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Choose possible side effects from the use of stimulants for weight loss: (Select ALL that apply.)
Answer
ATremor
BBradycardia
CLow blood pressure
DDifficulty sleeping
ESomnolence
Tremor
Difficulty sleeping
In 2013 new weight loss guidelines were issued. Select a notable issue concerning the new guideline recommendations:
AA variety of diet types can be used to lose weight; calorie counting is no longer the only recommended method for weight loss.
BCalorie-counting is the only recommended method for weight loss.
CTrained personnel such as "weight loss coaches" and "personal trainers" are useless and should not be encouraged.
DVery low calorie diets should never be recommended.
EBariatric surgery is recommended for adults who are overweight (BMI > 24.9).
Lorcaserin is a newer drug approved for weight loss. Which of the following statements concerning lorcaserin are correct? (Select ALL that apply.)
AThe brand name is Qysmia.
BLorcaserin is Pregnancy Category X.
CLorcaserin is a serotonin (5-HT2c) receptor agonist.
DThe manufacturer is required to conduct Phase IV monitoring for cardiovascular effects in patients using lorcaserin.
ELorcaserin is a stimulant agent.
Complications of being overweight include the following: (Select ALL that apply.)
ACoronary heart disease
BType 2 diabetes
CIncreased quality of life
DA higher BMI
EIncreased risk of certain types of cancer
Which of the following agents are often present in over-the-counter weight loss products? (Select ALL that apply.)
AGreen tea
BMood relaxant herbals, such as valerian and melatonin
CFiber products, including psyllium
DCaffeine containing products that are under different names, including yerba mate and guarana
EEphedra like products, including bitter orange
If a person has a stable weight and physical activity level, how many days would it take to lose one pound of fat if they decrease their caloric intake by 500 kcal per day?
AOne week
BTwo weeks
COne month
DOne day
EThree days
What is the most common side effect of orlistat therapy?
AConstipation
BHeadache
CFlatus with discharge, fatty stool
DVomiting
EVitamin deficiencies
Sheila is a 31 year old white female with asthma, diabetes type 2, hypertension and dyslipidemia. Lab results (taken this morning, fasting): Hemoglobin A1C 6.7%, LDL cholesterol 112 g/dL, triglycerides 168 g/dL and hCG+ Medications:Prevacid 30 mg daily, taken 30 minutes before breakfast ProAir HFA, Symbicort, twice daily as directed metformin 500 mg three times daily and lisinopril 20 mg daily. Sheila is asking for a prescription for the new weight loss drug Belviqthat she read about in a magazine add. Which of the following statements are correct? (Select ALL that apply.)
ASheila can receive Belviq; she will need to be instructed to stick to a dietary plan.
BSheila can use Belviq but will need to stick to a dietary plan and exercise regimen.
CThe use of Belviq is contraindicated at this time in this patient.
DSheila's medications are unsafe at present and need to be changed.
ESheila should immediately discontinue the use of ProAir HFA.
A woman walks into the pharmacy and asks the pharmacist which over-the-counter product provides the most weight loss. The patient is 5 foot, 3 inches tall. She weighs about 150 pounds. Choose the correct advice that should be provided to the patient: (Select ALL that apply.)
AAvoid refined carbohydrates, such as products made with white bread, and avoid products with added sugar; this will help eliminate many unhealthy food choices.
BActivity counts; weight loss is maintained longer and people feel better when they are physically active.
CDiet pills do not provide long-term benefit.
DIncrease your alcohol intake while dieting.
EStart smoking if you do not already.
Mary is a 44 year-old female. Height 5'7", weight 197 pounds. Her blood pressure taken this morning was 134/78 mmHg. She had lab work done last month which reported an A1C of 8.7% and total cholesterol of 244 g/dL. Maries consumes a primarily carbohydrate-based diet with little vegetable intake because she claims that fresh vegetables "cost a lot of money and are hard to get in Wisconsin in the winter." She has been using over-the-counter weight loss products for years. She loses a little, then puts back on more weight. She went to her physician seeking help. The physician prescribed lorcaserin 10 mg PO ac TID #90, with 11 refills. Maya's other medications include fluoxetine 90 mg Q weekly, tramadol and sumatriptan PRN headaches and atorvastatin 10 mg daily. She refills the prescription for tramadol 1-2 Q 4-6 hours PRN #120 every month. The lorcaserin should not be filled for the following reasons. (SelectALL that apply.)
AThe dose schedule is incorrect.
BHer weight does not qualify her for the use of this agent.
CShe could experience coordination problems, trouble thinking clearly, hallucinations and changes in her blood pressure.
DHer medical conditions exclude the use of lorcaserin.
ELorcaserin is contraindicated in a patient with migraines.
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