CBC Bariatric Surgery and Procedures 5

Question 1

Which endoscopic, non-surgical option places a temporary space-occupying device in the stomach for about six months?

Accepted Answer

Intragastric balloon

Answer

The intragastric balloon is placed endoscopically, occupies stomach volume to promote satiety, and is removed after about six months.

Question 2

During a preoperative evaluation, why is a psychological assessment required before bariatric surgery?

Accepted Answer

To identify untreated conditions like binge eating disorder that could undermine outcomes

Answer

Psychological evaluation screens for untreated eating disorders, substance use, and adherence barriers that can compromise surgical outcomes.

Question 3

A patient asks how much excess weight loss is typical in the first 12-18 months after Roux-en-Y gastric bypass. What is the most accurate estimate?

Accepted Answer

About 60-70% of excess weight

Answer

Roux-en-Y gastric bypass typically produces about 60-70% excess weight loss within 12-18 months.

Question 4

Why are bariatric surgery patients counseled to avoid alcohol, especially after gastric bypass?

Accepted Answer

Altered anatomy speeds absorption, raising blood alcohol faster and increasing addiction risk

Answer

Bypass anatomy causes faster, higher alcohol absorption, and patients face elevated risk of alcohol use disorder after surgery.

Question 5

A patient regains significant weight three years after surgery. Which counselor response reflects best practice?

Accepted Answer

Explore behavioral factors and re-engage the multidisciplinary team without judgment

Answer

Weight recurrence is common and best addressed by nonjudgmental assessment of behaviors and renewed multidisciplinary support.

(CBC) Certified Bariatric Counselor Practice Test