CBC Post-Operative Patient Management 3

Question 1

A patient 18 months post-surgery has regained 15 pounds and reports nightly grazing on snack foods. Which intervention should the counselor prioritize?

Accepted Answer

Behavioral strategies targeting grazing patterns and emotional triggers

Answer

Grazing is a common behavioral driver of weight regain and responds best to structured behavioral and emotional-trigger interventions.

Question 2

Which symptom pattern suggests late (reactive) dumping syndrome rather than early dumping?

Accepted Answer

Shakiness, confusion, and weakness 1-3 hours after eating due to hypoglycemia

Answer

Late dumping results from reactive hypoglycemia occurring 1-3 hours after a meal, unlike early dumping which occurs within 30 minutes.

Question 3

Why are NSAIDs like ibuprofen generally discouraged after gastric bypass surgery?

Accepted Answer

They increase the risk of marginal ulcers at the anastomosis

Answer

NSAIDs raise the risk of marginal ulceration at the gastrojejunal anastomosis and are typically avoided after bypass.

Question 4

A patient reports drinking alcohol 'more than before surgery' and feeling its effects much faster. What should the counselor know?

Accepted Answer

Post-bypass patients absorb alcohol faster and face elevated risk of alcohol use disorder

Answer

Altered anatomy speeds alcohol absorption and raises peak blood alcohol levels, and post-bariatric patients have increased risk of developing alcohol use disorder.

Question 5

What is the primary purpose of lifelong annual laboratory monitoring after bariatric surgery?

Accepted Answer

To detect micronutrient deficiencies before they cause clinical harm

Answer

Malabsorptive procedures create lifelong deficiency risks, so annual labs catch nutrient shortfalls early.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Post-Operative Patient Management 3