Obesity

Question 1

Complications of obesity

Answer 1

Cardiovascular disease

Fatty liver disease

Gallstones

Type 2 diabetes

GORD

Types of cancer

Hypertension

Respiratory problems

Question 2

Class 1 Obese BMI in those of white ethnicity

Answer 2

30- 34.9

Question 3

Overweight BMI in those of white ethnicity

Answer 3

25-29.9

Question 4

Class 2 Obese BMI in those of white ethnicity

Answer 4

35-39.9

Question 5

Class 3 Obese BMI in those of white ethnicity

Answer 5

40+

Question 6

Overweight BMI in those of non-white ethnicity

Answer 6

23-27.4

Question 7

Obese BMI in those of non-white ethnicity

Answer 7

27.5+

Question 8

When should Orlistat be considered for the treatment of obesity?

Answer 8

BMI >30 where behavioural, physical and nutritional changes have failed

Question 9

What BMI must the patient be to qualify for Orlistat OTC?

Answer 9

> 28kg/m2

Question 10

Licensed age for the sale of OTC Orlistat

Answer 10

> 18 years old

Question 11

Lifestyle advice to be given to a patient on Orlistat

Answer 11

Should adapt a mildly hypo-calorific and low-fat diet

Question 12

CI of orlistat

Answer 12

Cholestatis
On warfarin or other anticoagulants
On ciclosporin
Pregnancy or Breastfeeding
Chronic malabsorption syndrome

Question 13

Maximum treatment length for orlistat

Answer 13

6 nmonths (But should stop using if not results after 3 months)

Question 14

Advice to give patients if experiencing GI side effects whilst on Orlistat

Answer 14

Eat lower-fat meals

Question 15

Which vitamins may Orlistat impair absorption of?

Answer 15

A,D,E,K

Question 16

Side-effects of Orlistat

Answer 16

Very common – mainly gastrointestinal:

Fatty, oily and soft stools

Flatulence

Oily leakage from rectum

Urgency to go to the toilet.

Common:

Abdominal pain

Anxiety

Faecal incontinence

Increased defaecation

Liquid stools.