Emily Doyle
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Pathophysiology: The Biologic Basis for Disease in Adults and Children 8th Edition

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Emily Doyle
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Chapter 23: Obesity and Disorders of Nutrition

Question 1 of 15

1

A researcher is moving to an area with a year-round cold climate. The researcher asks the health care professional how people in these areas are able to adjust to the temperature. What response by the professional is most accurate?

Select one of the following:

  • They have less adipose tissue.

  • They have more beige (bAT) adipose tissue

  • Their bone marrow produces more adipose tissue

  • They gain weight which insulates them

Explanation

Question 2 of 15

1

A health care professional wishes to provide community screening for obesity. Which
population should the professional focus on as the priority?

Select one of the following:

  • Caucasians

  • Non-Hispanic blacks

  • Hispanics

  • Asians

Explanation

Question 3 of 15

1

The student asks the professor for a definition of “orexigenic neurons.” What description by
the professor is most accurate?

Select one of the following:

  • Promote appetite and stimulate eating

  • Suppress appetite and inhibit eating

  • Increase overall metabolism

  • Promote satiety after eating

Explanation

Question 4 of 15

1

A student asks the health care professional why obese people are at higher risk for
hypertension than non-obese individuals. What response by the professional is best?

Select one of the following:

  • They produce more ghrelin in the stomach.

  • Their thyroid gland secretes less hormone.

  • They produce more angiotensinogen.

  • They secrete fewer endocannabinoids.

Explanation

Question 5 of 15

1

Which individual does the health care professional determine is obese?

Select one of the following:

  • Body mass index 23 kg/m2

  • Body mass index 25 kg/m2

  • Body mass index 29 kg/m2

  • Body mass index 32 kg/m2

Explanation

Question 6 of 15

1

A health care professional is caring for a patient admitted to the hospital with severe anorexia. What action by the health care professional would be most important?

Select one of the following:

  • Ensuring the patient is on a cardiac monitor

  • Facilitating laboratory testing of electrolytes

  • Arranging a psychiatry consultation

  • Assessing the patient’s favorite foods

Explanation

Question 7 of 15

1

A person has abnormally severe tooth decay and erosion of the tooth enamel. What problem should the health care professional assess the person for?

Select one of the following:

  • Anorexia nervosa

  • Binge eating

  • Bulimia

  • Refeeding syndrome

Explanation

Question 8 of 15

1

A patient weighs 82 pounds and is hospitalized for anorexia. In order to prevent refeeding
syndrome, how many calories should the person eat in the first two days?

Select one of the following:

  • 400

  • 745

  • 936

  • 1200

Explanation

Question 9 of 15

1

A severely malnourished patient is in the hospital to improve nutrition. On the second day, the patient reports palpitations and difficulty breathing. After placing the patient on a cardiac monitor, what action does the health care professional take next?

Select one of the following:

  • Take the patient’s temperature.

  • Have lab drawn for electrolyte levels.

  • Cancel the patient’s next meal.

  • Facilitate a chest x-ray

Explanation

Question 10 of 15

1

A student asks the professor about the functions of adipose tissue. What responses by the
professor are accurate? (Select all that apply.)

Select one or more of the following:

  • Provides insulation

  • Helps with mechanical support

  • Dysregulates thyroid function

  • Secretes adipokines

  • Helps generate heat

Explanation

Question 11 of 15

1

A health care professional is speaking to a weight-loss support group and encourages the
participants to have regular screening for medical conditions that are related to obesity. Which conditions does the professional include in this list? (Select all that apply.)

Select one or more of the following:

  • Cancer

  • Cardiovascular disease

  • Cirrhosis

  • Diabetes

  • Dementias

Explanation

Question 12 of 15

1

What role does leptin resistance have in promoting obesity? (Select all that apply.)

Select one or more of the following:

  • Promotes overeating

  • Promotes early satiety

  • Inhibits orexigenic outcomes

  • Increases oxidative stress

  • Leads to hyperglycemia

Explanation

Question 13 of 15

1

What does the student learn about the effects of long-term starvation? (Select all that apply.)

Select one or more of the following:

  • Energy is supplied through glycogenolysis.

  • Gluconeogenesis begins for energy requirements.

  • Increase in inflammatory mediators.

  • Use of ketone bodies for energy needs.

  • Proteolysis begins in adipose tissue.

Explanation

Question 14 of 15

1

A family is concerned that their most elderly member is not eating. What information about
the anorexia of aging does the health care professional provide the family? (Select all that
apply.)

Select one or more of the following:

  • Usually there is a direct cause that can be treated successfully.

  • Is not related to age-related changes and signifies illness

  • Decreases in saliva and the sense of taste are contributing factors.

  • Age-related loss of appetite is common finding.

  • Social stimulation at meals might promote better eating habits.

Explanation

Question 15 of 15

1

A student learning about the effects of obesogens discovers what information about them?
(Select all that apply.)

Select one or more of the following:

  • Can be found in personal care products

  • Cannot cross the placental barrier

  • Can be transmitted through breast milk

  • Are limited to a single genetic defect

  • Have been associated with pesticide exposure

Explanation

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