Pre-Surgical Patient Assessment Flashcards
7 cards from real CBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pre-Surgical Patient Assessment flashcards as text
According to standard NIH criteria, which patient generally qualifies for bariatric surgery consideration?
Answer: BMI of 40 or higher, or BMI of 35+ with obesity-related comorbidities
Traditional NIH criteria require a BMI ≥40, or ≥35 with significant obesity-related comorbidities such as type 2 diabetes or hypertension.
During a pre-surgical psychosocial evaluation, which finding is most likely to delay surgical clearance?
Answer: Active, untreated binge eating disorder
Active untreated eating disorders like binge eating disorder typically require treatment and stabilization before surgery is approved.
Why is a nicotine cessation requirement common before bariatric surgery?
Answer: Nicotine impairs wound healing and increases risk of anastomotic ulcers
Nicotine restricts blood flow, impairing healing and significantly raising the risk of marginal ulcers after gastric bypass.
A counselor assessing a patient's weight history should primarily document which of the following?
Answer: Past weight-loss attempts, methods used, and outcomes
A thorough weight history captures prior weight-loss attempts, methods, and results to demonstrate supervised effort and inform treatment planning.
Which screening tool is most commonly used to assess depression during a pre-bariatric psychological evaluation?
Answer: PHQ-9
The Patient Health Questionnaire-9 (PHQ-9) is a standard validated screen for depression severity in pre-surgical evaluations.
A patient reports drinking six alcoholic beverages daily. Why is this a major pre-surgical concern beyond general health risks?
Answer: Alcohol use disorder risk increases after bariatric surgery due to altered absorption
Bariatric surgery, especially gastric bypass, accelerates alcohol absorption and is associated with increased risk of alcohol use disorder postoperatively.
What is the primary purpose of the medically supervised weight-loss period many insurers require before surgery?
Answer: To document adherence capacity and establish lifestyle changes needed postoperatively
The supervised period assesses the patient's ability to adhere to dietary and behavioral changes essential for postoperative success.