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CSOWM Study Guide Modules 1-6
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CSOWM Study Guide Modules 1-6
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CSOWM Study Guide Modules 1-6A patient asks you to help her decide on which bariatric procedure to have; she is 42
years old with a BMI of 42 and her obesity related conditions include type 2 diabetes,
hypertension and fatty liver disease. What do you tell her? - ANS-The current literature
does not provide enough information to predict which procedure she would have better
outcomes with.
A patient is 2 months post-bariatric surgery and calls you complaining of vomiting and
dizziness, for the past 2 days; you tell the patient: - ANS-To go to the ER to assess if
she is dehydrated and needs IV hydration.
A patient is one year post-surgery; he comes to your office and states he has not
followed up with the Surgical Center where he had his surgery because he moved and
no longer lives in the city his surgery was performed; he states he is only taking an OTC
multivitamin daily; you recommend that he: - ANS-first, find a surgical center close to his
new location and schedule appt
second, ask permission to speak to the patient's new PCP so that you can provide them
with a list of nutritional labs that should be tested yearly
lastly, tell the patient to resume his post op vitamins and minerals that he said his
surgical center recommended
A patient who had a Gastric Bypass Surgery comes to see you 8 years after her
surgery. She states she is embarrassed to go back to her Surgical Center as she has
gained 50 lbs. of the 120 lbs. she had lost. What do you do? - ANS-first, reassure the
patient that weight regain after bariatric surgery is not uncommon and perform a
nutrition assessment - identify life style factors that may be contributing to her weight
gain, assign a nutrition dx and set up goals for follow up
second, recommend her PCP evaluate her post op nutrition labs
A patient's primary care provider refers a patient who had a sleeve gastrectomy 10
years ago to you after the patient was diagnoses with osteopenia and is also
complaining of muscle cramps: - ANS-You suspect that the patient may have a calcium,
vitamin D and/or magnesium deficiency and suggest that these be tested.
A patient's surgeon wants her to lose weight before surgery. The patient's surgery is
scheduled in one month; why does the surgeon want her to lose weight prior to the
procedure? - ANS-To reduce the volume of her liver.
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