CSOWM review 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 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 because they will tell her which
the best procedure is
D. You do not know, but think she should work harder at her diet and exercise and not consider
a surgical procedure - Correct Answer B. The current literature does not provide enough
information to predict which procedure she would have better outcomes with
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 patients B1 status and ensure that the IV solution contains 100mg of thiamine
B. Provide the patient with as much fluids as she can consume
C. You do not intervene; the inpatient dietitian and providers know this risks and what to do
D. Set up an appointment upon patients discharge with you in the outpatient clinic - Correct
Answer A. Test the patients B1 status and ensure that the IV solution contains 100mg of
thiamine
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 the volume of her liver
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. Vitamins B12, Folate, D, zinc, and iron
B. Vitamins A, E, D, and K
C. Vitamins 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 fluids; ice cubes may help slow her down
since drinking too fast can cause vomiting
B. This is a common early 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. You tell her 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
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 an appointment
B. You ask permission to speak to the patient's new primary care provider 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
A. Find a surgical center close to his new location and schedule an appointment
B. You ask permission to speak to the patient's new primary care provider 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
A patient who had a Gastric Bypass Surgery comes to see you 8 years after her surgery. She
states she is embarrassed to go back to her Surgical Center as she has gained 50 lbs. of the 120
lbs. she had lost. What do you do?
A. Reassure the patient that weight regain after bariatric surgery is not uncommon and perform
a nutrition assessment, identify lifestyle factors that may be contributing to her weight gain;
assign a nutrition diagnosis and set up goals for follow up
B. Give her a 1200 calorie low carb diet
C. Recommend her primary care provider evaluate her post-op nutrition labs
D. A and C - Correct Answer **D. A and C
A. Reassure the patient that weight regain after bariatric surgery is not uncommon and perform
a nutrition assessment, identify lifestyle factors that may be contributing to her weight gain;
assign a nutrition diagnosis and set up goals for follow up
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 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 because they will tell her which
the best procedure is
D. You do not know, but think she should work harder at her diet and exercise and not consider
a surgical procedure - Correct Answer B. The current literature does not provide enough
information to predict which procedure she would have better outcomes with
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 patients B1 status and ensure that the IV solution contains 100mg of thiamine
B. Provide the patient with as much fluids as she can consume
C. You do not intervene; the inpatient dietitian and providers know this risks and what to do
D. Set up an appointment upon patients discharge with you in the outpatient clinic - Correct
Answer A. Test the patients B1 status and ensure that the IV solution contains 100mg of
thiamine
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 the volume of her liver
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. Vitamins B12, Folate, D, zinc, and iron
B. Vitamins A, E, D, and K
C. Vitamins 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 fluids; ice cubes may help slow her down
since drinking too fast can cause vomiting
B. This is a common early 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. You tell her 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
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 an appointment
B. You ask permission to speak to the patient's new primary care provider 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
A. Find a surgical center close to his new location and schedule an appointment
B. You ask permission to speak to the patient's new primary care provider 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
A patient who had a Gastric Bypass Surgery comes to see you 8 years after her surgery. She
states she is embarrassed to go back to her Surgical Center as she has gained 50 lbs. of the 120
lbs. she had lost. What do you do?
A. Reassure the patient that weight regain after bariatric surgery is not uncommon and perform
a nutrition assessment, identify lifestyle factors that may be contributing to her weight gain;
assign a nutrition diagnosis and set up goals for follow up
B. Give her a 1200 calorie low carb diet
C. Recommend her primary care provider evaluate her post-op nutrition labs
D. A and C - Correct Answer **D. A and C
A. Reassure the patient that weight regain after bariatric surgery is not uncommon and perform
a nutrition assessment, identify lifestyle factors that may be contributing to her weight gain;
assign a nutrition diagnosis and set up goals for follow up
