CBE Preoperative Education & Patient Selection

Question 1

According to NIH guidelines, what is the minimum BMI required for bariatric surgery eligibility in a patient without obesity-related comorbidities?

Accepted Answer

40

Answer

NIH guidelines require a BMI ≥40 in the absence of comorbidities, or ≥35 when serious obesity-related comorbidities are present.

Question 2

Which of the following is considered an absolute contraindication to bariatric surgery?

Accepted Answer

Active untreated substance use disorder

Answer

Active untreated substance use disorder is an absolute contraindication because it significantly impairs a patient's ability to follow postoperative behavioral and dietary requirements.

Question 3

What is the most common minimum duration of supervised medical weight management required by insurance plans before bariatric surgery approval?

Accepted Answer

6 months

Answer

Most insurance plans require at least 6 months of documented supervised medical weight management before approving bariatric surgery.

Question 4

A patient has a BMI of 36 with well-controlled type 2 diabetes. According to NIH guidelines, are they a candidate for bariatric surgery?

Accepted Answer

Yes, because they have a qualifying obesity-related comorbidity

Answer

NIH guidelines permit bariatric surgery at BMI ≥35 when a serious obesity-related comorbidity such as type 2 diabetes is present.

Question 5

Which psychological factor most commonly disqualifies a patient from bariatric surgery candidacy?

Accepted Answer

Active binge eating disorder with purging behaviors

Answer

Active binge eating disorder with purging is an untreated eating disorder that poses significant risk for poor postoperative adherence and outcomes.

CBE - Certified Bariatric Educator Practice Test

CBE - Certified Bariatric Educator Practice Test

CBE Preoperative Education & Patient Selection