CBC Post-Surgical Nutritional Care 2

Question 1

A patient 3 weeks after Roux-en-Y gastric bypass reports dizziness, sweating, and rapid heartbeat 30 minutes after eating a sweetened yogurt. 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

What is the recommended daily protein intake for most patients following bariatric surgery?

Accepted Answer

60-80 grams

Answer

Most post-bariatric guidelines recommend 60-80 grams of protein daily to preserve lean body mass during rapid weight loss.

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

Answer

Drinking with meals accelerates pouch emptying, which reduces fullness and can lead to overeating or dumping symptoms.

Question 4

Which form of calcium is preferred for supplementation after gastric bypass, and why?

Accepted Answer

Calcium citrate, because it does not require stomach acid for absorption

Answer

Calcium citrate is absorbed without gastric acid, which is reduced after bypass procedures.

Question 5

A sleeve gastrectomy patient at 6 months reports hair loss. Which nutritional factors should the counselor evaluate first?

Accepted Answer

Protein, zinc, and iron intake

Answer

Telogen effluvium after bariatric surgery is commonly linked to inadequate protein, zinc, and iron.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Post-Surgical Nutritional Care 2