CBC Post-Surgical Nutritional Care 3

Question 1

A patient 18 months post-bypass reports shakiness, confusion, and hunger 2 hours after a high-carbohydrate meal. What condition should the counselor suspect?

Accepted Answer

Late dumping syndrome (reactive hypoglycemia)

Answer

Late dumping occurs 1-3 hours after eating when an exaggerated insulin response causes reactive hypoglycemia.

Question 2

Which micronutrient deficiency after bariatric surgery can cause Wernicke encephalopathy if untreated?

Accepted Answer

Thiamine (vitamin B1)

Answer

Thiamine deficiency, often triggered by persistent vomiting, can rapidly progress to Wernicke encephalopathy.

Question 3

A counselor notices a patient is consuming milkshakes and melted ice cream to cope with restriction. What is this behavior called?

Accepted Answer

Soft calorie or liquid calorie syndrome (eating around the surgery)

Answer

Consuming calorie-dense liquids bypasses the restrictive effect of surgery and undermines weight loss.

Question 4

How should iron and calcium supplements be scheduled after bariatric surgery?

Accepted Answer

Taken at least 2 hours apart because calcium inhibits iron absorption

Answer

Calcium competes with iron for absorption, so doses should be separated by about 2 hours.

Question 5

Which eating behavior is most important for preventing food getting stuck after sleeve gastrectomy?

Accepted Answer

Chewing thoroughly and eating slowly with small bites

Answer

Thorough chewing and slow eating prevent obstruction and discomfort in the narrow sleeve.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Post-Surgical Nutritional Care 3