CBC Pre-Surgical Patient Assessment 2

Question 1

According to standard NIH criteria, which patient generally qualifies for bariatric surgery consideration?

Accepted Answer

BMI of 40 or higher, or BMI of 35+ with obesity-related comorbidities

Answer

BMI of 30 or higher regardless of comorbidities

Answer

BMI of 25+ with a family history of obesity

Answer

Any patient who has failed one diet attempt

Question 2

During a pre-surgical psychosocial evaluation, which finding is most likely to delay surgical clearance?

Accepted Answer

Active, untreated binge eating disorder

Answer

A history of mild seasonal allergies

Answer

Previous participation in a commercial weight-loss program

Answer

Stable employment with health insurance

Question 3

Why is a nicotine cessation requirement common before bariatric surgery?

Accepted Answer

Nicotine impairs wound healing and increases risk of anastomotic ulcers

Answer

Nicotine causes rapid postoperative weight gain

Answer

Smoking interferes with vitamin absorption only

Answer

Insurance companies require it for billing codes

Question 4

A counselor assessing a patient's weight history should primarily document which of the following?

Accepted Answer

Past weight-loss attempts, methods used, and outcomes

Answer

Only the patient's current weight and height

Answer

The weight of immediate family members

Answer

The patient's preferred post-surgery clothing size

Question 5

Which screening tool is most commonly used to assess depression during a pre-bariatric psychological evaluation?

Accepted Answer

PHQ-9

Answer

MMSE

Answer

AUDIT

Answer

Snellen chart

Question 6

A patient reports drinking six alcoholic beverages daily. Why is this a major pre-surgical concern beyond general health risks?

Accepted Answer

Alcohol use disorder risk increases after bariatric surgery due to altered absorption

Answer

Alcohol prevents anesthesia from working entirely

Answer

Alcohol has no calories so intake is hard to track

Answer

Alcohol use disqualifies patients from all future surgery permanently

Question 7

What is the primary purpose of the medically supervised weight-loss period many insurers require before surgery?

Accepted Answer

To document adherence capacity and establish lifestyle changes needed postoperatively

Answer

To guarantee the patient reaches a normal BMI before surgery

Answer

To eliminate the need for postoperative follow-up

Answer

To test whether surgery can be avoided entirely in all cases