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PASS.
What percentage of the clinically eligible population undergoes surgical
obesity treatment? - ANSWER 1 percent
What five preoperative risk variables were identified by the Obesity
Surgery Mortality Risk Score (OS-MRS) as increasing the risk of 30-day
morbidity and mortality following RYGB? - ANSWER 1. Advanced age:
more than 45 years old
2. ""Super-obesity"": BMI over 50
3. HTN
4. Male gender.
5. "Pulmonary Embolism (PE) or Surrogate (e.g., DVT, OSA)"
30-day mortality for RYGB and LAGB occurred in _._% of procedures. -
ANSWER: 0.30%
Which individuals should be offered bariatric surgery? - ANSWER "BMI >
40 kg/m 2 w/o concomitant conditions
,BMI > 35 kg/m 2 with at least one serious obesity-related comorbidity
(e.g., T2D,
HTN, HLD, OSA, obesity-hypoventilation syndrome (OHS), Pickwickian,
NAFLD, NASH, pseudotumor cerebrei, GERD, asthma, venous stasis
disease, severe urine incontinence, crippling arthritis, or significantly
decreased QOL).
BMI 30-34.9 kg/m 2 with DM or metabolic syndrome.
In general, ____________ bariatric treatments are preferred over ____
bariatric procedures due to decreased early postoperative morbidity
and mortality. - ANSWER: laparoscopic, open
Reasonable preoperative glycemic control targets that may be related
with improved bariatric surgery results include: HbA1C? fasting BG? 2-
hour postprandial BG? - ANSWER HbA1C 6.5-7.0% or below.
Fasting blood glucose level: 110mg/dL
,2-hour postprandial BG 140mg/dL.
In pre-bariatric patients with microvascular or macrovascular problems,
severe comorbidities, or long-standing DM, a target HbA1C of _-_%
should be considered. - ANSWER HbA1c 7-8%; >8% or otherwise
uncontrolled DM, use clinical judgment.
T or F: A fasting lipid panel should be done in all individuals with obesity.
- ANSWER True; medication should be commenced if necessary.
Candidates for bariatric surgery should prevent pregnancy
preoperatively, and how long postoperatively? - ANSWER 12-18 months.
T or F: After bariatric surgery, all women of reproductive age should be
informed on contraception options. - TRUE.
The ideal bariatric surgery treatment should be based on what? -
ANSWER 1. Individualized therapy goals.
2. accessible local and regional expertise.
3. Patient preference and
4. Personalized risk stratification.
, Which patients should be counseled in non-oral contraceptive
therapies? - ANSWER females of reproductive age seeking RYGB or
malabsorptive operations.
Patients who become pregnant after bariatric surgery should undergo
nutritional surveillance and lab screening when? What deficiencies
should be monitored? - ANSWER every trimester; iron, folate, B12,
calcium, and fat-soluble vitamin deficits.
T or F: To lower the risk of postoperative thromboembolic events,
estrogen medication should be terminated prior to bariatric surgery.
T or F: Women with PCOS should be notified that their reproductive
status may improve following surgery. - ANSWER True
What standardized screening should be done for OSA? - Answer: chest
radiograph and confirmatory polysomnography if positive.