Preoperative Education & Patient Selection Flashcards
7 cards from real CBE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Preoperative Education & Patient Selection flashcards as text
According to NIH guidelines, what is the minimum BMI required for bariatric surgery eligibility in a patient without obesity-related comorbidities?
Answer: 40
NIH guidelines require a BMI ≥40 in the absence of comorbidities, or ≥35 when serious obesity-related comorbidities are present.
Which of the following is considered an absolute contraindication to bariatric surgery?
Answer: Active untreated substance use disorder
Active untreated substance use disorder is an absolute contraindication because it significantly impairs a patient's ability to follow postoperative behavioral and dietary requirements.
What is the most common minimum duration of supervised medical weight management required by insurance plans before bariatric surgery approval?
Answer: 6 months
Most insurance plans require at least 6 months of documented supervised medical weight management before approving bariatric surgery.
A patient has a BMI of 36 with well-controlled type 2 diabetes. According to NIH guidelines, are they a candidate for bariatric surgery?
Answer: Yes, because they have a qualifying obesity-related comorbidity
NIH guidelines permit bariatric surgery at BMI ≥35 when a serious obesity-related comorbidity such as type 2 diabetes is present.
Which psychological factor most commonly disqualifies a patient from bariatric surgery candidacy?
Answer: Active binge eating disorder with purging behaviors
Active binge eating disorder with purging is an untreated eating disorder that poses significant risk for poor postoperative adherence and outcomes.
What is the primary purpose of the preoperative multidisciplinary evaluation in bariatric programs?
Answer: To ensure the patient is an appropriate and safe surgical candidate
The multidisciplinary evaluation assesses medical, psychological, nutritional, and social factors to determine if the patient can safely undergo and benefit from bariatric surgery.
Which element should be a core component of preoperative bariatric patient education?
Answer: Setting realistic expectations about weight loss outcomes
Setting realistic expectations is essential to prevent postoperative disappointment and to promote long-term adherence to required lifestyle modifications.