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Ahmand-Pediatrics 4
duh
31
Medical
Professional
05/09/2007

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Cards

Term
How is BMI calculated?
Definition
take the total body weight in kilograms and divide it by the height squared.
Term
T or F: ALL of the following are increased with obesity in pediatric patients: Type II DM, CAD, HTN, cancer, joint disease, gallbladder disease, pulmonary disease.
Definition
True
Term
80% of preschool children, school-age children, or adolescent children who are obese tend to develop in to obese adults?
Definition
adolescents
Term
Which cancer is the primary cancer that patients are at increased risk for developing when they are obese?
Definition
colon cancer
Term
25% of obese children have evidence of what metabolic abnormality?
Definition
glucose metabolism (demonstrate tolerance)
Term
What is the primary psychological development of obesity in pediatric patients?
Definition
depression
Term
What disease state affecting intracranial pressure can manifest from severe obesity?
Definition
pseudotumor cerebri
Term
What are the long term effects of chronic obesity on the liver?
Definition
Fatty change, fibrosis, possible cirrhosis
Term
What cutaneous pigmentation change is evident in many obese children?
Definition
acanthosis nigricans (an eruption of velvet, warty, benign growths and hyperpigmentation occurring in the skin of axillae, neck, anogenital area, and groin)
Term
What vascular disease advances in obese patients at a much faster rate?
Definition
athersclerosis
Term
What is the only treatment for steatohepatitis?
Definition
weight loss
Term
What percentage of cholelithiasis cases are due to obesity?
Definition
50%
Term
What portion of obese children have an abnormal polysomnogram?
Definition
more than 1/3
Term
What name is granted to the following: hypoxia, hypercapnea, RV hypertrophy/failure, polycythemia?
Definition
obesity hypoventilation syndrome (Pockwickian syndrome)
Term
What percentage of children diagnosed with HTN are obese?
Definition
60%
Term
What is the most significant "cost" of obesity?
Definition
Obese individuals are on average have harder times finding employment, make less money, and also have trouble marrying
Term
Blount disease develops in obese pediatric patients. What is Blount disease?
Definition
tibia vara; nonrachitic bowlegs in children
Term
According to Dr. Ahmand's slides, if you consume an extra 100 calories per day for an entire year, you can expect to put on how any pounds?
Definition
10
Term
Higher cholesterol levels have been linked to what common American household activity involving inactivity?
Definition
Watching TV
Term
What laboratory values may be of assistance when evaluating an obese child?
Definition
fasting lipid panel, fasting glucose and insulin level, HgB A1C, thyroid studies
Term
What behavior modification advice is best to utilize when advising a parent or pediatric patient on weight loss?
Definition
Make a few changes at a time, not all at once
Term
In general what benefit has evidence based medical studies demonstrated about the effectiveness of medication in the assistance of weight loss?
Definition
little; largely insignificant
Term
Is behavioral modification more effective in adults or children?
Definition
children
Term
What is the risk of any child becoming obese if both parents are lean?
Definition
9%
Term
What is the risk of any child becoming obese if both parents are obese?
Definition
60-80%
Term
What post-parturition maternal habit has been demonstrate to reduce the BMI of her child up to 6 years post birth?
Definition
breast feeding
Term
What "positive" reinforcement behavior of the parent should be avoided when rearing children?
Definition
use of food as a reward.
Term
Ideally every child should have how much time at physical play per day?
Definition
30-60 minutes
Term
What drug modifies eating behavior by providing a sense of satiety?
Definition
sibutramine
Term
What is the mechanism of action or orlistat?
Definition
reduces absorption of dietary fat
Term
Bariatric surgery may be indicated in pediatric patients over what BMI?
Definition
40
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