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

Traditional NIH criteria require a BMI ≥40, or ≥35 with significant obesity-related comorbidities such as type 2 diabetes or hypertension.

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

Active untreated eating disorders like binge eating disorder typically require treatment and stabilization before surgery is approved.

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 restricts blood flow, impairing healing and significantly raising the risk of marginal ulcers after gastric bypass.

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

A thorough weight history captures prior weight-loss attempts, methods, and results to demonstrate supervised effort and inform treatment planning.

Question 5

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

Accepted Answer

PHQ-9

Answer

The Patient Health Questionnaire-9 (PHQ-9) is a standard validated screen for depression severity in pre-surgical evaluations.

(CBC) Certified Bariatric Counselor Practice Test