Weight Gain and Weight Loss (Assessment & Diagnosis) — 42yo Woman | Endocrinology | MCCQE1 Q#13404
MCCQE1 Question #13404
Dimension of Care
Chronic Care
Activity
Assessment & Diagnosis
Objective
Weight Gain and Weight Loss
Section
Medicine / Family Medicine
Subject
Endocrinology
Last updated: February 2026
A 42-year-old woman presents for help with long-standing weight gain; her BMI is 36 kg/m² and waist circumference is 110 cm. She reports daytime sleepiness with loud snoring, knee pain limiting activity, and emotional eating during work stress. She has tried multiple diets and a commercial program with temporary weight loss followed by regain. Her medications include sertraline and a combined oral contraceptive pill. She asks for a “realistic and not shaming” plan, and wants more energy and to play with her children. What is the most appropriate next step to assess obesity drivers and severity and to guide a collaborative care plan?
Full answer analysis and choices are available inside the practice session.
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