CBC Bariatric Surgery and Procedures 4

Question 1

Which vitamin deficiency is most critical to prevent after gastric bypass because the procedure bypasses the primary site of intrinsic factor-mediated absorption?

Accepted Answer

Vitamin B12

Answer

Bypassing much of the stomach reduces intrinsic factor and acid needed for B12 absorption, so lifelong supplementation is required.

Question 2

A counselor advises a post-bypass patient on calcium supplementation. Which form is preferred and why?

Accepted Answer

Calcium citrate, because it does not require stomach acid for absorption

Answer

Calcium citrate is preferred after bariatric surgery because it absorbs well without stomach acid, unlike calcium carbonate.

Question 3

Which eating guideline is standard during the first weeks after bariatric surgery?

Accepted Answer

Progress gradually from clear liquids to pureed foods to soft foods

Answer

Patients advance through staged textures — clear liquids, full liquids, purees, then soft foods — to protect the healing pouch.

Question 4

Why are patients told to avoid drinking fluids within 30 minutes of meals after bariatric surgery?

Accepted Answer

Fluids can flush food through the pouch, reducing satiety and risking discomfort

Answer

Drinking with meals washes food rapidly through the small pouch, reducing fullness and potentially causing dumping or overeating.

Question 5

What daily protein intake is generally recommended for adults after bariatric surgery to preserve lean body mass?

Accepted Answer

At least 60-80 grams per day

Answer

Most guidelines recommend a minimum of 60-80 grams of protein daily after bariatric surgery to prevent muscle loss.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Bariatric Surgery and Procedures 4