of vitamin D

Answer 17

milk
fish
oils

Question 18

Deficiency of Vitamin D signs

Answer 18

faulty bone growth
rickets
osteomalacia

Question 19

Vitamin E is good for

Answer 19

antioxidant of cell membranes especially in lungs and RBCs

Question 20

Vitamin E sources

Answer 20

vegetable oils
wheat germ
nuts
fish

Question 21

Deficiency of Vitamin E

Answer 21

breakdown of RBCs

Question 22

Vitamin K is good for

Answer 22

synthesis of at least two of the proteins in blood clotting

Question 23

sources of Vitamin K

Answer 23

dark green leafy veggies
cheese
egg yolks
liver

Question 24

Water-soluble vitamins
water-soluble means

Answer 24

B
C
Biotin
Choline
Folic acid
Pathothenic acid

you have to eat them

Question 25

B2 or riboflavin facilitates

Answer 25

enzymes in carbs, proteins and fats

Question 26

B3 or niacin

Answer 26

regulate energy metabolism

Question 27

B6

Answer 27

metabolism of proteins,carbs and fats

Question 28

Deficiency of B6

Answer 28

peripheral neuropathy convulsions depression

Question 29

B12

Answer 29

all cells and aids in hemoglobin synthesis

Question 30

Deficiency of B12

Answer 30

pernicious anemia various psychological disorders

Question 31

Things that interact negatively with medincations

Answer 31

garlic ginkgo biloba ginseng kava st johns wort

Question 32

Garlic's interactions

Answer 32

exacerbate bleeding issues for those on anticoagulants

Question 33

Ginkgo biloba's interactions

Answer 33

increase risk of hemorrhage in those with anticoagulants

Question 34

Ginseng's interactions

Answer 34

reduce effects of anticoagulants and exaggerate the effects of medications such as insulin and oral antidiabetic medications

Question 35

Kava's interactions

Answer 35

cause liver toxicity

Question 36

St. John's wart interactions

Answer 36

accelerate metabolism of some medicants and prevent numerous others from reaching therapeutic levels

Question 37

Choline is important in

Answer 37

nerve function and lipid metabolism

Question 38

Folic acid is important in

Answer 38

RBCs functioning of GI

Question 39

Chloride helps

Answer 39

fluid and acid-base balance

Question 40

Magnesium helps

Answer 40

regulate heartbeat

Question 41

Cobalt is a compoenent of which vitamin

Answer 41

B12

Question 42

Copper facilitates

Answer 42

hemoglobin synthesis and lipid metabolism

Question 43

Selenium helps with

Answer 43

Vitamin E

Question 44

Enteral administration

Answer 44

in the mouth

Question 45

Parenteral administration

Answer 45

not in the mouth

Question 46

bioavailability

Answer 46

percentage of drug that makes it into circulation injections intravenously=100%

Question 47

Dose-response curve

Answer 47

dosage increases more receptors for drug activated which increases body's response to the drug. Body's response will plateau at a certain dosage

Question 48

Drug classification: Schedule I

Answer 48

high potential for abuse and high risk for addiction used for research only and not medical treatment LSD and heroin

Question 49

Drug classification: Schedule II

Answer 49

high potential for abuse and high risk for addiction. still approved for medical use. Automatic prescription refills are not allowed. opioids, amphetamines, some barbituates

Question 50

Drug classification: Schedule III

Answer 50

lower potential for abuse and moderate risk for physical dependence and high risk for psychological dependence . Automatic prescription refills are allowed but there are limitations. opioids that are combined with non-opioids and anabolic steroids

Question 51

Drug classification: Schedule IV

Answer 51

lower potential for abuse and only mild risk for dependence some limitations for automatic refills antianxiety and certain barbituates

Question 52

Drug classification: Schedule V

Answer 52

lowest potential for abuse some states these drugs are over the counter cough and cold medications

Question 53

drug development: preclinical

Answer 53

testing on animals

Question 54

drug development: phase 1

Answer 54

first stage of human testing for toxicity effects and safe dosing

Question 55

drug development: phase 2

Answer 55

small number of patients to see drugs effectiveness and dosing level. adverse effects are also studied here

Question 56

drug development: phase 3

Answer 56

larger sample sizes if successful can file a new application through the FDA to start marketing it

Question 57

drug development: phase 4

Answer 57

drug is approved by being used by the public