Take the Test

1. Which statement is true regarding the prevalence of obesity in America?

• a. There is no difference in obesity prevalence relative to educational level.
• b. By income, obesity prevalence in women is highest in the highest-income group.
• c. The obesity rate in adults has not changed over the last four decades.
• d. The percentage of severe obesity is higher in women than men in each age group.

2. Which two traits related to obesity have been shown to be inherited to a certain degree?

• a. Number of fat cells in the body and appetite
• b. Number of fat cells in the body and physical activity
• c. Energy expenditure and satiation
• d. Physical activity and hypophagia

3. Which statement is correct about how obesogens contribute to obesity?

• a. They are endocrine disruptors.
• b. They directly cause obesity.
• c. They increase the release of stored fat.
• d. They decrease the size of fat cells.

4. Which maternal factor is a major prenatal determinant of increased risk for obesity in offspring in later life?

• a. Gut microbiota
• b. Stress
• c. Obesity
• d. Alcohol use

5. Which obesity-related factor is associated with the development of gynecomastia in young males who have obesity?

• a. Early onset of sexual maturation due to increased testosterone
• b. Stimulating effects of fat on estrogen production
• c. Endothelial dysfunction of the blood vessels related to fat intake
• d. Effects due to metabolic syndrome

6. Which statement is true regarding weight bias and stigma?

• a. Weight stigma encourages weight loss.
• b. Females can develop a negative self-image that persists into adulthood.
• c. Healthcare providers do not engage in weight bias and stigma toward patients.
• d. Young children equally prefer to play with children with obesity compared to children without obesity.

7. Which measure is a newer and improved alternative to BMI for determining body fatness based on height and waist circumference?

• a. Relative fat mass index (RFM)
• b. Whole-body plethysmography
• c. Hydrodensitometry
• d. Bioelectrical impedance analysis

8. Based on the fact that body weight and body fat are steadfastly regulated, which weight loss recommendations are currently recommended for persons with obesity?

• a. Lose a large amount of weight as quickly as possible to eliminate comorbidities.
• b. Lose at least 25% of body weight as quickly as possible to reduce comorbidities.
• c. Set a reasonable goal to lose 1 to 2 pounds per week.
• d. Lose at least 3 to 5 pounds weekly to reduce or eliminate comorbidities.

9. Which principle underlies motivational interviewing as a behavioral modification process?

• a. It is the patient who decides whether and how to change.
• b. Patients respond most to clinician advice, solutions, and suggestions.
• c. Resistance breaks down communication between patient and clinician.
• d. It is best to avoid pointing out discrepancies between present behavior and values.

10. Which weight loss surgical procedure combines both restrictive and malabsorption components?

• a. Laparoscopic adjustable gastric band
• b. Gastric bypass (Roux-en-Y)
• c. Biliopancreatic diversion with duodenal switch
• d. Gastric sleeve

11. Which approach is recommended for successful management of obesity in children and adolescents?

• a. Child- or adolescent-focused communication and interventions
• b. A prescriptive approach by the clinician
• c. Targeting the child without parental participation
• d. Family-centered communication and family-based interventions

12. Which measure is recommended for maintaining skin integrity between skinfolds in the patient with obesity?

• a. Placing soft, moist cloths
• b. Dusting with cornstarch
• c. Massaging to improve circulation
• d. Applying fungus-inhibiting powders

13. Which factor do patients cite as a barrier to discussing weight issues and management with their healthcare provider?

• a. Limited diet education
• b. Poor explanations about activity recommendations
• c. Feeling judged and blamed for their weight
• d. Overabundance of follow-up