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1. A patient asks you to help her decide on which bariatric b) The current litera-
procedure to have; she is 42 years old with a BMI of ture does not provide
42 and her obesity related conditions include type 2 enough information to
diabetes, hypertension and fatty liver disease. What do predict which procedure
you tell her? she would have better out-
comes with.
a) The sleeve gastrectomy is the best choice because it
carries less risk and with her medical conditions, she
does not want a procedure that is riskier.
b) The current literature does not provide enough in-
formation to predict which procedure she would have
better outcomes with.
c.) She should go to an information session at a local
hospital
d) You do not know, but she should work harder at her
diet and exercise and not consider surgery
2. A patient's surgeon wants her to lose weight before b) To reduce the volume of
surgery. The patient's surgery is scheduled in one her liver.
month; why does the surgeon want her to lose weight
prior to the procedure?
a) to reduce abdominal adipose tissue stores
b) to reduce liver volume
c) to prove she can follow instructions and adhere to
the diet
d) all of the above
3. Patients with obesity are at risk for which of the follow- a) Vitamins B12, folate, D,
ing micronutrients? zinc and iron
a) Vitamin B12, folate, D, Zinc, Iron
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b) Vitamins A,E,D,K
c) Vitamin B12, B1, B6, and D
d) They are not at risk because patients with obesity
are over nourished
4. A patient is 2 months post-bariatric surgery and calls c) To go to the ER to assess
you complaining of vomiting and dizziness, for the if she is dehydrated and
past 2 days; you tell the patient: needs IV hydration.
a) She is probably dehydrated and should drink more
fluid
b) This is a common post-op experience and she will
feel better in a few days
c) To go to the ER to assess if she is dehydrated and
needs IV hydration
d) to call her surgeon and leave a message
5. Ms. B leaves you a message that she has been admit- a) Test the patient's Vita-
ted to the hospital for nausea and vomiting, she states min B1 status and ensure
that the in- patient dietitian told her she was drinking that the IV solution con-
and eating too fast. You recommend to the inpatient tains 100 mg of thiamine.
dietitian and to the surgeon that they speak to the
patient's providers to:
a) test the Pt's Vitamin B1 status and ensure that the
IV solution contains 100 mg of thiamine
b) Provide the patient with as much fluids as she can
consume
b) The inpatient dietitian knows the risks and what to
do
d) Set up an appointment upon the Pt's discharge with
you