CSOWM PRACTICE QUESTIONS WITH
CORRECT ANSWERS 2026
A patient asks you to help her decide on which bariatric procedure to have; she is 42 years old with a
BMI of 42 and her obesity related conditions include type 2 diabetes, hypertension and fatty liver dise
ase. What do you tell her?
a) The sleeve gastrectomy is the best choice because it carries less risk and with her medical condition s,
she does not want a procedure that is riskier.
b) The current literature does not provide enough information to predict which procedure she would h
ave better outcomes with.
c.) She should go to an information session at a local hospital
b) d) You do not know, but she should work harder at her diet and exercise and not consider surgery - -
CORRECT ANSWER --The current literature does not provide enough information to predict which
procedure she would h ave better outcomes with.
A patient's surgeon wants her to lose weight before surgery. The patient's surgery is scheduled in one
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 - CORRECT ANSWER - -b) To reduce the volume of her liver.
Patients with obesity are at risk for which of the following micronutrients?
a) Vitamin B12, folate, D, Zinc, Iron
b) Vitamins A,E,D,K
c) Vitamin B12, B1, B6, and D
a) They are not at risk because patients with obesity are over nourished - - CORRECT ANSWER --Vitamins
B12, folate, D, zinc and iron
, A patient is 2 months post-
bariatric surgery and calls you complaining of vomiting and dizziness, for the past 2 days; you tell the p
atient:
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
c) to call her surgeon and leave a message - - CORRECT ANSWER --To go to the ER to assess if she is
dehydrated and needs IV hydration.
Ms. B leaves you a message that she has been admitted to the hospital for nausea and vomiting, she s
tates that the in-
patient dietitian told her she was drinking and eating too fast. You recommend to the inpatient dietiti
an 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
a) d) Set up an appointment upon the Pt's discharge with you - - CORRECT ANSWER --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 states he has not followed up with the Surgical Center where he
had his surgery because he moved and no longer lives in the city his surgery was performed; he states
he is only taking an OTC multivitamin daily; you recommend that he:
a) find a surgical center close to his new location and schedule and appointment
b) You ask for permission to peak to the patients new PCP so that you can provide the MD with a list
of nutritional labs that should be tested yearly
c) you tell the patient to resume his post-
op vitamin and minerals that he said his Surgical Center recommended
d) all of the above - CORRECT ANSWER - -d) all of the above
CORRECT ANSWERS 2026
A patient asks you to help her decide on which bariatric procedure to have; she is 42 years old with a
BMI of 42 and her obesity related conditions include type 2 diabetes, hypertension and fatty liver dise
ase. What do you tell her?
a) The sleeve gastrectomy is the best choice because it carries less risk and with her medical condition s,
she does not want a procedure that is riskier.
b) The current literature does not provide enough information to predict which procedure she would h
ave better outcomes with.
c.) She should go to an information session at a local hospital
b) d) You do not know, but she should work harder at her diet and exercise and not consider surgery - -
CORRECT ANSWER --The current literature does not provide enough information to predict which
procedure she would h ave better outcomes with.
A patient's surgeon wants her to lose weight before surgery. The patient's surgery is scheduled in one
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 - CORRECT ANSWER - -b) To reduce the volume of her liver.
Patients with obesity are at risk for which of the following micronutrients?
a) Vitamin B12, folate, D, Zinc, Iron
b) Vitamins A,E,D,K
c) Vitamin B12, B1, B6, and D
a) They are not at risk because patients with obesity are over nourished - - CORRECT ANSWER --Vitamins
B12, folate, D, zinc and iron
, A patient is 2 months post-
bariatric surgery and calls you complaining of vomiting and dizziness, for the past 2 days; you tell the p
atient:
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
c) to call her surgeon and leave a message - - CORRECT ANSWER --To go to the ER to assess if she is
dehydrated and needs IV hydration.
Ms. B leaves you a message that she has been admitted to the hospital for nausea and vomiting, she s
tates that the in-
patient dietitian told her she was drinking and eating too fast. You recommend to the inpatient dietiti
an 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
a) d) Set up an appointment upon the Pt's discharge with you - - CORRECT ANSWER --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 states he has not followed up with the Surgical Center where he
had his surgery because he moved and no longer lives in the city his surgery was performed; he states
he is only taking an OTC multivitamin daily; you recommend that he:
a) find a surgical center close to his new location and schedule and appointment
b) You ask for permission to peak to the patients new PCP so that you can provide the MD with a list
of nutritional labs that should be tested yearly
c) you tell the patient to resume his post-
op vitamin and minerals that he said his Surgical Center recommended
d) all of the above - CORRECT ANSWER - -d) all of the above
