2024 NAPLEX RXPREP WEIGHT
LOSS EXAM WITH CORRECT
ANSWERS
BMI for overweight - CORRECT-ANSWERS25 - 29.9 kg/m2
BMI for obese - CORRECT-ANSWERSover 30 kg/m2
A person that is overweight is at higher risk for... - CORRECT-ANSWERS-
coronary heart disease
- HTN
- stroke
- type 2 diabetes
What is an "energy deficit" - CORRECT-ANSWERS*calories must be decreased
and/or energy expenditure increased*..in order to force the body to use fat
as an energy source
How much physical activity is recommended? - CORRECT-ANSWERS>150
minutes per week, divided by 3-5 days a week
When are *prescription* drugs *not* appropriate - CORRECT-ANSWERSfor
patients with *small amounts of weight to lose*
When are prescription drugs *indicated* for weight loss? - CORRECT-
ANSWERS- BMI >30
or
- BMI >27 *+* dyslipidemia, HTN, or DM
Weight loss medications are only used in *addition* to - CORRECT-ANSWERS-
dietary plan
- increased physical activity
Weight loss drugs that can be *continued long-term* for weight maintenance
- CORRECT-ANSWERS- Qsymia
- Contrave
- Saxenda
- orlistat formulations
, This drug has been *withdrawn* from the market due to an *increased risk of
cancer* - CORRECT-ANSWERSLorcaserin (Belviq, Belviq XR)
When should weight loss drugs be *discontinued* - CORRECT-ANSWERSif
they do *not* produce at least *5% weight loss* at *12 weeks*
Drugs and conditions that can cause weight loss - CORRECT-
ANSWERS*Drugs:*
- ADHD drugs
- Bupropion
- GLP-1 agonist (exenatide, liraglutide)
- Pramlintide (SymlinPEN) - DM
- Roflumilast (Daliresp) - COPD
- SGLT2 inhibitors (canagliflozin, empagliflozin)
- Topiramate - anticonvulsant / migraines
Drugs to *avoid* or use *caution* with: *pregnancy* - CORRECT-
ANSWERSavoid *all* drugs for weight loss
Drugs to *avoid* or use *caution* with: *HTN* - CORRECT-ANSWERSAvoid:
- *Contrave* = has bupropion CI w/ uncontrolled BP
Caution:
- *Qsymia* = has phentermine so monitor BP
Drugs to *avoid* or use *caution* with: *Depression* - CORRECT-
ANSWERSCaution:
- *Contrave* = has bupropion so suicide risk
Drugs to *avoid* or use *caution* with: *Seizures* - CORRECT-
ANSWERSAvoid:
- *Contrave* = lowers seizure threshold
Caution:
- *Qsymia* = has topiramate so must taper off
Drugs to *avoid* or use *caution* with: *Taking Opioids* - CORRECT-
ANSWERSAvoid:
- *Contrave* = has naltrexone so block opioid receptors
Components of Qsymia - CORRECT-ANSWERSPhentermine / Topriamate
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