CSOWMPRACTICEQUESTIONSWITH v v v
CORRECT ANSWERS 2025 v v v
A patient asks you to help her decide on which bariatric procedure to have; she is 42 years old with a BMI of
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42 and her obesity related conditions include type 2 diabetes, hypertension and fatty liver dise ase. What
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do you tell her?
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a) The sleeve gastrectomy is the best choice because it carries less risk and with her medical condition s,
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she does not want a procedure that is riskier.
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b) The current literature does not provide enough information to predict which procedure she would h ave
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better outcomes with.
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c.) She should go to an information session at a local hospital
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d) You do not know, but she should work harder at her diet and exercise and not consider surgery -
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CORRECT ANSWER -
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b) The current literature does not provide enough information to predict which procedure she would h ave
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better outcomes with.
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A patient's surgeon wants her to lose weight before surgery. The patient's surgery is scheduled in one
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month; why does the surgeon want her to lose weight prior to the procedure?
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a) to reduce abdominal adipose tissue stores
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b) to reduce liver volume v v v
c) to prove she can follow instructions and adhere to the diet
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d) all of the above - CORRECT ANSWER -b) To reduce the volume of her liver.
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Patients with obesity are at risk for which of the following micronutrients?
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a) Vitamin B12, folate, D, Zinc, Iron v v v v v
b) Vitamins A,E,D,K v
c) Vitamin B12, B1, B6, and D v v v v v
d) They are not at risk because patients with obesity are over nourished - CORRECT ANSWER -
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a) Vitamins B12, folate, D, zinc and iron v v v v v v
, A patient is 2 months post-
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bariatric surgery and calls you complaining of vomiting and dizziness, for the past 2 days; you tell the p
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atient:
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a) She is probably dehydrated and should drink more fluid
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b) This is a common post-op experience and she will feel better in a few days
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c) To go to the ER to assess if she is dehydrated and needs IV hydration
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d) to call her surgeon and leave a message - CORRECT ANSWER -
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c) To go to the ER to assess if she is dehydrated and needs IV hydration.
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Ms. B leaves you a message that she has been admitted to the hospital for nausea and vomiting, she s tates
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that the in-
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patient dietitian told her she was drinking and eating too fast. You recommend to the inpatient dietiti an
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and to the surgeon that they speak to the patient's providers to:
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a) test the Pt's Vitamin B1 status and ensure that the IV solution contains 100 mg of thiamine
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b) Provide the patient with as much fluids as she can consume v v v v v v v v v v
b) The inpatient dietitian knows the risks and what to do
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d) Set up an appointment upon the Pt's discharge with you - CORRECT ANSWER -
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a) Test the patient's Vitamin B1 status and ensure that the IV solution contains 100 mg of thiamine.
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A patient is one year post-
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surgery; he comes to your office and states he has not followed up with the Surgical Center where he had
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his surgery because he moved and no longer lives in the city his surgery was performed; he states he is only
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taking an OTC multivitamin daily; you recommend that he:
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a) find a surgical center close to his new location and schedule and appointment
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b) You ask for permission to peak to the patients new PCP so that you can provide the MD with a list of
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nutritional labs that should be tested yearly
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c) you tell the patient to resume his post- v v v v v v v
op vitamin and minerals that he said his Surgical Center recommended
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d) all of the above - CORRECT ANSWER -d) all of the above
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CORRECT ANSWERS 2025 v v v
A patient asks you to help her decide on which bariatric procedure to have; she is 42 years old with a BMI of
v v v v v v v v v v v v v v v v v v v v v v
42 and her obesity related conditions include type 2 diabetes, hypertension and fatty liver dise ase. What
v v v v v v v v v v v v v v v v v
do you tell her?
v v v v
a) The sleeve gastrectomy is the best choice because it carries less risk and with her medical condition s,
v v v v v v v v v v v v v v v v v
she does not want a procedure that is riskier.
v v v v v v v v v
b) The current literature does not provide enough information to predict which procedure she would h ave
v v v v v v v v v v v v v v v
better outcomes with.
v v v
c.) She should go to an information session at a local hospital
v v v v v v v v v v v
d) You do not know, but she should work harder at her diet and exercise and not consider surgery -
v v v v v v v v v v v v v v v v v v v
CORRECT ANSWER -
v v v
b) The current literature does not provide enough information to predict which procedure she would h ave
v v v v v v v v v v v v v v v
better outcomes with.
v v v
A patient's surgeon wants her to lose weight before surgery. The patient's surgery is scheduled in one
v v v v v v v v v v v v v v v v
month; why does the surgeon want her to lose weight prior to the procedure?
v v v v v v v v v v v v v v
a) to reduce abdominal adipose tissue stores
v v v v v
b) to reduce liver volume v v v
c) to prove she can follow instructions and adhere to the diet
v v v v v v v v v v
d) all of the above - CORRECT ANSWER -b) To reduce the volume of her liver.
v v v v v v v v v v v v v v
Patients with obesity are at risk for which of the following micronutrients?
v v v v v v v v v v v
a) Vitamin B12, folate, D, Zinc, Iron v v v v v
b) Vitamins A,E,D,K v
c) Vitamin B12, B1, B6, and D v v v v v
d) They are not at risk because patients with obesity are over nourished - CORRECT ANSWER -
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a) Vitamins B12, folate, D, zinc and iron v v v v v v
, A patient is 2 months post-
v v v v v
bariatric surgery and calls you complaining of vomiting and dizziness, for the past 2 days; you tell the p
v v v v v v v v v v v v v v v v v v
atient:
v
a) She is probably dehydrated and should drink more fluid
v v v v v v v v
b) This is a common post-op experience and she will feel better in a few days
v v v v v v v v v v v v v v
c) To go to the ER to assess if she is dehydrated and needs IV hydration
v v v v v v v v v v v v v v
d) to call her surgeon and leave a message - CORRECT ANSWER -
v v v v v v v v v v v
c) To go to the ER to assess if she is dehydrated and needs IV hydration.
v v v v v v v v v v v v v v
Ms. B leaves you a message that she has been admitted to the hospital for nausea and vomiting, she s tates
v v v v v v v v v v v v v v v v v v v v
that the in-
v v v
patient dietitian told her she was drinking and eating too fast. You recommend to the inpatient dietiti an
v v v v v v v v v v v v v v v v v
and to the surgeon that they speak to the patient's providers to:
v v v v v v v v v v v v
a) test the Pt's Vitamin B1 status and ensure that the IV solution contains 100 mg of thiamine
v v v v v v v v v v v v v v v v
b) Provide the patient with as much fluids as she can consume v v v v v v v v v v
b) The inpatient dietitian knows the risks and what to do
v v v v v v v v v v
d) Set up an appointment upon the Pt's discharge with you - CORRECT ANSWER -
v v v v v v v v v v v v v v
a) Test the patient's Vitamin B1 status and ensure that the IV solution contains 100 mg of thiamine.
v v v v v v v v v v v v v v v v
A patient is one year post-
v v v v v
surgery; he comes to your office and states he has not followed up with the Surgical Center where he had
v v v v v v v v v v v v v v v v v v v
his surgery because he moved and no longer lives in the city his surgery was performed; he states he is only
v v v v v v v v v v v v v v v v v v v v v
taking an OTC multivitamin daily; you recommend that he:
v v v v v v v v v
a) find a surgical center close to his new location and schedule and appointment
v v v v v v v v v v v v
b) You ask for permission to peak to the patients new PCP so that you can provide the MD with a list of
v v v v v v v v v v v v v v v v v v v v v
nutritional labs that should be tested yearly
v v v v v v v
c) you tell the patient to resume his post- v v v v v v v
op vitamin and minerals that he said his Surgical Center recommended
v v v v v v v v v v
d) all of the above - CORRECT ANSWER -d) all of the above
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