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Exam 1 (MedSurg): Obesity

Total questions: 100

Worksheet time: 53mins

Name
Class
Date
1.

Primary Obesity is the result of energy imbalance where one takes in more calories than they need for the body’s physical and metabolic functions.

a)

True

b)

False

2.

Which of the following is NOT listed as a factor in the etiology and pathophysiology of obesity?

a)

Abnormal increase and accumulation of fat cells

b)

Genetic and environmental influences

c)

Poor work ethic

d)

Personal decisions about food choices, portion sizes, and exercise

3.

Fill in the blank: The greatest increase in number of fat cells occurs from _______ to adolescence.

a)

infancy

b)

adulthood

c)

old age

d)

puberty

4.

Which of the following is a congenital condition associated with secondary obesity?

a)

Prader-Willi Syndrome

b)

Down Syndrome

c)

Fragile X Syndrome

d)

Bowel Obstruction

5.

Over how many genes have been linked to obesity according to the study guide?

a)

10

b)

100

c)

400

d)

1000

6.

A family history of obesity increases a person's chance of developing obesity.

a)

True

b)

False

7.

What is the major site for regulating appetite?

a)

Hypothalamus

b)

Adipocytes

c)

Liver

d)

Pancreas

8.

Neuropeptide Y is a powerful appetite _________?

a)

stimulant

b)

suppressant

c)

inhibitor

d)

regulator

9.

Leptin is made in which type of cells?

a)

Neurons

b)

Adipocytes

c)

Hepatocytes

d)

Myocytes

10.

Leptin ________ appetite.

a)

Stimulates

b)

Suppresses

11.

Ghrelin regulates appetite by ________ leptin.

a)

Stimulating

b)

Inhibiting

12.

Which hormone is thought to play a role in compulsive eating and stimulates hunger?

a)

Leptin

b)

Ghrelin

c)

Insulin

d)

Glucagon

13.

Adipocytes create adipokines, which play a role in all of the following EXCEPT:

a)

Glucose and lipid metabolism

b)

Insulin sensitivity

c)

Energy homeostasis

d)

Muscle atrophy

14.

What is the main difference between atherosclerosis and arteriosclerosis?

a)

Atherosclerosis is the hardening of outside membranes of vasculature, while arteriosclerosis is the buildup of fat cells within vasculature.

b)

Atherosclerosis is the buildup of fat cells within vasculature, while arteriosclerosis is the hardening of outside membranes of vasculature.

c)

Both are the same condition.

d)

Neither involves the vasculature.

15.

SATA: Excess visceral fat associated with adipokine dysfunction leads to which of the following?

a)

Insulin resistance

b)

High LDLs

c)

Hypertension

d)

High HDLs

e)

High triglyceride count

16.

Eating outside of the home frequently can contribute to obesity.

a)

True

b)

False

17.

Which of the following is NOT an environmental factor contributing to obesity?

a)

Greater access to high calorie, energy dense food

b)

Portion size of meals has increased dramatically

c)

Lack of physical exercise

d)

Consumption of fruits and vegetables

18.

Fill in the blank: Eating while watching TV, working, studying, etc. is an example of a ________ factor influencing food use.

a)

psychosocial

b)

nutritional

c)

environmental

d)

biological

19.

SATA: Which of the following are psychosocial health risks of obesity?

a)

T2DM

b)

Metabolic syndrome

c)

Depression

d)

Decreased muscle mass

e)

Social isolation

20.

Which of the following is an endocrine/metabolic health risk of obesity?

a)

Depression

b)

T2DM

c)

Social isolation

d)

Anxiety

21.

Which syndrome is a respiratory complication related to obesity?

a)

Hypoventilation syndrome

b)

Pickwickian syndrome

c)

RSV

d)

Bronchial asthma

22.

Which obesity-related musculoskeletal condition is characterized by joint pain and degeneration?

a)

Osteoarthritis

b)

Rheumatoid fever

c)

Fibromyalgia

d)

Tendinitis

23.

Which obesity-related reproductive condition in men involves decreased testosterone production?

a)

Hypogonadism

b)

Epididymitis

c)

Varicocele

d)

Prostatitis

24.

Fill in the blank: Nonalcoholic steatohepatitis (NASH), gallstones, and gastroesophageal reflux disease (GERD) are GI problems linked to _______.

a)

obesity

b)

hypertension

c)

diabetes insipidus

d)

celiac disease

25.

Fill in the blank: Kidney cancer, chronic kidney disease, and stress incontinence are GU problems associated with _______.

a)

obesity

b)

hypertension

c)

diabetes

d)

smoking

26.

Which type of obesity puts patients at greater risk for cardiovascular problems?

a)

A) Android (Apple)

b)

B) Gynoid (Pear)

c)

C) Generalized

d)

D) None of the above

27.

Obesity is the greatest risk factor for developing which type of diabetes?

a)

Type 1 Diabetes Mellitus

b)

Type 2 Diabetes Mellitus

c)

Gestational Diabetes

d)

MODY

28.

Nonalcoholic steatohepatitis (NASH) can eventually lead to ________.

a)

cirrhosis

b)

pancreatitis

c)

nephritis

d)

gastritis

29.

Weight loss can improve which liver condition?

a)

Acute liver failure

b)

Nonalcoholic steatohepatitis

c)

Gallstones

d)

Hepatitis A

e)

Hepatitis B

30.

Obesity can cause sleep apnea, which is characterized by ________ and hypoventilation.

a)

snoring

b)

coughing

c)

wheezing

d)

sneezing

31.

Obesity hypoventilation syndrome includes all of the following EXCEPT:

a)

Reduced chest wall compliance

b)

Increased work of breathing

c)

Decreased total lung capacity

d)

Increased gas exchange

32.

Obesity triggers inflammatory mediators, cartilage deterioration, and a higher incidence of ________ and gout.

a)

hyperuricemia

b)

hypoglycemia

c)

hypotension

d)

hypokalemia

33.

Obesity is one of the MOST IMPORTANT PREVENTABLE causes of ________.

a)

cancer

b)

flu

c)

fractures

d)

color blindness

34.

What is the FIRST step in the nursing assessment of obesity?

a)

Assess willingness to change

b)

Address patient concerns

c)

Determine if other conditions may be causing or contributing to obesity

d)

Clarify reason for questions about weight

35.

Fill in the blank: In the nursing assessment of obesity, it is important to be ______ and non-judgemental.

a)

sensitive

b)

aggressive

c)

indifferent

d)

critical

36.

Which of the following is NOT a part of health history assessment for obesity?

a)

Explore genetic and endocrine factors

b)

Lab tests of liver and thyroid function

c)

Assess willingness to change

d)

Height, weight, waist circumference, BMI

37.

People with visceral fat and android obesity are at an increased risk for cardiovascular disease and metabolic syndrome.

a)

True

b)

False

38.

Fill in the blank: Men with a waist circumference greater than ____ inches are considered obese.

a)

40

b)

36

c)

42

d)

38

39.

Fill in the blank: Women with a waist circumference greater than ____ inches are considered obese.

a)

35

b)

30

c)

40

d)

25

40.

What is the method for describing the distribution of subcutaneous and visceral adipose tissue?

a)

BMI calculation

b)

Waist measurement divided by hip measurement

c)

Blood pressure measurement

d)

Fasting glucose test

41.

Men with a waist to hip ratio (WHR) greater than are considered obese.

a)

0.8

b)
1.0
c)

1.2

d)

0.9

42.

Women with a waist to hip ratio (WHR) greater than are considered obese.

a)

1.0

b)

0.7

c)
0.8
d)

0.9

43.

Which body shape is characterized by fat located primarily in the abdominal area?

a)

Apple shaped body

b)

Pear shaped body

c)

Banana shaped body

d)

Hourglass shaped body

44.

Apple shaped body is also known as ________ Obesity.

a)

Android

b)

Gynoid

c)

Central

d)

Peripheral

45.

Which body shape is characterized by fat located primarily in the upper legs?

a)

Apple shaped body

b)

Pear shaped body

c)

Banana shaped body

d)

Rectangle shaped body

46.

Pear shaped body is also known as ________ Obesity.

a)

Gynoid

b)

Android

c)

Central

d)

Visceral

47.

Patients with obesity may have which of the following clinical problems?

a)

Body weight problems

b)

Altered blood glucose level

c)

Musculoskeletal problems

d)

All of the above

48.

Achieving an 'ideal' BMI (18.5-24.9) is necessary and should always be a realistic goal for patients with obesity.

a)

True

b)

False

49.

What is one of the overall goals in planning for patients with obesity?

a)

Modify eating pattern

b)

Take part in regular exercise

c)

Achieve and maintain weight loss to a specified level

d)

All of the above

50.

Successful weight management can be a hard, lifelong commitment.

a)

True

b)

False

51.

Modest weight loss of as low as __% can have health benefits. Fill in the blank.

a)

5%

b)

1%

c)

15%

d)

25%

52.

An average weight loss program results in a __% reduction of body weight. Fill in the blank.

a)

10%

b)

2%

c)

25%

d)

50%

e)

5%

53.

Barriers to counselling about obesity include all of the following EXCEPT:

a)

Time constraints

b)

Not wanting to cause embarrassment

c)

Lack of reimbursement for weight loss services

d)

Easy access to weight loss services

54.

There are no 'best' diets.

a)

True

b)

False

55.

Any diet can work if it reduces caloric intake compared to expenditure, includes a variety of healthy foods, and the patient will adhere to it.

a)

True

b)

False

56.

Men have more lean body mass and can lose weight faster than women.

a)

True

b)

False

57.

Postmenopausal women are prone to weight gain.

a)

True

b)

False

58.

What is the recommended amount of moderate exercise per week for obesity management?

a)

60 minutes

b)

100 minutes

c)

150 minutes

d)

200 minutes

59.

Drug therapy for obesity should be used alone without any other interventions.

a)

True

b)

False

60.

Fill in the blank: Behavior therapy for obesity assumes that persons who are obese have _______ eating and exercise patterns.

a)

maladaptive

b)

healthy

c)

sporadic

d)

balanced

61.

SATA: What are some reproductive issues in women that correlate with obesity?

a)

menstrual irregularities

b)

gestational diabetes

c)

infertility

d)

hypogonadism

e)

erectile dysfunction

62.

SATA: What are some reproductive issues in men that correlate with obesity?

a)

hypogonadism

b)

gestational diabetes

c)

gynecomastia

d)

sexual dysfunction

63.

Which types of cancer are associated with obesity for BOTH sexes?

a)

esophageal cancer

b)

thyroid cancer

c)

endometrial cancer

d)

colorectal cancer

e)

lung cancer

64.

In obese patients, pancreatic _____ cells may become overworked and decline in function, contributing to the development of T2DM.

a)

alpha

b)

delta

c)

beta

d)

lymphatic

65.

Fill in the blanks: Medications for obesity are reserved for adults with a BMI of ___ or greater (obese) OR adults with a BMI of ___ or greater (overweight) who also have at least ___ weight-related condition(s).

a)

35, 30, 3

b)

30, 27, 1

c)

25, 20, 2

d)

32, 29, 1

66.

Obese patients should use over the counter diet aids.

a)

Yes, all of them are safe.

b)

No, none of them are safe.

c)

Only if recommended by their health care provider.

d)

Exercise can be used in place of medication for all obese patients.

67.

What is the ONLY treatment found to have a successful and lasting impact on sustained weight loss for those suffering from extreme obesity?

a)

Liposuction

b)

Bariatric surgery

c)

Becoming a "Biggest Loser" contestant

d)

Coronary bypass surgery

e)

Drinking Ozepmic

68.

SATA: Select all of the options that would allow a patient meet the criteria for bariatric surgery.

a)

BMI greater than or equal to 40

b)

BMI greater than or equal to 35, along with at least 1 weight related comorbidity

c)

BMI greater than or equal to 35

d)

BMI greater than or equal to 25, along with at least 1 weight related comorbidity

e)

BMI of greater than or equal to 25

69.

Potential bariatric surgery candidates are screened for mood disorders, binge eating disorders, substance abuse, and illnesses known to reduce life expectancy which are not likely to improve with weight loss. Candidates with one or more of these conditions are:

a)

prime candidates for bariatric surgery

b)

do not qualify for bariatric surgery

c)

are not ideal patients, but will still be allowed to have bariatric surgery

d)

as long as their insurance check clears, they can have whatever surgery they want

70.

SATA: What are the three broad categories of bariatric surgeries?

a)

combination of restrictive and absorptive

b)

restrictive

c)

absorptive

d)

malabsorptive

e)

combination of restrictive and malabsorptive

71.

A patient undergoes a procedure in which they received inflatable equipment around the fundus of the stomach, which can be deflated or inflated more to meet the patient's needs post procedure. What bariatric procedure did this patient receive?

a)

sleeve gastrectomy

b)

adjustable gastric banding

c)

roux-en-Y

d)

gastric pacemaker

e)

liposuction

72.

How are AGB (adjustable gastric banding) procedures USUALLY done?

a)

endoscopically

b)

laparoscopically

c)

colonoscopally

d)

echocardiographically

73.

The stomach pouch created above the band in adjustable gastric banding procedures has a capacity of ______.

a)

10-15 L

b)

20-30 L

c)

10-15 mL

d)

20-30 mL

e)

10-30 mL

74.

Sleeve gastrectomies and adjustable gastric bandings are types of _____ bariatric procedures.

a)

malabsorptive

b)

cosmetic

c)

restrictive

d)

absorptive

75.

What percentage of the stomach is removed during a sleeve gastrectomy?

a)

50%

b)

10%

c)

75%

d)

99%

e)

25%

76.

Gastric sleeves often result in the elimination of the hormone _____, which is produced in the stomach and stimulates hunger.

a)

Leptin

b)

Ghrelin

c)

Cortisol

d)

Thyroid Stimulating Hormone

77.

A Roux-en-Y procedure is an example of:

a)

restrictive bariatric surgery

b)

malabsorptive bariatric surgery

c)

combination of restrictive and malabsorptive bariatric surgery

d)

cosmetic bariatric surgery

78.

Fill in the blanks: After a Roux-en-Y procedure, food will bypass 90% of the stomach, _____, and a small segment of the _____.

a)

duodenum, colostrum

b)

jejunum, cecum

c)

duodenum, jejunum

d)

small intestine, large intestine

e)

colon, pancreas

79.

SATA: Some of the many complications of a Roux-en-Y procedure are:

a)

gastrointestinal tract leaks

b)

gastric remnant distention

c)

ulcers

d)

gallstones

e)

hernias

80.

What is dumping syndrome?

a)

When gastric contents empty too slowly into the large intestine

b)

When bladder contents empty into the large intestine

c)

When completely undigested food is excreted

d)

When gastric contents empty too rapidly into the small intestine

e)

When bladder contents empty too slowly into the small intestine

81.

Dumping syndrome is most commonly associated with which of the following bariatric procedures?

a)

Adjustable gastric banding

b)

Sleeve gastrectomy

c)

Roux-en-Y

d)

Liposuction

82.

Gastric pacemakers are surgically implanted devices placed with leads and wires around the _____ nerve, and sends electrical impulses to this nerve to decrease hunger.

a)

occipital

b)

vestibulotrochlear

c)

vagus

d)

trigeminal

e)

glossopharyngeal

83.

A patient has just come back to the unit from the OR after receiving bariatric surgery. It is important that the RN keeps the head of the bed _____ while the patient recovers from anesthesia.

a)

lowered

b)

elevated

c)

in super fowlers

d)

completely flat

84.

Airway _____ is extremely important in post-operative patients.

a)

closure

b)

obstruction

c)

stabilization

d)

elimination

85.

SATA: What are some venous thromboembolism precautions the nurse can set up for bariatric post-operative patients?

a)

TED hose

b)

keep patient bedbound at all times

c)

sequential compression devices

d)

encourage ambulation in the days following the procedure

e)

vitamin K administration

86.

If a patient is in considerable abdominal pain post bariatric surgery, what should the nurse assess for?

a)

hypovolemia and shock

b)

anastomosis leaks

c)

puncture of the esophagus

d)

deep vein thrombosis

87.

What type of diet should patients slowly transition too immediately following bariatric procedures?

a)

low-calorie, full liquid diet within 12 hours

b)

low-sodium, carb controlled diet within 24 hours

c)

low-sugar, clear liquid diet within 24 hours

d)

low-potassium, clear liquid diet within 12 hours

e)

low-sugar, regular diet within 12 hours

88.

For a bariatric diet, the goal is for an average intake of ____ mLs every _____ minutes.

a)

15, 30

b)

30, 20

c)

90, 30

d)

200, 15

e)

200, 30

89.

Geriatric patients have ______ prevalence of obesity.

a)

a decreased

b)

an increased

c)

absolutely no

d)

a slight

90.

Ideal candidates for cosmetic surgery should have already achieved some form weight reduction on their own.

a)

True

b)

False

91.

What is the prevalence of metabolic syndrome in adults over age 60?

a)

25%

b)

50%

c)

75%

d)

99%

92.

Which values of HDL cholesterol levels would indicate metabolic syndrome?

a)

less than 50 in men and less than 40 in women

b)

less than 70 in men and less than 60 in women

c)

less than 40 in men and less than 50 in women

d)

less than 60 in men and less than 70 in women

93.

A triglyceride level greater than ___ would indicate metabolic syndrome.

a)

75

b)

150

c)

100

d)

50

94.

Which systolic and diastolic BP values indicate metabolic syndrome?

a)

SBP: greater than or equal to 130

DBP: greater than or equal to 85

b)

SBP: greater than or equal to 120

DBP: greater than or equal to 80

c)

SBP: greater than or equal to 110

DBP: greater than or equal to 75

d)

SBP: greater than or equal to 125

DBP: greater than or equal to 80

95.

A fasting glucose level greater than or equal to ____ is indicative of metabolic syndrome

a)

40

b)

100

c)

70

d)

90

96.

SATA: Patients with metabolic syndrome are at a higher risk for:

a)

cardiovascular disease

b)

stroke

c)

diabetes

d)

obesity

e)

renal disease

97.

SATA: Some common manifestations of metabolic syndrome are:

a)

impaired fasting glucose

b)

hypertension

c)

hypotension

d)

dyslipidemia

e)

starvation

98.

The cornerstone of treatment for metabolic syndrome is:

a)

sedentary lifestyle

b)

healthy lifestyle

c)

bariatric surgery

d)

GLP-1s

99.

Patients who have had a Roux-en-Y procedure should avoid eating ______.

a)

complex carbohydrates

b)

low sodium foods

c)

sugary foods

d)

high sodium foods

100.

Women have higher percent body fat which is metabolically less active than muscle tissue.

a)

True

b)

False