Review Questions to practice for CSOWM with correct answers 100% 2026

Review Questions to practice for CSOWM with correct answers 100% 2026 Roux-en-Y gastric bypass surgery (RYGB) accounts for about 80% of bariatric procedures in the US and is usually done laparoscopically. During RYGB, a small part of the proximal stomach is detached from the rest of the stomach, creating a stomach pouch of 30 mL. Which of the following preexisting conditions has been shown to go into remission in up to 62% of patients 6 yr after RYGB? a. Hypertension b. Diabetes c. Obesity d. Obstructive Sleep Apnea - Correct Answer Answer: B: Diabetes is particularly likely to remit. Remission rates are up to 62% after 6 yr. A and D: Other comorbid conditions that tend to abate or resolve after bariatric surgery include cardiovascular risk factors (eg, dyslipidemia, hypertension [A], diabetes), cardiovascular disorders, obstructive sleep apnea (D), osteoarthritis, and depression. C: For RYGB, weight loss is 50 to 65% after 2 yr; weight loss after RYGB is maintained for up to 10 yr. All-cause mortality decreases by 25%, primarily because cardiovascular and cancer mortality is reduced. Which of the following procedures is being used increasingly in the US as definitive treatment for severe obesity (eg, in patients with a body mass index [BMI] 60)? a. Sleeve Gastrectomy b. Roux-en Y Gastric Bypass c. Adjustable Gastric Banding d. Vertical Banded Gastroplasty - Correct Answer Answer: A: Sleeve gastrectomy; because this procedure causes substantial and sustained weight loss, it is being used increasingly in the US as definitive treatment for severe obesity. Part of the stomach is removed, creating a tubular stomach passage. The procedure does not involve anatomic changes to the small intestine. B: Nonetheless, Roux-en-Y gastric bypass surgery accounts for about 80% of bariatric procedures in the US. C: Use of adjustable gastric banding has dramatically decreased in the US. D: Vertical banded gastroplasty is no longer commonly done because complication rates are high and the resulting weight loss is insufficient. Contraindications to bariatric surgery include which of the following? a. Body mass index (BMI) 30 kg/m2 b. Current drug or alcohol abuse c. Obstructive sleep apnea d. High-risk lipid profile - Correct Answer Answer: B: Current drug or alcohol abuse. A: The use of bariatric surgery is controversial in patients with a BMI 30. C and D: To qualify for bariatric surgery, patients should have a BMI of 40 or a BMI of 35 plus a serious complication (eg, diabetes, hypertension, obstructive sleep apnea [C], high-risk lipid profile [D]). Bariatric Surgery Key Points - Correct Answer Consider weight loss surgery if patients are motivated, have not succeeded using nonsurgical treatments, and have a BMI of 40 kg/m2 or a BMI of 35 kg/m2 plus a serious complication (eg, diabetes, hypertension, obstructive sleep apnea, high-risk lipid profile) or a BMI of 30 to 34.9 with type 2 diabetes and inadequate glycemic control despite optimal lifestyle and medical therapy. Weight loss surgery is contraindicated if patients have an uncontrolled psychiatric disorder (eg, major depression), drug or alcohol abuse, cancer that is not in remission, or another life-threatening disorder or if they cannot comply with nutritional requirements (including life-long vitamin replacement when indicated). The most common procedures are sleeve gastrectomy and Roux-en-Y gastric bypass; use of adjustable gastric banding has decreased dramatically in the US.