Which of the following measures would likely be rejected as part ...

[PhilipSeeMore]

Which of the following measures would likely be rejected as part of a first-line weight loss plan for a client with a BMI of 30.2, type 2 diabetes, and hypertension?
 
  A)
  Prescription drug therapy
  B)
  Gastric bypass
  C)
  Calorie reduction by 500 to 1000 kcal/day
  D)
  30 minutes or more of moderate-intensity activity at least 3 days per week

Question 2

A 20-year-old woman has visited her family physician due to occasional bouts of bloody diarrhea over the past several weeks, a phenomenon that she experienced 2 years prior as well.
 
  Her physician has diagnosed her with ulcerative colitis based on her history and visualization of the affected region by colonoscopy and sigmoidoscopy. Which of the following pathophysiological phenomena is most likely to underlie the client's health problem?
  A)
  Fissures and crevices developing in the mucosa that are seen as a characteristic cobblestone appearance
  B)
  Erosion of the endothelial lining of the distal small intestine by a combination of genetic, autoimmune, and environmental factors
  C)
  Compromise of the mucosal layer of the large intestinal surface by the effects of H. pylori
  D)
  Mucosal hemorrhages that have developed into crypt abscesses, which have in turn necrotized and ulcerated

[Heffejeff]

Answer to Question 1

Ans:
B

Feedback:

Weight loss surgery should be limited to individuals with a BMI greater than 40 or those with a BMI greater than 35 with comorbid conditions in whom medical therapy has failed. Calorie reduction is appropriate for anyone with a BMI of 25 to 29.9 plus two risk factors (in this case, type 2 diabetes and hypertension). Prescription drug therapy can be considered for those with a BMI of 30 or more, and increased physical activity, although it does not lead to significant weight loss, helps prevent further weight gain and reduces cardiovascular and diabetes risk beyond that achieved by weight loss alone.

Answer to Question 2

Ans:
D

Feedback:

The etiology and course of ulcerative colitis involves mucosal hemorrhages developing into crypt abscesses, with consequent necrosis and ulceration. Cobblestone appearance of intestinal mucosa is associated with Crohn disease. Ulcerative colitis is confined to the colon and rectum, and H. pylori is not commonly implicated in the etiology.