Hive Medical Trivia: Weekend Wrap-Up

It is another weekend and I want to thank everyone who participated in the medical trivias. I hope they were as fun for you as they were for me. Without beating about the bush, let us go straight into the answers.

1. A 50-year-old man with obesity is diagnosed with high blood pressure and high cholesterol. What type of obesity-related complication is this? Options:

   A) Emotional disorder

B) Metabolic syndrome

C) Normal aging

D) Genetic obesity

Answer: B) Metabolic syndrome

Metabolic syndrome is a cluster of conditions that occur together, increasing the risk of heart disease, stroke, and type 2 diabetes. It includes high blood pressure, high cholesterol, insulin resistance, and abdominal obesity. In this case, the man’s obesity, combined with high blood pressure and high cholesterol, directly aligns with the criteria for metabolic syndrome, making it the most accurate classification for these obesity-related complications.

Why the Other Options Are Incorrect:

A) Emotional disorder: Emotional disorders, such as depression or anxiety, can be associated with obesity but are not directly defined by high blood pressure and high cholesterol. These conditions are psychological rather than metabolic.

C) Normal aging: While aging can contribute to health issues, high blood pressure and high cholesterol in the context of obesity are not typical aging processes. They are specific complications linked to metabolic syndrome.

D) Genetic obesity: Genetic obesity refers to a predisposition to obesity due to hereditary factors, not a complication like high blood pressure or cholesterol. It describes a cause, not an outcome.

1. Mrs. Ladi is a 45-year-old woman who feels tired all the time. At her check-up, her doctor says her BMI is 33. She says she snacks a lot when she’s stressed. What’s the best first step in managing her weight?

   Options:

   A) Start weight loss medication immediately

B) Refer for bariatric surgery

C) Start with healthy eating, regular activity, and emotional support

D) Tell her to stop snacking completely

Answer: C) Start with healthy eating, regular activity, and emotional support

A BMI of 33 indicates obesity, and Mrs. Ladi’s stress-related snacking suggests emotional eating, which can complicate weight management. The best first step is a comprehensive, sustainable approach that includes healthy eating, regular physical activity, and emotional support to address stress-related behaviors. This strategy promotes gradual, long-term weight loss and tackles the root cause of her snacking, improving overall health without the immediate risks of more invasive interventions.

Why the Other Options Are Incorrect:

A) Start weight loss medication immediately: Medications may be considered later if lifestyle changes are insufficient, but they are not the first step, especially without addressing Mrs. Ladi’s stress-related eating habits.

B) Refer for bariatric surgery: Bariatric surgery is typically reserved for individuals with a BMI ≥40 or ≥35 with significant comorbidities, and only after lifestyle interventions have failed. It’s too invasive as a first step.

D) Tell her to stop snacking completely: Completely stopping snacking is unrealistic and may exacerbate stress, potentially worsening her eating habits. A balanced approach that manages stress and promotes healthier snacking is more effective.

1. What does the hormone ghrelin do in the body?

   Options: A) Build muscles

B) Burn fat

C) Stimulate hunger

D) Reduce cholesterol

Answer: C) Stimulate hunger Ghrelin, often called the “hunger hormone,” is produced primarily in the stomach and signals the brain to stimulate appetite, increasing food intake. It plays a key role in regulating energy balance and is particularly relevant in obesity, as elevated ghrelin levels can drive overeating. This makes “stimulate hunger” the correct function of ghrelin.

Why the Other Options Are Incorrect: A) Build muscles: Ghrelin does not directly contribute to muscle growth. Muscle building is primarily influenced by hormones like testosterone or growth hormone.

B) Burn fat: Ghrelin promotes energy storage by increasing appetite, not burning fat. Fat metabolism is regulated by other hormones, such as leptin or glucagon.

D) Reduce cholesterol: Ghrelin has no direct role in cholesterol metabolism. Cholesterol levels are influenced by diet, genetics, and other factors, not ghrelin.

1. Which of the following body systems is most directly affected by obesity?

   Options: A) Nervous system

B) Cardiovascular system

C) Immune system

D) Digestive system

Answer: B) Cardiovascular system Obesity most directly impacts the cardiovascular system by increasing the risk of conditions like high blood pressure, high cholesterol, atherosclerosis, and heart disease. Excess body fat, particularly visceral fat, strains the heart, promotes inflammation, and disrupts lipid and blood pressure regulation, making the cardiovascular system the primary system affected.

Why the Other Options Are Incorrect: A) Nervous system: Obesity can indirectly affect the nervous system (e.g., through increased stroke risk), but the cardiovascular system faces more direct and immediate consequences.

C) Immune system: Obesity can impair immune function by promoting chronic inflammation, but this is a secondary effect compared to the direct strain on the cardiovascular system.

D) Digestive system: While obesity may contribute to digestive issues like acid reflux or fatty liver disease, these are less immediate and widespread than cardiovascular complications.

1. What’s the role of bariatric surgery?

   Options: A) Remove body fat directly

B) Reduce stomach size

C) Tighten skin

D) Replace metabolism

Answer: B) Reduce stomach size Bariatric surgery, such as gastric bypass or sleeve gastrectomy, primarily works by reducing the size of the stomach, which limits food intake and promotes weight loss. Some procedures also alter the digestive tract to reduce nutrient absorption. This anatomical change helps patients achieve significant, sustained weight loss, particularly for those with severe obesity.

Why the Other Options Are Incorrect: A) Remove body fat directly: Bariatric surgery does not involve direct fat removal, as seen in procedures like liposuction. It modifies the digestive system to facilitate weight loss over time.

C) Tighten skin: Skin tightening may be a separate cosmetic procedure following weight loss, but it is not the purpose of bariatric surgery.

D) Replace metabolism: While bariatric surgery can improve metabolic conditions (e.g., type 2 diabetes), it does not “replace” metabolism. It alters digestion and appetite regulation to support weight loss.

Conclusion

Like we said last week, Obesity is a multifaceted condition with significant health implications, from metabolic syndrome to cardiovascular strain. Effective management, as seen in Mrs. Ladi’s case, often starts with lifestyle changes and emotional support, while interventions like bariatric surgery are reserved for specific cases. Understanding hormones like ghrelin and the systems most affected by obesity, such as the cardiovascular system, empowers individuals to make informed health decisions.