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A patient wants you to assist her pick which bariatric treatment to have;
she is 42 years old, has a BMI of 42, and has obesity-related problems
such as type 2 diabetes, hypertension, and fatty liver. What would you
tell her?
a) The sleeve gastrectomy is the best option because it bears less risk,
and given her medical circumstances, she does not want to undergo a
riskier treatment.
b) The existing research lacks sufficient information to indicate which
approach would produce superior results.
c.) She should attend an information session at a nearby hospital.
d) You don't know, but she should improve her diet and exercise instead
of considering surgery - ANSWER b) The existing research does not
provide enough information to forecast which procedure she might
benefit from.
A patient's surgeon advises her to lose weight before surgery. The
patient's surgery is scheduled in one month; why does the surgeon want
her to lose weight before it?
a) to decrease belly adipose tissue storage.
b) To lower liver volume.
,c) to demonstrate her ability to follow directions and stick to the diet.
d) All of the above - ANSWER b) To lessen the size of her liver.
A patient is 2 months post-bariatric surgery and calls you complaining of
vomiting and dizziness for the past 2 days. You inform the patient:
a) She's probably dehydrated and needs to drink more fluid.
b) This is a typical post-op experience, and she will feel better in a few
days.
b) Go to the ER to see if she is dehydrated and needs IV hydration.
d) Call her surgeon and leave a message - ANSWER c) Visit the
emergency room to see whether she is dehydrated and needs IV
hydration.
Ms. B leaves you a message saying she was admitted to the hospital for
nausea and vomiting, and that the in-patient dietician informed her she
was drinking and eating too quickly. You recommend that the inpatient
dietitian and surgeon consult with the patient's doctors to:
a) Check the patient's Vitamin B1 levels and make sure the IV fluid
contains 100 mg of thiamine.
b) Give the patient as much fluid as she can ingest.
c) The inpatient dietitian understands the hazards and what to do.
, d) Schedule an appointment with you once the patient is discharged.
ANSWER: a) Test the patient's Vitamin B1 status and ensure that the
IV solution contains 100 mg of thiamine.
A patient is one-year post-surgery; he comes to your office and claims
that he has not followed up with the Surgical Center where he had his
operation since he relocated and no longer resides in the city where his
surgery was performed; he states that he only takes an OTC multivitamin
every day; you prescribe that he
a) Find a surgery center near his new location and book an appointment.
b) You ask for permission to peak with the patient's new PCP so that you
can offer the MD with a list of nutritional labs that should be checked
annually.
b) you tell the patient to resume his post-op vitamin and minerals that he
said his surgical center recommended.
Answer: d) all of the aforementioned.
Obese patients are at risk for which of the following micronutrients?
a) Vitamin B12, folate, D, zinc, and iron.
c) Vitamin A, E, D, and K
c) B12, B1, B6, and D.