CBE CBE Metabolic and Comorbidity Management 2

Question 1

Nonalcoholic fatty liver disease (NAFLD) is common in bariatric surgical candidates. What is the pre-surgery dietary recommendation primarily used to reduce liver size?

Accepted Answer

A low-calorie, low-carbohydrate liver-shrinking diet for 2–4 weeks

Answer

A short-term low-calorie, low-carbohydrate liver-shrinking diet is prescribed before bariatric surgery to reduce liver glycogen and fat stores, improving surgical access and safety.

Question 2

Which micronutrient deficiency is uniquely associated with metabolic bone disease risk after bariatric surgery?

Accepted Answer

Vitamin D and calcium

Answer

Vitamin D and calcium malabsorption after bariatric surgery (especially bypass procedures) leads to secondary hyperparathyroidism and metabolic bone disease if not corrected with lifelong supplementation.

Question 3

Which bariatric procedure is most associated with dumping syndrome as a metabolic complication?

Accepted Answer

Roux-en-Y gastric bypass (RYGB)

Answer

RYGB bypasses the pyloric valve, allowing rapid gastric emptying of high-sugar foods into the small intestine, triggering early or late dumping syndrome.

Question 4

A patient 2 years post-RYGB reports new-onset polydipsia and polyuria. What should the CBE suspect and recommend?

Accepted Answer

Recurrence or new-onset diabetes — refer for HbA1c and fasting glucose testing

Answer

Polydipsia and polyuria are classic symptoms of hyperglycemia; diabetes can recur after bariatric surgery, so prompt blood glucose and HbA1c evaluation is essential.

Question 5

Which cardiovascular risk factor remains elevated in bariatric patients despite significant weight loss if not managed?

Accepted Answer

LDL cholesterol, particularly in patients with familial hypercholesterolemia

Answer

Familial hypercholesterolemia is a genetic condition that does not resolve with weight loss, and LDL may remain elevated requiring ongoing statin therapy even after successful bariatric surgery.

CBE - Certified Bariatric Educator Practice Test

CBE - Certified Bariatric Educator Practice Test

CBE CBE Metabolic and Comorbidity Management 2