CSOWM EXAM WITH (241 ) QUESTIONS AND VERIFIED
ANSWERS 2024-2025
What percentage of the clinically eligible population undergoes surgical obesity
treatment? - ANSWER 1 percent
What five preoperative risk variables were identified by the Obesity Surgery
Mortality Risk Score (OS-MRS) as increasing the risk of 30-day morbidity and
mortality following RYGB? - ANSWER 1. Advanced age: more than 45 years old
2. ""Super-obesity"": BMI over 50
3. HTN
4. Male gender.
5. "Pulmonary Embolism (PE) or Surrogate (e.g., DVT, OSA)"
30-day mortality for RYGB and LAGB occurred in _._% of procedures. -
ANSWER: 0.30%
Which individuals should be offered bariatric surgery? - ANSWER "BMI > 40
kg/m 2 w/o concomitant conditions
BMI > 35 kg/m 2 with at least one serious obesity-related comorbidity (e.g., T2D,
HTN, HLD, OSA, obesity-hypoventilation syndrome (OHS), Pickwickian,
NAFLD, NASH, pseudotumor cerebrei, GERD, asthma, venous stasis disease,
severe urine incontinence, crippling arthritis, or significantly decreased QOL).
BMI 30-34.9 kg/m 2 with DM or metabolic syndrome.
,The ideal bariatric surgery treatment should be based on what? - ANSWER 1.
Individualized therapy goals.
2. accessible local and regional expertise.
3. Patient preference and
4. Personalized risk stratification.
In general, ____________ bariatric treatments are preferred over ____ bariatric
procedures due to decreased early postoperative morbidity and mortality. -
ANSWER: laparoscopic, open
Reasonable preoperative glycemic control targets that may be related with
improved bariatric surgery results include: HbA1C? fasting BG? 2-hour
postprandial BG? - ANSWER HbA1C 6.5-7.0% or below.
Fasting blood glucose level: 110mg/dL
2-hour postprandial BG 140mg/dL.
In pre-bariatric patients with microvascular or macrovascular problems, severe
comorbidities, or long-standing DM, a target HbA1C of _-_% should be
considered. - ANSWER HbA1c 7-8%; >8% or otherwise uncontrolled DM, use
clinical judgment.
T or F: A fasting lipid panel should be done in all individuals with obesity. -
ANSWER True; medication should be commenced if necessary.
,Candidates for bariatric surgery should prevent pregnancy preoperatively, and how
long postoperatively? - ANSWER 12-18 months.
T or F: After bariatric surgery, all women of reproductive age should be informed
on contraception options. - TRUE.
Which patients should be counseled in non-oral contraceptive therapies? -
ANSWER females of reproductive age seeking RYGB or malabsorptive
operations.
Patients who become pregnant after bariatric surgery should undergo nutritional
surveillance and lab screening when? What deficiencies should be monitored? -
ANSWER every trimester; iron, folate, B12, calcium, and fat-soluble vitamin
deficits.
T or F: To lower the risk of postoperative thromboembolic events, estrogen
medication should be terminated prior to bariatric surgery.
T or F: Women with PCOS should be notified that their reproductive status may
improve following surgery. - ANSWER True
What standardized screening should be done for OSA? - Answer: chest radiograph
and confirmatory polysomnography if positive.
Tobacco usage should be avoided at all times by all patients. Smoking cessation is
recommended at least 6 weeks before bariatric surgery.
, Abdominal ultrasound:
(Is/is not) a suggested standard screening for liver disease.
(Is/is not) indicated to evaluate symptomatic biliary disease and raised LFTs." -
ANSWER is not for routine; is appropriate for symptomatic and elevated LFTs.
T or F: There is adequate data to warrant the preoperative measurement of bone
mineral density with DXA. - ANSWER FALSE
What meal plan can be started 24 hours after any bariatric surgery? - ANSWER
low-sugar clear drinks.
Nutritionally, bariatric patients should be educated on what? - ANSWER * Eat
three modest meals per day
* Chew tiny portions thoroughly before swallowing.
* Principles of Healthy eating
* Five daily servings of fruits and vegetables.
* Minimum protein consumption.
* Concentrated sweets/dumping syndrome.
* Crushed or liquid fast release medications to improve absorption.
What is the minimum protein intake after bariatric surgery? - ANSWER 60 g/day
and up to 1.5 to 2.1 g/kg IBW
ANSWERS 2024-2025
What percentage of the clinically eligible population undergoes surgical obesity
treatment? - ANSWER 1 percent
What five preoperative risk variables were identified by the Obesity Surgery
Mortality Risk Score (OS-MRS) as increasing the risk of 30-day morbidity and
mortality following RYGB? - ANSWER 1. Advanced age: more than 45 years old
2. ""Super-obesity"": BMI over 50
3. HTN
4. Male gender.
5. "Pulmonary Embolism (PE) or Surrogate (e.g., DVT, OSA)"
30-day mortality for RYGB and LAGB occurred in _._% of procedures. -
ANSWER: 0.30%
Which individuals should be offered bariatric surgery? - ANSWER "BMI > 40
kg/m 2 w/o concomitant conditions
BMI > 35 kg/m 2 with at least one serious obesity-related comorbidity (e.g., T2D,
HTN, HLD, OSA, obesity-hypoventilation syndrome (OHS), Pickwickian,
NAFLD, NASH, pseudotumor cerebrei, GERD, asthma, venous stasis disease,
severe urine incontinence, crippling arthritis, or significantly decreased QOL).
BMI 30-34.9 kg/m 2 with DM or metabolic syndrome.
,The ideal bariatric surgery treatment should be based on what? - ANSWER 1.
Individualized therapy goals.
2. accessible local and regional expertise.
3. Patient preference and
4. Personalized risk stratification.
In general, ____________ bariatric treatments are preferred over ____ bariatric
procedures due to decreased early postoperative morbidity and mortality. -
ANSWER: laparoscopic, open
Reasonable preoperative glycemic control targets that may be related with
improved bariatric surgery results include: HbA1C? fasting BG? 2-hour
postprandial BG? - ANSWER HbA1C 6.5-7.0% or below.
Fasting blood glucose level: 110mg/dL
2-hour postprandial BG 140mg/dL.
In pre-bariatric patients with microvascular or macrovascular problems, severe
comorbidities, or long-standing DM, a target HbA1C of _-_% should be
considered. - ANSWER HbA1c 7-8%; >8% or otherwise uncontrolled DM, use
clinical judgment.
T or F: A fasting lipid panel should be done in all individuals with obesity. -
ANSWER True; medication should be commenced if necessary.
,Candidates for bariatric surgery should prevent pregnancy preoperatively, and how
long postoperatively? - ANSWER 12-18 months.
T or F: After bariatric surgery, all women of reproductive age should be informed
on contraception options. - TRUE.
Which patients should be counseled in non-oral contraceptive therapies? -
ANSWER females of reproductive age seeking RYGB or malabsorptive
operations.
Patients who become pregnant after bariatric surgery should undergo nutritional
surveillance and lab screening when? What deficiencies should be monitored? -
ANSWER every trimester; iron, folate, B12, calcium, and fat-soluble vitamin
deficits.
T or F: To lower the risk of postoperative thromboembolic events, estrogen
medication should be terminated prior to bariatric surgery.
T or F: Women with PCOS should be notified that their reproductive status may
improve following surgery. - ANSWER True
What standardized screening should be done for OSA? - Answer: chest radiograph
and confirmatory polysomnography if positive.
Tobacco usage should be avoided at all times by all patients. Smoking cessation is
recommended at least 6 weeks before bariatric surgery.
, Abdominal ultrasound:
(Is/is not) a suggested standard screening for liver disease.
(Is/is not) indicated to evaluate symptomatic biliary disease and raised LFTs." -
ANSWER is not for routine; is appropriate for symptomatic and elevated LFTs.
T or F: There is adequate data to warrant the preoperative measurement of bone
mineral density with DXA. - ANSWER FALSE
What meal plan can be started 24 hours after any bariatric surgery? - ANSWER
low-sugar clear drinks.
Nutritionally, bariatric patients should be educated on what? - ANSWER * Eat
three modest meals per day
* Chew tiny portions thoroughly before swallowing.
* Principles of Healthy eating
* Five daily servings of fruits and vegetables.
* Minimum protein consumption.
* Concentrated sweets/dumping syndrome.
* Crushed or liquid fast release medications to improve absorption.
What is the minimum protein intake after bariatric surgery? - ANSWER 60 g/day
and up to 1.5 to 2.1 g/kg IBW
