Definitions
Lifestyle/Diet
Oral meds + Ozempic
Medications
Medications
100

Name the 2 "measurements" that are used to determine health risks/obesity?

Body Mass Index 

Waist Circumference

100
What is the magical number of steps you are advised to aim for each day?

10,000steps

100

Name 3 oral medications that can be used for weight loss. [incl. off label use]

Phentermine (Duromine), Orlistat (Xenical), Bupropion/Naltrexone (Contrave), Topiramate (Topamax) - off label

100

Name 3 brand names of weight loss injectables

Ozempic, Wegovy, Mounjaro, Saxenda

100

Spell the drug name of Mounjaro?

Tirzepatide

200

What is the formula to calculate Body Mass Index (BMI)

BMI = weight (kg) / height2 (m)

200

Name 3 recent "fad" diets?

Atkins; Fast 800; 5:2 diet; soup diet; keto; intermittent fasting

200

Name 3 contraindications to phentermine?

HTN, coronary artery disease, cerebral vascular disease, epilepsy, hyperthyroidism, pregnancy, glaucoma

200

List 5 common side effects of injectable weight loss medications?

abdominal pain, constipation , diarrhoea, pancreatitis, nausea/vomiting, increased risk thyroid cancer, cholecystitis, choledocholithiasis, SBO, acute kidney injury

200

Are baseline bloods required prior to starting injectables? If yes, which bloods?

I can't find evidence that it is a requirement per se, but suggestions of:

EUC, LFT, BSL, HbA1c, cholesterol, TSH, lipase

300

Give 3 reasons why BMI as a value may be misleading.

doesn't distinguish between muscle mass and fat; doesn't account for fat distribution or bone density; as such is misleading in older people, muscular individuals, different ethnicities                             studies were based on white European male

300

What is time restricted eating (TRE) / intermittent fasting (IF)? Does it work?

The current popular TRE/IF diets include 16 : 8 (16 hours fasting, 8 hours eating window; eg. eating only between 10 am and 6 pm) or 5:2 diet (modified fast on 2days)

Limited short studies show some benefits, but need longer-term studies to show if any sustainable benefits.

300

What is the dosing schedule of Ozempic?

OzempicĀ®, SC, initially 0.25 mg once a week for 4 weeks, then increase to 0.5 mg once a week. If required, after at least another 4 weeks, increase to 1 mg once a week.

300

How much does Wegovy cost per month on a private script?

0.25mg-1.0mg - $250; 1.7mg - $370; 2.4mg - $445

300

How much does Mounjaro cost per month on a private script?

2.5mg - $280; 5mg - $390, 7.5-10mg - $540; 12.5-15mg - $690

400

Give the waist measurements for increased risk and high risk in both males and females?

Male: increased >94cm, high >102cm

Female: increased >80cm, high >88cm

400

What is the daily recommended calorie intake for men and women to maintain weight?

Women: 1600 - 2200 

Men: 2000-2800

400

What is the mechanism of action of semaglutide?

glucagon-like peptide-1 analogues - increase glucose-dependent insulin secretion and suppress inappropriate glucagon secretion.

Also delays gastric emptying, which slows glucose absorption, and decrease appetite.

400

What is the dosing schedule for Wegovy?

0.25mg sc injection once weekly for 4weeks, then increase to 0.5mg, 1mg, 1.7mg every 4weeks to a maximum dose of 2.4mg once weekly inj.

400

What is the dosing schedule of Mounjaro?

2.5mg inj once weekly for 1month, then increase by 2.5mg every 4weeks to maximum dose of 10mg.

500

List the 6 BMI categories and their correlating BMI values?

Underweight <18.5; Normal Weight 18.5-24.9; Overweight 25-29.9; Obese I 30-34.9;                Obese II 35-39.9; Obese III 40+


500

Name 8 foods that are staples of the Mediterranean-style Diet?

vegetables and fruits; wholegrain breads and cereals; legumes (such as beans, chickpeas, lentils); nuts and seeds; fish and seafood; extra virgin olive oil; herbs and spices; Poultry and dairy products in the Mediterranean diet include yoghurt, cheese, milk, lean proteins, including chicken or turkey, and eggs

500

What are the PBS indications for Ozempic?

Clinical Criteria: The treatment must be used in combination with at least one of: metformin, a sulfonylurea, insulin AND must be inadequately responsive to at least one of: metformin, a sulfonylurea, insulin AND the pt must not have achieved a clinically meaningful glycaemic response with an SGLT2 inhibitor; OR has a contraindication/intolerance requiring treatment discontinuation of an SGLT2 inhibitor.

Treatment criteria: Patient must not be undergoing concomitant PBS-subsidised treatment for type 2 diabetes mellitus with any of: an SGLT2 inhibitor, a DPP4 inhibitor, another GLP-1 receptor agonist.

500

What is orforglipron?

A trial oral GLP-1 manufactured by Eli Lilly

Trial results show a clinically significant reduction of glucose levels and weight among patients with early diabetes. 

500

What is the mechanism of action of Mounjaro?

Dual receptor agonist at glucose-dependent insulinotropic polypeptide(GIP) and glucagon-like peptide-1 (GLP-1) receptors. Increases insulin sensitivity and glucose-dependent insulin secretion, reduces glucagon secretion, delays gastric emptying (which slows glucose absorption) and decreases appetite.