CBC Nutritional Counseling 3

Question 1

Which eating behavior is most important to address preoperatively because it predicts poor postoperative weight outcomes?

Accepted Answer

Grazing on small amounts of food continuously throughout the day

Answer

Grazing circumvents the restrictive effect of surgery and is linked to weight regain.

Question 2

A patient reports vomiting after eating bread and dry chicken. What counseling point addresses this most directly?

Accepted Answer

Chew thoroughly, eat slowly, and moisten dense foods

Answer

Dense, dry foods commonly cause obstruction symptoms unless chewed thoroughly and eaten slowly.

Question 3

What is the primary reason bariatric patients are advised to take calcium citrate rather than calcium carbonate?

Accepted Answer

Calcium citrate does not require stomach acid for absorption

Answer

Reduced gastric acid after surgery impairs carbonate absorption, while citrate absorbs well without acid.

Question 4

A patient 2 years post-op has regained 15 pounds and reports drinking sweetened coffee drinks daily. Which concept best explains the regain?

Accepted Answer

Liquid calories bypass restriction and add energy without satiety

Answer

Caloric liquids pass easily through the pouch, contributing significant calories without triggering fullness.

Question 5

Which laboratory finding would most strongly suggest thiamine deficiency in a post-op patient with persistent vomiting?

Accepted Answer

Neurological symptoms such as confusion and gait disturbance

Answer

Thiamine deficiency from prolonged vomiting can cause Wernicke encephalopathy with confusion, ataxia, and eye movement problems.

(CBC) Certified Bariatric Counselor Practice Test