CSOWM MISCELLANEOUS EXAM QUESTIONS
AND CORRECT ANSWERS – LATEST UPDATE
2026/2027 | GRADED A+ | GUARANTEED PASS.
The PCP prescribes short-term weight-loss management for
an obese pt w/ migraine headaches. The nurse recognizes that
which med will be most effective for the patient? a. Orlistat
b. Topiramate
c. Phendimetrazine
Answer: B
Rationale: Topiramate is an anticonvulsant that is taken in
combination with a nonamphetamine like phentermine. It is
effective in reducing migraines & treating obesity.
The Obesity Surgery Mortality Risk Score (OS-MRS)
identified what 5 preoperative risk factors that predicted
increased risk of 30-day morbidity & mortality after RYGB
1. Advanced age: > 45 y/o
2. "Super-obesity": BMI > 50
3. HTN
4. Male gender
5. Pulmonary Embolism (PE) or surrogate (i.e. DVT, OSA)
Insufficient evidence supports the routine screening &
supplementation of what mineral?
,selenium
Routine screening for what mineral deficiency should occur
after malabsorptive procedures? Who should receive routine
supplementation?
- zinc
- BPD/DS require supplementation
Routine screening of copper is NOT indicated but should be
evaluated in pts w/ anemia, neutropenia, myeloneuropathy, &
poor wound healing. What dose should be included as part of
daily MVI? Treatment includes? - 2 mg/d of copper
supplementation
- Severe deficiency treatment includes IV copper 2-4 mg/d for
6 days, subsequent treatment of mild-mod oral copper
sulfate or gluconate 3-8 mg/d until levels normalize &
symptoms resolve
When being treated for zinc deficiency or using supplemental
zinc for hair loss, what other supplement should be taken?
,1 mg copper for every 8-15 mg zinc (zinc replacement can
cause copper deficiency)
Thiamine supplementation should be included as part of daily
MVI. Routine screening is not recommended unless post-op
patient is experiencing:
rapid weight loss, protracted vomiting, PN, excessive ETOH
use, neuropathy or encephalopathy, or heart failure
What mineral deficiency presents as hair loss, pica,
significant dysgeusia, or in male pts w/ hypogonadism or
erectile disfunction? zinc deficiency
How should thiamine deficiency be treated?
severe- IV thiamine 500mg for 3-5 days, followed by 250mg
for 3-5 days or until resolution of Sx, then consider 100mg/d
thiamine orally indefinitely or until risk factors resolved
mild- IV thiamine 100mg for 7-14 days recalcitrant or
recurrent deficiency w/o 1 of the above risks= antibiotics for
SIBO
Lipid levels & need for lipid-lowering meds should be
periodically evaluated as the effect of weight loss on
, dyslipidemia is ________. Meds should not be stopped unless
what?
- variable
- clearly indicated
The effect of weight loss on BP is ________. When should
antihypertensive meds be evaluated & stopped?
- variable
- evaluated routinely, stopped only when clearly indicated
Which of the following components of her presentation
contributes most strongly to her personal risk of diabetes?
a. Family Hx of T2D
b. Presence of metabolic syndrome
c. Personal Hx of gestational diabetes
d. Current glucose values
e. Hispanic ethnicity
Answer: D - current glucose levels
Rationale: Evaluations of diabetes risk in a pre-diabetic pop
have consistently identified elevated fasting glucose as the
AND CORRECT ANSWERS – LATEST UPDATE
2026/2027 | GRADED A+ | GUARANTEED PASS.
The PCP prescribes short-term weight-loss management for
an obese pt w/ migraine headaches. The nurse recognizes that
which med will be most effective for the patient? a. Orlistat
b. Topiramate
c. Phendimetrazine
Answer: B
Rationale: Topiramate is an anticonvulsant that is taken in
combination with a nonamphetamine like phentermine. It is
effective in reducing migraines & treating obesity.
The Obesity Surgery Mortality Risk Score (OS-MRS)
identified what 5 preoperative risk factors that predicted
increased risk of 30-day morbidity & mortality after RYGB
1. Advanced age: > 45 y/o
2. "Super-obesity": BMI > 50
3. HTN
4. Male gender
5. Pulmonary Embolism (PE) or surrogate (i.e. DVT, OSA)
Insufficient evidence supports the routine screening &
supplementation of what mineral?
,selenium
Routine screening for what mineral deficiency should occur
after malabsorptive procedures? Who should receive routine
supplementation?
- zinc
- BPD/DS require supplementation
Routine screening of copper is NOT indicated but should be
evaluated in pts w/ anemia, neutropenia, myeloneuropathy, &
poor wound healing. What dose should be included as part of
daily MVI? Treatment includes? - 2 mg/d of copper
supplementation
- Severe deficiency treatment includes IV copper 2-4 mg/d for
6 days, subsequent treatment of mild-mod oral copper
sulfate or gluconate 3-8 mg/d until levels normalize &
symptoms resolve
When being treated for zinc deficiency or using supplemental
zinc for hair loss, what other supplement should be taken?
,1 mg copper for every 8-15 mg zinc (zinc replacement can
cause copper deficiency)
Thiamine supplementation should be included as part of daily
MVI. Routine screening is not recommended unless post-op
patient is experiencing:
rapid weight loss, protracted vomiting, PN, excessive ETOH
use, neuropathy or encephalopathy, or heart failure
What mineral deficiency presents as hair loss, pica,
significant dysgeusia, or in male pts w/ hypogonadism or
erectile disfunction? zinc deficiency
How should thiamine deficiency be treated?
severe- IV thiamine 500mg for 3-5 days, followed by 250mg
for 3-5 days or until resolution of Sx, then consider 100mg/d
thiamine orally indefinitely or until risk factors resolved
mild- IV thiamine 100mg for 7-14 days recalcitrant or
recurrent deficiency w/o 1 of the above risks= antibiotics for
SIBO
Lipid levels & need for lipid-lowering meds should be
periodically evaluated as the effect of weight loss on
, dyslipidemia is ________. Meds should not be stopped unless
what?
- variable
- clearly indicated
The effect of weight loss on BP is ________. When should
antihypertensive meds be evaluated & stopped?
- variable
- evaluated routinely, stopped only when clearly indicated
Which of the following components of her presentation
contributes most strongly to her personal risk of diabetes?
a. Family Hx of T2D
b. Presence of metabolic syndrome
c. Personal Hx of gestational diabetes
d. Current glucose values
e. Hispanic ethnicity
Answer: D - current glucose levels
Rationale: Evaluations of diabetes risk in a pre-diabetic pop
have consistently identified elevated fasting glucose as the
