CBC Pre-Surgical Patient Assessment 3

Question 1

During assessment, a patient states they expect to lose 100% of their excess weight and never regain any. How should the counselor respond?

Accepted Answer

Address unrealistic expectations, since typical excess weight loss is roughly 50-70% depending on procedure

Answer

Counselors must correct unrealistic expectations because typical excess weight loss ranges from about 50-70% and some regain is common.

Question 2

Which laboratory finding during pre-surgical workup most directly suggests the need for nutritional correction before surgery?

Accepted Answer

Low vitamin D and iron deficiency anemia

Answer

Preexisting deficiencies like low vitamin D or iron should be corrected preoperatively because malabsorptive procedures worsen them.

Question 3

A patient scheduled for gastric bypass has poorly controlled type 2 diabetes with an HbA1c of 10.5%. What is the most appropriate pre-surgical step?

Accepted Answer

Work with the medical team to improve glycemic control before surgery

Answer

Poor glycemic control increases surgical complications, so optimizing HbA1c preoperatively is standard practice.

Question 4

Which sleep-related condition should routinely be screened for during bariatric pre-surgical assessment?

Accepted Answer

Obstructive sleep apnea

Answer

Obstructive sleep apnea is highly prevalent in bariatric candidates and increases anesthesia risk, so screening tools like STOP-BANG are routine.

Question 5

A patient discloses they take daily NSAIDs for chronic joint pain. Why does this matter before gastric bypass?

Accepted Answer

NSAIDs significantly raise the risk of marginal ulcers after bypass and alternatives should be planned

Answer

Chronic NSAID use is a major risk factor for marginal ulceration at the gastrojejunal anastomosis, so pain management alternatives must be arranged.

(CBC) Certified Bariatric Counselor Practice Test