Review Questions to practice for CSOWM 2026 Exam Q &
A Bariatric Nutrition, Pediatrics, Weight Management
Diagnosis of DM is suggested by typical symptoms and signs and is
usually best confirmed by which of the following tests?
a. Fasting plasma glucose
b. Measurement of insulin levels
c. Fasting HbA1c test
d. Urine glucose --- correct precise answer ---Answer: A: Fasting
plasma glucose (FPG). DM is indicated by typical symptoms and signs
and confirmed by measurement of plasma glucose. Measurement after
an 8- to 12-h fast or 2 h after ingestion of a concentrated glucose
solution (oral glucose tolerance testing [OGTT]) is best. OGTT is more
sensitive for diagnosing DM and impaired glucose tolerance but is less
convenient and reproducible than FPG. It is therefore rarely used
routinely, except for diagnosing gestational DM and for research
purposes. C: HbA1c measurements reflect glucose levels over the
preceding 3 mo. However, HbA1c values may be falsely high or low,
and tests must be done in a certified clinical laboratory. Point-of-care
HbA1c tests should not be used for diagnosis, but they can be used for
monitoring DM control. D: Urine glucose measurement, once
commonly used, is no longer used for diagnosis or monitoring because
it is neither sensitive nor specific.
,A patient 4 weeks status post laparoscopic gastric bypass complains of
progressive nausea, vomiting, and dysphagia. These symptoms should
alert the nurse to suspect a/an:
a. gastrogastric fistula
b. anastomotic stricture
c. internal hernia
d. small bowel obstruction --- correct precise answer ---Answer: B.
Anastomotic Stricture
Postoperatively, preventable long-term complications in gastric
bypass patients include significant weight regain and:
a. steatorrhea
b. gastric stricture
c. malnutrition
d. hair loss --- correct precise answer ---Answer: C. Malnutrition
Which of the following syndromes may occur in association with the
postoperative development of thiamine deficiency in patients who
have had the Roux-en-Y gastric bypass?
a. Pickwickian
b. Wernicke-Korsakoff
,c. Dumping
d. Metabolic --- correct precise answer ---Answer: B. Wernicke-
Korsakoff
Which clinical information is needed to calculate the body mass index
(BMI)?
a. Height and waist circumference
b. Weight and waist circumference
c. Height and weight
d. Height, weight, and waist circumference --- correct precise answer
---Answer: C. Height and weight
In preparing a speech for a community health fair, it is important for
the nurse to emphasize that obesity has become the leading cause of:
a. divorce
b. preventable death
c. poverty
d. mental illness --- correct precise answer ---Answer: B. Preventable
death
Leptin secretion is decreased by which of the following factors?
, 1. Increased activity
2. Poor sleep quality
3. Warm ambient temperatures
4. Overfeeding --- correct precise answer ---Answer: 2. Poor sleep
quality
Which modality provides the most accurate measurement of
multiregional body fat distribution?
1. Computerized tomography
2. Dual energy x-‐ray absorptiometry
3. Bioelectric impedance analysis
4. Air displacement plethysmography --- correct precise answer ---
Answer: 2. DEXA
Which of the following best describes the changes in the
neurotransmitters in response to the fasting state?
1. The change in ghrelin level increases activity of the POMC neuronal
circuit
2. The change in insulin level decreases the activity of the AgRP
neuronal circuit
3. The Leptin level change decreases the activity of the AgRP neuronal
circuit
A Bariatric Nutrition, Pediatrics, Weight Management
Diagnosis of DM is suggested by typical symptoms and signs and is
usually best confirmed by which of the following tests?
a. Fasting plasma glucose
b. Measurement of insulin levels
c. Fasting HbA1c test
d. Urine glucose --- correct precise answer ---Answer: A: Fasting
plasma glucose (FPG). DM is indicated by typical symptoms and signs
and confirmed by measurement of plasma glucose. Measurement after
an 8- to 12-h fast or 2 h after ingestion of a concentrated glucose
solution (oral glucose tolerance testing [OGTT]) is best. OGTT is more
sensitive for diagnosing DM and impaired glucose tolerance but is less
convenient and reproducible than FPG. It is therefore rarely used
routinely, except for diagnosing gestational DM and for research
purposes. C: HbA1c measurements reflect glucose levels over the
preceding 3 mo. However, HbA1c values may be falsely high or low,
and tests must be done in a certified clinical laboratory. Point-of-care
HbA1c tests should not be used for diagnosis, but they can be used for
monitoring DM control. D: Urine glucose measurement, once
commonly used, is no longer used for diagnosis or monitoring because
it is neither sensitive nor specific.
,A patient 4 weeks status post laparoscopic gastric bypass complains of
progressive nausea, vomiting, and dysphagia. These symptoms should
alert the nurse to suspect a/an:
a. gastrogastric fistula
b. anastomotic stricture
c. internal hernia
d. small bowel obstruction --- correct precise answer ---Answer: B.
Anastomotic Stricture
Postoperatively, preventable long-term complications in gastric
bypass patients include significant weight regain and:
a. steatorrhea
b. gastric stricture
c. malnutrition
d. hair loss --- correct precise answer ---Answer: C. Malnutrition
Which of the following syndromes may occur in association with the
postoperative development of thiamine deficiency in patients who
have had the Roux-en-Y gastric bypass?
a. Pickwickian
b. Wernicke-Korsakoff
,c. Dumping
d. Metabolic --- correct precise answer ---Answer: B. Wernicke-
Korsakoff
Which clinical information is needed to calculate the body mass index
(BMI)?
a. Height and waist circumference
b. Weight and waist circumference
c. Height and weight
d. Height, weight, and waist circumference --- correct precise answer
---Answer: C. Height and weight
In preparing a speech for a community health fair, it is important for
the nurse to emphasize that obesity has become the leading cause of:
a. divorce
b. preventable death
c. poverty
d. mental illness --- correct precise answer ---Answer: B. Preventable
death
Leptin secretion is decreased by which of the following factors?
, 1. Increased activity
2. Poor sleep quality
3. Warm ambient temperatures
4. Overfeeding --- correct precise answer ---Answer: 2. Poor sleep
quality
Which modality provides the most accurate measurement of
multiregional body fat distribution?
1. Computerized tomography
2. Dual energy x-‐ray absorptiometry
3. Bioelectric impedance analysis
4. Air displacement plethysmography --- correct precise answer ---
Answer: 2. DEXA
Which of the following best describes the changes in the
neurotransmitters in response to the fasting state?
1. The change in ghrelin level increases activity of the POMC neuronal
circuit
2. The change in insulin level decreases the activity of the AgRP
neuronal circuit
3. The Leptin level change decreases the activity of the AgRP neuronal
circuit
