10 exam-style questions with answers and explanations, straight from our 1,050-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CSOWM exam has 150 questions and runs 3 hours.
These 10 free CSOWM questions are organized by exam domain, so you can see how each part of the Board Certified Specialist in Obesity and Weight Management (CSOWM) blueprint is tested. Reveal the answer and explanation under each question.
A 42-year-old patient of South Asian descent has a BMI of 28.4 kg/m². Using WHO Asian-specific criteria, this patient's BMI is classified as:
Correct answer: A - Obesity, as the value is at or above the 27.5 threshold
Which adipokine demonstrates an INVERSE relationship with adipose tissue mass, such that circulating levels decrease as adiposity increases?
Correct answer: C - Adiponectin
Indirect calorimetry is unavailable. For an adult with a BMI of 37 kg/m², the Academy of Nutrition and Dietetics Evidence Analysis Library supports estimating resting metabolic rate using the Mifflin-St Jeor equation with which body weight?
Correct answer: C - Actual body weight
A patient has confirmed excess adiposity but shows no evidence of organ or tissue dysfunction attributable to that adiposity. Under the 2025 Lancet Diabetes & Endocrinology Commission framework, this patient is classified as having:
Correct answer: B - Preclinical obesity
A patient reports eating unusually large amounts of food with a sense of loss of control roughly twice weekly for the past six months, followed by intense shame. She denies vomiting, laxative use, and compensatory exercise. This presentation is MOST consistent with:
Correct answer: D - Binge eating disorder
A patient with schizophrenia managed on olanzapine has gained 16 kg over 14 months. The psychiatrist asks for input on a weight-conscious alternative within the same drug class. Which agent is MOST appropriate to suggest?
Correct answer: B - Aripiprazole
A clinician measures a waist circumference of 96 cm in a male patient of European ancestry. Which statement BEST characterizes this finding?
Correct answer: A - It is below threshold by ATP III/AHA-NHLBI criteria but at or above threshold by IDF criteria
Which statement MOST accurately reflects the relationship between household food insecurity and obesity in adults?
Correct answer: C - Food insecurity is associated with a higher prevalence of obesity
A patient asks whether a ketogenic, low-fat, or Mediterranean pattern will produce the greatest long-term weight loss. Based on current evidence, the response should emphasize that the strongest predictor of sustained weight loss is:
Correct answer: C - Adherence to a sustained energy deficit over time
Per ASMBS guidance, calcium citrate rather than calcium carbonate is the preferred supplemental form following Roux-en-Y gastric bypass PRIMARILY because calcium citrate:
Correct answer: D - Does not require gastric acid for absorption
The CSOWM exam also covers these domains. Drill them in the full free practice test:
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