Exam All Answers and Illustrations
Given
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 - 🧠 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 - 🧠 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 - 🧠
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 - 🧠 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:
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