CBC Weight Management 2 — Questions and Answers
Question 1: What is the minimum recommended weekly weight loss goal generally considered safe and sustainable for most bariatric counseling clients?
- 1-2 pounds per week (Correct answer)
- 5-6 pounds per week
- 3-4 pounds per week
- 7-8 pounds per week
Correct answer: 1-2 pounds per week
A loss of 1-2 pounds per week reflects a safe caloric deficit and supports long-term maintenance.
Question 2: A client with a BMI of 32 and type 2 diabetes asks about clinically meaningful weight loss. What percentage of initial body weight is typically cited as producing significant metabolic improvement?
- 1-2%
- 5-10% (Correct answer)
- 25-30%
- 40-50%
Correct answer: 5-10%
Losing 5-10% of initial body weight measurably improves glycemic control, blood pressure, and lipids.
Question 3: Which hormone, produced primarily by adipose tissue, signals satiety to the hypothalamus and often shows resistance in individuals with obesity?
- Ghrelin
- Insulin
- Leptin (Correct answer)
- Cortisol
Correct answer: Leptin
Leptin is secreted by fat cells to suppress appetite, but leptin resistance blunts this signal in obesity.
Question 4: A counselor calculates a client's total daily energy expenditure (TDEE). Which component typically accounts for the largest share of TDEE in a sedentary adult?
- Thermic effect of food
- Exercise activity
- Non-exercise activity thermogenesis
- Basal metabolic rate (Correct answer)
Correct answer: Basal metabolic rate
Basal metabolic rate accounts for roughly 60-70% of daily energy expenditure in sedentary adults.
Question 5: Which waist circumference threshold indicates elevated cardiometabolic risk for men in U.S. clinical guidelines?
- Greater than 35 inches
- Greater than 40 inches (Correct answer)
- Greater than 30 inches
- Greater than 45 inches
Correct answer: Greater than 40 inches
A waist circumference above 40 inches (102 cm) in men signals increased visceral adiposity and cardiometabolic risk.
Question 6: A client regains weight after rapid dieting because their resting metabolism dropped more than predicted by lost mass. What is this phenomenon called?
- Metabolic adaptation (Correct answer)
- Thermogenic rebound
- Caloric compensation
- Adipose hyperplasia
Correct answer: Metabolic adaptation
Metabolic adaptation (adaptive thermogenesis) is the disproportionate drop in energy expenditure after weight loss.
Question 7: Which dietary strategy has the strongest evidence for long-term weight maintenance according to National Weight Control Registry findings?
- Skipping breakfast daily
- Eliminating all carbohydrates
- Regular self-monitoring of weight and food intake (Correct answer)
- Consuming one large meal per day
Correct answer: Regular self-monitoring of weight and food intake
Registry members who maintain loss consistently self-monitor weight and intake along with high activity levels.
CBC Weight Management 2
What is the minimum recommended weekly weight loss goal generally considered safe and sustainable for most bariatric counseling clients?