Metabolic Syndrome: A Growing Epidemic

Course #91545 - $30-


Study Points

  1. Define metabolic syndrome.
  2. Discuss the epidemiology of metabolic syndrome in the United States, based on age, sex, race, and other factors.
  3. Evaluate risk factors of metabolic syndrome.
  4. Utilize screening tools to diagnose metabolic syndrome.
  5. Offer current dietary recommendations.
  6. Identify the current physical activity recommendations.
  7. Consider pharmaceutical interventions currently available for obesity.
  8. Recognize circumstances when surgery should be considered as a treatment option for obesity.
  9. Define dyslipidemia and its treatment recommendations.
  10. Evaluate hypertension and its treatment modalities.

    1 . Which of the following is included in the National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III definition of metabolic syndrome?
    A) Elevated triglycerides (150 mg/dL or greater)
    B) Decreased high-density lipoprotein (HDL) (<40 mg/dL in men, <50 mg/dL in women)
    C) Abdominal obesity/central adiposity (waist circumference >102 cm [40 inches] in men, >88 cm [35 inches] in women)
    D) All of the above

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    2 . Which of the following is a criterion outlined by the American College of Endocrinology's definition of insulin resistance syndrome?
    A) HDL greater than 50 mg/dL
    B) Fasting glucose 80–100 mg/dL
    C) Triglyceride level less than 150 mg/dL
    D) Blood pressure greater than 130/85 mm Hg

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    3 . Which of the following statements regarding the epidemiology of metabolic syndrome in the United States is TRUE?
    A) The prevalence of metabolic syndrome is similar among men and women.
    B) Prevalence is lower among non-Hispanic Black adults than among non-Hispanic White adults.
    C) Fewer than one in four adults 60 years of age and older have metabolic syndrome.
    D) Prevalence is higher among Hispanic adults than among non-Hispanic Black adults.

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    4 . Which statement about costs related to metabolic syndrome is TRUE?
    A) Obesity costs an estimated $17 billion annually.
    B) Diagnosed diabetes cost an estimated $413 billion in 2022.
    C) Metabolic syndrome costs an estimated $117 billion annually.
    D) Metabolic syndrome costs an estimated $132 billion annually.

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    5 . Irrespective of whether a person is overweight or not, a contributor to insulin resistance is
    A) younger age.
    B) intra-abdominal fat.
    C) persistent xerostomia.
    D) None of the above

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    6 . In the Kuopio Ischemic Heart Disease Risk Factor study, patients with metabolic syndrome showed what increase in relative risk for mortality from coronary heart disease?
    A) 1.95
    B) 2.52
    C) 3.77
    D) 4.53

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    7 . Evaluation of patients for metabolic syndrome should include
    A) lipid profile.
    B) measurement of vital signs.
    C) measurement of waist circumference.
    D) All of the above

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    8 . The first step in the treatment of metabolic syndrome is
    A) pharmacotherapy.
    B) strict calorie restriction.
    C) insulin and immunotherapy.
    D) effective lifestyle interventions, focusing on nutrition and exercise.

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    9 . According to the Dietary Reference Intakes, what percent of daily calories should be from fat?
    A) 10% to 15%
    B) 15% to 25%
    C) 20% to 35%
    D) 25% to 40%

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    10 . Intake of added sugars should be limited to no more than what percent of overall calorie intake?
    A) 1%
    B) 5%
    C) 10%
    D) 15%

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    11 . Experts recommend setting a long-term goal of how many minutes of exercise, at least five days per week?
    A) 20 minutes
    B) 30 minutes
    C) 45 minutes
    D) 60 minutes

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    12 . Which of the following statements regarding exercise is TRUE?
    A) Moderate exercise should noticeably raise the heart rate.
    B) Some data suggest that a person can be overweight and fit if they exercise regularly.
    C) Patients should alternate between flexibility, aerobic, and resistance training.
    D) All of the above

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    13 . According to NHLBI guidelines, which of the following patients would be considered for drug therapy?
    A) BMI greater than 25
    B) BMI greater than or equal to 30
    C) BMI greater than or equal to 27 with comorbidities
    D) Both B and C

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    14 . Which of the following statements regarding the weight-loss medication orlistat is TRUE?
    A) Typical dosage of orlistat is 120 mg with each meal.
    B) Orlistat is a gastric and pancreatic lipase inhibitor.
    C) Orlistat is a norepinephrine, dopamine, and serotonin reuptake inhibitor.
    D) Both A and B

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    15 . A patient with which of the following is considered a good candidate for bariatric surgery?
    A) BMI less than 30
    B) BMI between 27 and 30 without comorbidities
    C) BMI between 27 and 30 with comorbidities
    D) BMI of 35 or greater, regardless of comorbidities

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    16 . Which of the following is a benefit to metformin therapy in patients with insulin resistance?
    A) Improved gastrointestinal tolerance
    B) Improved vitamin B12 availability
    C) Prevention or delay of frank diabetes
    D) Reduced risk of cardiovascular disease

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    17 . One characteristic lipid problem associated with metabolic syndrome is a(n)
    A) low LDL level.
    B) low HDL level.
    C) elevated HDL level.
    D) low triglyceride level.

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    18 . Which lipid remains the primary target of lipid-lowering therapy?
    A) LDL
    B) HDL
    C) Triglycerides
    D) Total cholesterol

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    19 . Normal blood pressure is defined as less than
    A) 120/80 mm Hg.
    B) 130/80 mm Hg.
    C) 140/90 mm Hg.
    D) 150/80 mm Hg.

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    20 . Which of the following statements regarding blood pressure management is TRUE?
    A) The DASH diet has been shown to reduce blood pressure.
    B) Thiazide diuretics should not be used in people with metabolic syndrome.
    C) Lifestyle intervention has not been shown to be effective in lowering blood pressure.
    D) All of the above

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