Yonit Obesity Pharmocology Flashcards

1
Q

What are the definition for metabolic syndrome

A
Three out of five from the following
abdominal obesity
level of triglycerides
low HDL 
high blood pressure 
high glucose
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2
Q

How we measure BMI

A

Weight/height times2

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3
Q

What is the DEXA method for measuring obesity

A

Method where the density of the bone is measured

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4
Q

How do appetite stimulating neurons are called

A

AgRP/NPY

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5
Q

What is leptin resistance

A

when brain stops acknowledging the hormone’s signal - you have enough of the hormone available and energy stored,but your brain does not recognize it and thinks you’re still hungry

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6
Q

Where are genes that are related to deficiency of leptin are located in respect to the presence of leptin on that DNA

A

Downstream

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7
Q

In less than how much weight loss we stop the pharmacology treatment

A

Less than 5% over 12 months

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8
Q

How does the orlistat medication works

A

Inhibit lipase In the intestines

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9
Q

Which side effects Orlistat has

A
mostly as the digestive system
inhibits absorption of fat-soluble vitamins
From google - 
Gas (flatulence) with discharge.
Fatty/oily stools
Increased defecation
Fecal incontinence/inability to control bowel movements
Urgent bowel movements
Loose stools
Clay-colored stools
Diarrhea
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10
Q

How orlistat medication affect development of diabetes

A

Inhibits development of new diabetes

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11
Q

How phentermine helps to decreaes weight gain

A

Suppresses hunger by release of norepinephrine and activates POMC

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12
Q

How topiramate helps weight less

A

Activates GABA which inhibits AgRP/NPY neurons in the hypothalamus

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13
Q

Does the combination of phentermine and topiramate is dangerous

A

It is, but effective

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14
Q

How we should treat a patient that gets Orlistat

A

Subscribe them vitamins that are soluble in fat

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15
Q

What is glp1

A

Hormone that increase secretion of insulin

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16
Q

Liraglutide is an analog to which hormone

A

GLP-1

17
Q

What is considered the most effective drug for weight loss

A

Combination of Phanteramine and topiromate

18
Q

Semaglutide is analog of which hormone

A

Glp1

19
Q

How glucagon has the potential to be a treatment against obesity

A

Increases level of energy expenditure

20
Q

Which Hormonal combination can be successful in weight lowering

A

GLP 1 and glucagone

21
Q

Which combination of hormones can be beneficial for weight loss beside glucagon with GLP1

A

Glp1 and gip

22
Q

Where incertines are active

A

Nervous system and digestive system

23
Q

How peptide YY helps to weight loss

A

reduce hunger by inhibition of AgRP/NPY
בבני אדם הפפטיד נמצא ברמות גבוהות ברוק, וכנראה שמדובר בחלק עיקרי
בפעולה של הפפטיד

24
Q

How analog of amylin can help weight loss

A

with secretion of insulin - Increases satiety, decreasing caloric intake

25
Q

What is usually the complexity with leptin

A

Problem with the leptin receptors and not the lack of the hormone

26
Q

מה תפקידה של SGLT2?

A

אחראי על הספיגה מחדש של כ-90% מהגלוקוז אשר עובר בלולאה הפרוקסימלית בגלומרולוס (Glomerulus)

27
Q

How inhibition of sglt2 helps lower glucose 

A

It increases urinary glucose excretion

28
Q

How inhibition of sglt1 helps lowering glucose

A

Inhibit absorption of intestinal sugar

29
Q

What is the name of the drug that works as an inhibitor of the sodium glucose transporter

A

Canagliflozin

30
Q

Does FXR and GPR131 helps weight loss

A

Yes

31
Q

Why CB1R blockers were reduced from market

A

Caused depression

32
Q

In which way the psychiatric effect of CB1R blockers been tried to avoid

A

Avoid crossing BBB

33
Q

Does hypothalamus is after bbb

A

No

34
Q

how SGLT2 reduces glucose?

A

inhibit the reabsorption of the glucose in the glomerulus