©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED.
Board Certification in Obesity Medicine
Exam Questions And Answers 100%
Guaranteed Pass.
Typical Daily Protein Requirements for Pts Receiving Nutrition Support Therapy - Answer✔1.)
Protein-energy malnutrition, wound healing, and hypercatabolism--1.2-1.8g/kg.
2.) Continuous Renal Replacement Therapy -- 1.5-2.5g/kg.
3.) Hypocaloric feeding for critically ill pt with class 1 or 2 obesity -- >2g/kg.
4.) Hypocaloric feeding for critically ill pt with class 3 obesity -->2.5g/kg.
*No concensus of actual or IBW.
Special Considerations for Formula Selection of EN in Pts with Normal Nutrition, Long-
term/Diarrhea/Constipation, Volume Restriction, and Kidney Failure - Answer✔1.) Normal
Nutrition: Standard polymeric formula should be okay.
2.) Long-term/Diarrhea/Constipation: Fiber-containing
3.) Volume Restriction (CHF): Concentration. However, this may contain sucrose and could lead
to dumping. Controlled feeding on an enteral pump should help.
4.) Kidney Failure: Concentrated with low Na, K+, and Phos.
Initiating and Advancing Parenteral Nutrition - Answer✔1.) Start with normal serum electrolytes
and BG.
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2.) Start with low Dextrose concentration (<150-200g Dex in 24 hrs)
3.) Advance progressively to goals for volume, Dex, AA< and fat emulsion over the next 2-3
days.
4.) For the first 3-5 days of PN: check K+, phos, and magnesium to prevent refeeding syndrome.
5.) Provide IV vits and mins in standard amounts bc infusion eliminates the risk of
malabsorption.
Indications for Nutrition Support in Bariatric Surgery Pts (P.N.) - 11 Indications. - Answer✔1.)
No PO for 7-10 days (5-7 days in ICU)
2.) Diffuse peritonitis
3.) Presence of enterocutaneous fistula where an enteral feeding tube cannot be inserted distal to
fistula
4.) GI ischemia
5.) Ileus
6.) Obstruction
7.) Intractable vomiting or diarrhea
8.)Perioperative nutrition (PN for 7-10 days) for severely malnourished.
9.) Severe malabsorption
2|Page
Board Certification in Obesity Medicine
Exam Questions And Answers 100%
Guaranteed Pass.
Typical Daily Protein Requirements for Pts Receiving Nutrition Support Therapy - Answer✔1.)
Protein-energy malnutrition, wound healing, and hypercatabolism--1.2-1.8g/kg.
2.) Continuous Renal Replacement Therapy -- 1.5-2.5g/kg.
3.) Hypocaloric feeding for critically ill pt with class 1 or 2 obesity -- >2g/kg.
4.) Hypocaloric feeding for critically ill pt with class 3 obesity -->2.5g/kg.
*No concensus of actual or IBW.
Special Considerations for Formula Selection of EN in Pts with Normal Nutrition, Long-
term/Diarrhea/Constipation, Volume Restriction, and Kidney Failure - Answer✔1.) Normal
Nutrition: Standard polymeric formula should be okay.
2.) Long-term/Diarrhea/Constipation: Fiber-containing
3.) Volume Restriction (CHF): Concentration. However, this may contain sucrose and could lead
to dumping. Controlled feeding on an enteral pump should help.
4.) Kidney Failure: Concentrated with low Na, K+, and Phos.
Initiating and Advancing Parenteral Nutrition - Answer✔1.) Start with normal serum electrolytes
and BG.
1|Page
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED.
2.) Start with low Dextrose concentration (<150-200g Dex in 24 hrs)
3.) Advance progressively to goals for volume, Dex, AA< and fat emulsion over the next 2-3
days.
4.) For the first 3-5 days of PN: check K+, phos, and magnesium to prevent refeeding syndrome.
5.) Provide IV vits and mins in standard amounts bc infusion eliminates the risk of
malabsorption.
Indications for Nutrition Support in Bariatric Surgery Pts (P.N.) - 11 Indications. - Answer✔1.)
No PO for 7-10 days (5-7 days in ICU)
2.) Diffuse peritonitis
3.) Presence of enterocutaneous fistula where an enteral feeding tube cannot be inserted distal to
fistula
4.) GI ischemia
5.) Ileus
6.) Obstruction
7.) Intractable vomiting or diarrhea
8.)Perioperative nutrition (PN for 7-10 days) for severely malnourished.
9.) Severe malabsorption
2|Page
