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CSOWM Practice Questions
CSOWM Practice Questions
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CSOWM Practice QuestionsA complete diet assessment of an overweight child would include all of the following
except:
a) sugary beverages
b) fruit and vegetable intake
c) fast food frequency
d) None of the above
e) All of the above - ANS-d) None of the above
A defining characteristic of the appropriateness of bariatric for someone under the age
of 18 years is:
a) Growth has stopped, tested through growth plate closure
b) The teenager has tried multiple diets unsuccessfully
c) A 12 year-old has tried a weight loss program for 6 months
d) Their parents want them to have the surgery - ANS-a) Growth has stopped, tested
through growth plate closure
A 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?
a) The sleeve gastrectomy is the best choice because it carries less risk and with her
medical conditions, she does not want a procedure that is riskier.
b) The current literature does not provide enough information to predict which procedure
she would have better outcomes with.
c.) She should go to an information session at a local hospital
d) You do not know, but she should work harder at her diet and exercise and not
consider surgery - ANS-b) 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:
a) She is probably dehydrated and should drink more fluid
b) This is a common post-op experience and she will feel better in a few days
c) To go to the ER to assess if she is dehydrated and needs IV hydration
d) to call her surgeon and leave a message - ANS-c) 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:
a) find a surgical center close to his new location and schedule and appointment
b) You ask for permission to peak to the patients new PCP so that you can provide the
MD with a list of nutritional labs that should be tested yearly
c) you tell the patient to resume his post-op vitamin and minerals that he said his
Surgical Center recommended
d) all of the above - ANS-d) all of the above
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?
a) reassure the patient that weight regain after surgery is not uncommon and perform a
nutrition assessment, identify lifestyle factors that may be contributing to her weight
gain; assign a nutrition diagnosis and set up goals for her to follow-up
b) giver her a 1200 calorie low carb diet
c) recommend her Primary Care Provider evaluate her post-op nutrition labs
d) A and C - ANS-d) A and C
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:
a) You suspect that the patient may have a calcium, vitamin D and/or magnesium
deficiency and suggest that these be tested.
b) you recommend the patient take 2400 mg of calcium every morning
c) You wait until the test results are available and if deficient, speak to the MD about
repletion doses
d) all of the above - ANS-a) 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?
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