CME Questions: pediatric obesity: impact and surgical management.1. In the United States, children are considered obese if: a. Their BMI is [greater than or equal to] 95th percentile for age. b. Their BMI is [greater than or equal to] 95th percentile for gender. c. Their BMI is [greater than or equal to] 95th percentile for gender and age. d. Their BMI is [greater than or equal to] 75th percentile for gender and age. e. Their BMI is [greater than or equal to] 75th percentile for gender. 2. All of the following are potential risk factors for the development of pediatric obesity in a child except: a. The twin of a child is obese. b. The child has a mutation of the proopiomelanocortin pathway. c. The child is exposed to high-calorie, low-nutrient food. d. The child has a sedentary lifestyle. e. The child's diet contains only a small percentage of carbohydrate intake. 3. The parents of an obese child come to your office requesting counseling. You tell them that all of the following are diseases associated with obesity except: a. Hypertension b. Hyperlipidemia c. Fatty liver (NAFLD) d. Attention deficit hyperactivity disorder attention deficit hyperactivity disorder (ADHD), formerly called hyperkinesis or minimal brain dysfunction, a chronic, neurologically based syndrome characterized by any or all of three types of behavior: hyperactivity, distractibility, and impulsivity. e. Slipped caput femoral epiphysis epiphysis /epiph·y·sis/ (e-pif´i-sis) pl. epi´physes [Gr.] the expanded articular end of a long bone, developed from a secondary ossification center, which during the period of growth is either entirely cartilaginous or is 4. Insulin resistance in obese children is associated with which of the following: a. Decreased risk of asthma b. Decreased risk of upper airway obstruction c. Right ventricular hypertrophy right ventricular hypertrophy Cardiology An ↑ in myocardial mass which may be due to interventricular septal defects or ↑ blood flow–eg, hyperthyroidism d. Predilection for certain ethnicities, such as Pima Indians e. Lack of known mutations of the sterol regulatory element binding protein Beginning with the discovery of the Sterol Regulatory Element Binding Proteins (SREBPs) in 1993, a productive combination of biochemistry, molecular biology and genetics, has brought to light the complex mechanisms by which animal cells maintain the proper levels of (SREBP) gene 5. Liver disease associated with obesity includes the following problems: a. Elevated serum transaminases with a decreased serum gamma glutamyltransferase b. Elevated serum transaminases with an increased serum gamma glutamyltransferase c. Is not associated with insulin resistance and hypertension d. Increased hepatocyte ATP levels e. Decreased risk of hepatocellular carcinoma 6. An obese 9-year old boy presents to your clinic with a 2-week history of hip pain. The orthopedic disease associated with hip pain in obese children is: a. Slipped caput femoral epiphysis b. Femoral hematoma c. Femoral mid-shaft fracture d. Sciatica e. Patella subluxation 7. The hematologic hematological, hematologic pertaining to or emanating from blood cells. hematological tests total and differential white cell counts, hematocrit estimation, erythrocyte count. abnormality that has been associated with pediatric obesity is: a. Acute lymphoblastic leukemia acute lymphoblastic leukemia n. Abbr. ALL Lymphoblastic leukemia occurring mainly in older adults, characterized by rapid onset and progression of symptoms. Also called acute lymphocytic leukemia. b. Macrocytic anemia c. Iron-deficient anemia d. Thalassemia Thalassemia Definition Thalassemia describes a group of inherited disorders characterized by reduced or absent amounts of hemoglobin, the oxygen-carrying protein inside the red blood cells. e. Acute myelogenous leukemia acute myelogenous leukemia n. Abbr. AML Myelogenous leukemia characterized by rapid abnormal increase in the number of myeloblasts and progression of symptoms. 8. The parents of an obese adolescent girl wish to discuss pharmacologic therapy for the treatment of obesity. The most accurate statement to tell them is: a. Sibutramine sibutramine /si·bu·tra·mine/ (si-bu´trah-men?) an anorectic used as the hydrochloride salt in the management of obesity. si·bu·tra·mine n. does not inhibit serotonin and dopamine reuptake. b. Orlistat inhibits serotonin and dopamine reuptake. c. Sibutramine promotes pancreatic enzyme release. d. The combination of lifestyle modification with weight-loss medication has not been shown to reduce weight in adult studies. e. Orlistat inhibits fat absorption. 9. One of the common bariatric surgeries performed in the United States is the: a. Bishop-Koop ileostomy ileostomy /il·e·os·to·my/ (il?e-os´tah-me) surgical creation of an opening into the ileum, with a stoma on the abdominal wall. il·e·os·to·my n. 1. b. Puestow procedure c. Hepaticoportenterostomy d. Roux-en-Y gastric bypass Roux-en-Y gastric bypass n. A Y-shaped surgical connection that divides the small intestine and connects one end to the stomach, bile duct, or other structure and connects the opposite end to the small intestine at a point below the first connection. e. Total gastrectomy 10. Which of the following is an early-onset complication of gastric bypass surgery: a. Stomal stenosis b. Incisional hernia c. Staple site leakage d. Dumping syndrome e. Iron deficiency Answers to CME Questions 1. C, 2. E, 3. D, 4. D, 5. B, 6. A, 7. C, 8. E, 9. D, 10. C |
|
||||||||||||||||||
Printer friendly
Cite/link
Email
Feedback
Reader Opinion