CSOWM Practice UPDATED ACTUAL
Exam Questions and CORRECT Answers
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 disease. What do you tell her?
a) The sleeve gastrectomy is the best choice because it carries less risk and with her medical
conditions, she does not want a procedure that is riskier.
b) The current literature does not provide enough information to predict which procedure she
would have better outcomes with.
c.) She should go to an information session at a local hospital
d) You do not know, but she should work harder at her diet and exercise and not consider surgery
- CORRECT ANSWER - b) The current literature does not provide enough information to
predict which procedure she would have 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
d) They are not at risk because patients with obesity are over nourished - CORRECT
ANSWER - a) 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 patient:
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
d) to call her surgeon and leave a message - CORRECT ANSWER - c) 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 states that the in- patient dietitian told her she was drinking and eating too fast. You
recommend to the inpatient dietitian 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
d) Set up an appointment upon the Pt's discharge with you - CORRECT 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 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
Exam Questions and CORRECT Answers
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 disease. What do you tell her?
a) The sleeve gastrectomy is the best choice because it carries less risk and with her medical
conditions, she does not want a procedure that is riskier.
b) The current literature does not provide enough information to predict which procedure she
would have better outcomes with.
c.) She should go to an information session at a local hospital
d) You do not know, but she should work harder at her diet and exercise and not consider surgery
- CORRECT ANSWER - b) The current literature does not provide enough information to
predict which procedure she would have 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
d) They are not at risk because patients with obesity are over nourished - CORRECT
ANSWER - a) 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 patient:
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
d) to call her surgeon and leave a message - CORRECT ANSWER - c) 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 states that the in- patient dietitian told her she was drinking and eating too fast. You
recommend to the inpatient dietitian 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
d) Set up an appointment upon the Pt's discharge with you - CORRECT 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 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
