CBC Nutritional Science for Bariatrics Questions and Answers

Question 1

A patient, 9 months post-Roux-en-Y Gastric Bypass, complains of new-onset neurological symptoms, including tingling in their feet and memory problems.
They admit to being inconsistent with their vitamin regimen.
Which micronutrient deficiency is MOST likely responsible for these specific symptoms?

Accepted Answer

Vitamin B12

Answer

Iron

Answer

Vitamin D

Answer

Zinc

Question 2

What is the primary reason for prioritizing a high protein intake (e.g., a minimum of 60-80 grams per day) in the diet of a post-bariatric surgery patient?

Accepted Answer

To aid in wound healing and preserve lean body mass during rapid weight loss

Answer

To provide the main source of calories for energy

Answer

To prevent dumping syndrome by slowing gastric emptying

Answer

To increase the absorption of fat-soluble vitamins

Question 3

Which of the following is the recommended form of calcium supplementation for patients who have undergone a Roux-en-Y Gastric Bypass (RYGB) or Sleeve Gastrectomy?

Accepted Answer

Calcium citrate

Answer

Calcium phosphate

Answer

Calcium carbonate

Answer

Calcium lactate

Question 4

A patient who is 4 months post-sleeve gastrectomy reports significant hair loss. They are meeting their protein and fluid goals and are otherwise feeling well. What is the most appropriate initial response for the counselor to provide?

Accepted Answer

Reassure them that this is often a temporary condition called telogen effluvium caused by the stress of surgery and rapid weight loss, while also verifying supplement compliance.

Answer

Advise them to stop their multivitamin, as it could be the cause.

Answer

Recommend they immediately double their protein intake to 150 grams per day.

Answer

Suggest they start taking a high-dose biotin supplement, as that is the only cure for post-surgical hair loss.

Question 5

A core dietary guideline for post-bariatric surgery patients is to separate solids from liquids (e.g., no drinking for 30 minutes before, during, or after eating). What is the primary physiological reason for this recommendation?

Accepted Answer

To avoid pushing food too quickly through the small stomach, which can reduce satiety and cause discomfort.

Answer

To decrease the overall risk of developing kidney stones.

Answer

To maximize the intestinal absorption of Vitamin B12.

Answer

To prevent the dilution of essential digestive enzymes in the small intestine.

Question 6

A bariatric patient with a history of persistent post-operative nausea and vomiting is at the highest risk for which of the following acute and potentially life-threatening neurological conditions?

Accepted Answer

Wernicke's Encephalopathy (Thiamine deficiency)

Answer

Scurvy (Vitamin C deficiency)

Answer

Pellagra (Niacin deficiency)

Answer

Pernicious Anemia (Vitamin B12 deficiency)

A patient, 9 months post-Roux-en-Y Gastric Bypass, complains of new-onset neurological symptoms, including tingling in their feet and memory problems.They admit to being inconsistent with their vitamin regimen.Which micronutrient deficiency is MOST likely responsible for these specific symptoms?

A patient, 9 months post-Roux-en-Y Gastric Bypass, complains of new-onset neurological symptoms, including tingling in their feet and memory problems.
They admit to being inconsistent with their vitamin regimen.
Which micronutrient deficiency is MOST likely responsible for these specific symptoms?