CBE CBE Metabolic and Comorbidity Management

Question 1

Which comorbidity shows the most rapid improvement or remission following Roux-en-Y gastric bypass (RYGB)?

Accepted Answer

Type 2 diabetes mellitus

Answer

Osteoarthritis

Answer

Chronic kidney disease

Answer

Hypothyroidism

Question 2

A bariatric patient with pre-existing hypertension is 3 months post-surgery and has lost 50 lbs. What medication adjustment is most likely needed?

Accepted Answer

Antihypertensive doses may need to be reduced or discontinued

Answer

Antihypertensive doses should be doubled

Answer

No medication changes are warranted until 1 year post-op

Answer

Diuretics should be added to manage fluid retention

Question 3

Which metabolic marker is most directly used to monitor type 2 diabetes remission after bariatric surgery?

Accepted Answer

Hemoglobin A1c (HbA1c)

Answer

Total cholesterol

Answer

Serum albumin

Answer

C-reactive protein

Question 4

Obstructive sleep apnea (OSA) is a common comorbidity in bariatric patients. After significant weight loss, what follow-up is required?

Accepted Answer

Repeat sleep study to reassess CPAP/BiPAP needs

Answer

Permanent continuation of current CPAP settings

Answer

Discontinuation of all sleep therapy without testing

Answer

Referral to a cardiologist only

Question 5

Which lipid abnormality most commonly improves after bariatric surgery?

Accepted Answer

Hypertriglyceridemia

Answer

Low LDL cholesterol

Answer

High HDL cholesterol

Answer

Normal total cholesterol

Question 6

A bariatric educator is counseling a patient with GERD pre-surgery. Which procedure should the educator explain may worsen GERD symptoms?

Accepted Answer

Sleeve gastrectomy

Answer

Roux-en-Y gastric bypass

Answer

Adjustable gastric banding

Answer

Biliopancreatic diversion