CBC Nutritional Counseling 2

Question 1

A patient 3 weeks post sleeve gastrectomy reports difficulty meeting protein goals. What is the most appropriate initial recommendation?

Accepted Answer

Prioritize protein-rich foods and supplements first at each meal

Answer

Increase carbohydrate intake for energy

Answer

Skip meals to reduce stomach discomfort

Answer

Drink fluids with meals to help food go down

Question 2

What is the typical daily protein goal for most adult bariatric surgery patients?

Accepted Answer

60-80 grams

Answer

20-30 grams

Answer

150-200 grams

Answer

10-15 grams

Question 3

Why are patients advised to avoid drinking liquids within 30 minutes of meals after bariatric surgery?

Accepted Answer

Liquids can flush food through the pouch, reducing satiety and increasing intake capacity

Answer

Liquids dilute stomach acid too much

Answer

Liquids cause vitamin malabsorption

Answer

Liquids slow gastric emptying dangerously

Question 4

A patient who had Roux-en-Y gastric bypass experiences sweating, dizziness, and cramping 20 minutes after eating ice cream. What should the counselor suspect?

Accepted Answer

Early dumping syndrome

Answer

Food allergy

Answer

Anastomotic leak

Answer

Gallstone attack

Question 5

Which micronutrient deficiency is most commonly associated with Roux-en-Y gastric bypass due to bypassed absorption sites?

Accepted Answer

Vitamin B12

Answer

Vitamin C

Answer

Sodium

Answer

Biotin

Question 6

During the pureed diet phase, which food would be most appropriate to recommend?

Accepted Answer

Blended low-fat cottage cheese

Answer

Grilled steak cut into small pieces

Answer

Raw vegetable salad

Answer

Whole grain crackers

Question 7

A counselor notices a patient is consuming mostly protein shakes 8 months post-op instead of transitioning to whole foods. What is the best counseling approach?

Accepted Answer

Explore barriers to solid food and encourage gradual transition to whole protein sources

Answer

Praise the high protein intake and make no changes

Answer

Recommend stopping all supplements immediately

Answer

Suggest switching to juice-based meal replacements