CBC Post-Operative Patient Management 2

Question 1

A patient 3 weeks after Roux-en-Y gastric bypass reports dizziness, sweating, and rapid heartbeat 30 minutes after eating a sugary dessert. What is the most likely cause?

Accepted Answer

Early dumping syndrome

Answer

Early dumping syndrome occurs 15-30 minutes after eating high-sugar foods due to rapid gastric emptying into the small intestine.

Question 2

How should a counselor advise a post-bariatric patient regarding fluid intake during meals?

Accepted Answer

Avoid drinking liquids 30 minutes before and after meals

Answer

Separating fluids from meals prevents overfilling the small pouch, reduces discomfort, and helps patients eat adequate protein.

Question 3

Which protein intake goal is generally recommended for patients in the months following bariatric surgery?

Accepted Answer

60-80 grams per day

Answer

Most guidelines recommend at least 60-80 grams of protein daily to preserve lean muscle mass during rapid weight loss.

Question 4

A patient 6 months post-surgery has stopped attending support groups and reports feeling 'like the surgery should do all the work.' What is the counselor's best response?

Accepted Answer

Explore ambivalence and re-engage the patient in behavioral change strategies

Answer

Surgery is a tool, and long-term success depends on sustained behavioral change, which the counselor should help the patient recommit to.

Question 5

Which vitamin deficiency is most associated with neurological symptoms such as numbness and tingling after gastric bypass?

Accepted Answer

Vitamin B12

Answer

B12 absorption requires intrinsic factor and stomach acid, both reduced after bypass, and deficiency causes neuropathy.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Post-Operative Patient Management 2