REVIEW PRACTICE FOR CSOWM ACTUAL 2026
QUESTIONS AND VERIFIED ANSWERS
Save
Terms in this set (65)
Roux-en-Y gastric bypass surgery Answer: B: Diabetes is particularly likely to remit.
(RYGB) accounts for about 80% of Remission rates are up to 62% after 6 yr. A and D:
bariatric procedures in the US and Other comorbid conditions that tend to abate or
is usually done laparoscopically. resolve after bariatric surgery include
During RYGB, a small part of the cardiovascular risk factors (eg, dyslipidemia,
proximal stomach is detached from hypertension [A], diabetes), cardiovascular
the rest of the stomach, creating a disorders, obstructive sleep apnea (D),
stomach pouch of < 30 mL. Which osteoarthritis, and depression. C: For RYGB,
of the following preexisting weight loss is 50 to 65% after 2 yr; weight loss
conditions has been shown to go after RYGB is maintained for up to 10 yr. All-cause
into remission in up to 62% of mortality decreases by 25%, primarily because
patients 6 yr after RYGB? cardiovascular and cancer mortality is reduced.
a. Hypertension
b. Diabetes
c. Obesity
d. Obstructive Sleep Apnea
,Which of the following procedures Answer: A: Sleeve gastrectomy; because this
is being used increasingly in the US procedure causes substantial and sustained
as definitive treatment for severe weight loss, it is being used increasingly in the US
obesity (eg, in patients with a body as definitive treatment for severe obesity. Part of
mass index [BMI] > 60)? the stomach is removed, creating a tubular
a. Sleeve Gastrectomy stomach passage. The procedure does not
b. Roux-en Y Gastric Bypass involve anatomic changes to the small intestine.
c. Adjustable Gastric Banding B: Nonetheless, Roux-en-Y gastric bypass surgery
d. Vertical Banded Gastroplasty accounts for about 80% of bariatric procedures
in the US. C: Use of adjustable gastric banding
has dramatically decreased in the US. D: Vertical
banded gastroplasty is no longer commonly
done because complication rates are high and
the resulting weight loss is insufficient.
Contraindications to bariatric Answer: B: Current drug or alcohol abuse. A: The
surgery include which of the use of bariatric surgery is controversial in patients
following? with a BMI < 30. C and D: To qualify for bariatric
a. Body mass index (BMI) < 30 surgery, patients should have a BMI of > 40 or a
kg/m2 BMI of > 35 plus a serious complication (eg,
b. Current drug or alcohol abuse diabetes, hypertension, obstructive sleep apnea
c. Obstructive sleep apnea [C], high-risk lipid profile [D]).
d. High-risk lipid profile
,Bariatric Surgery Key Points Consider weight loss surgery if patients are
motivated, have not succeeded using nonsurgical
treatments, and have a BMI of > 40 kg/m2 or a
BMI of > 35 kg/m2 plus a serious complication
(eg, diabetes, hypertension, obstructive sleep
apnea, high-risk lipid profile) or a BMI of 30 to
34.9 with type 2 diabetes and inadequate
glycemic control despite optimal lifestyle and
medical therapy.
Weight loss surgery is contraindicated if patients
have an uncontrolled psychiatric disorder (eg,
major depression), drug or alcohol abuse, cancer
that is not in remission, or another life-threatening
disorder or if they cannot comply with nutritional
requirements (including life-long vitamin
replacement when indicated).
The most common procedures are sleeve
gastrectomy and Roux-en-Y gastric bypass; use
of adjustable gastric banding has decreased
dramatically in the US.
Monitor patients regularly after surgery for
maintenance of weight loss, resolution of weight-
related comorbid disorders, and complications of
surgery (eg, nutritional deficiencies, metabolic
bone disease, gout, cholelithiasis, nephrolithiasis,
depression, alcohol abuse).
Which of the following increases Answer: B: Excess abdominal fat. Complications,
the risk of cardiovascular disorders including coronary artery disease, are more likely
in patients with obesity? in patients with fat that is concentrated
a. Osteoporosis abdominally. Choices A, C, and D do not increase
b. Excess abdominal fat the risk of cardiovascular disorders in patients
c. Psychological disorders with obesity.
d. Gastric Ulcer
, What is the role of ghrelin in food Answer: A: Ghrelin, secreted primarily by the
intake-regulating pathways? stomach, increases food intake. B, C, and D:
a. It increases food intake. Other hormones and regulatory substances have
b. It decreases food intake. these effects.
c. Level decreases when weight is
lost.
d. It integrates energy balance
signals.
Which type of exercise is MOST Answer: B: Resistance (strengthening) exercises
effective for increasing BMR? are the most effective way to increase BMR.
a. Aerobic exercise Resistance exercises increase muscle mass.
b. Resistance exercise Because muscle tissue burns more calories at rest
c. Balancing exercise than does fat tissue, increasing muscle mass
d. Flexibility exercise produces lasting increases in BMR. Choices A, C,
and D can also be effective in a weight
management program. A combination of aerobic
and resistance exercise is better than either
alone, particularly when patients choose
activities they enjoy.
QUESTIONS AND VERIFIED ANSWERS
Save
Terms in this set (65)
Roux-en-Y gastric bypass surgery Answer: B: Diabetes is particularly likely to remit.
(RYGB) accounts for about 80% of Remission rates are up to 62% after 6 yr. A and D:
bariatric procedures in the US and Other comorbid conditions that tend to abate or
is usually done laparoscopically. resolve after bariatric surgery include
During RYGB, a small part of the cardiovascular risk factors (eg, dyslipidemia,
proximal stomach is detached from hypertension [A], diabetes), cardiovascular
the rest of the stomach, creating a disorders, obstructive sleep apnea (D),
stomach pouch of < 30 mL. Which osteoarthritis, and depression. C: For RYGB,
of the following preexisting weight loss is 50 to 65% after 2 yr; weight loss
conditions has been shown to go after RYGB is maintained for up to 10 yr. All-cause
into remission in up to 62% of mortality decreases by 25%, primarily because
patients 6 yr after RYGB? cardiovascular and cancer mortality is reduced.
a. Hypertension
b. Diabetes
c. Obesity
d. Obstructive Sleep Apnea
,Which of the following procedures Answer: A: Sleeve gastrectomy; because this
is being used increasingly in the US procedure causes substantial and sustained
as definitive treatment for severe weight loss, it is being used increasingly in the US
obesity (eg, in patients with a body as definitive treatment for severe obesity. Part of
mass index [BMI] > 60)? the stomach is removed, creating a tubular
a. Sleeve Gastrectomy stomach passage. The procedure does not
b. Roux-en Y Gastric Bypass involve anatomic changes to the small intestine.
c. Adjustable Gastric Banding B: Nonetheless, Roux-en-Y gastric bypass surgery
d. Vertical Banded Gastroplasty accounts for about 80% of bariatric procedures
in the US. C: Use of adjustable gastric banding
has dramatically decreased in the US. D: Vertical
banded gastroplasty is no longer commonly
done because complication rates are high and
the resulting weight loss is insufficient.
Contraindications to bariatric Answer: B: Current drug or alcohol abuse. A: The
surgery include which of the use of bariatric surgery is controversial in patients
following? with a BMI < 30. C and D: To qualify for bariatric
a. Body mass index (BMI) < 30 surgery, patients should have a BMI of > 40 or a
kg/m2 BMI of > 35 plus a serious complication (eg,
b. Current drug or alcohol abuse diabetes, hypertension, obstructive sleep apnea
c. Obstructive sleep apnea [C], high-risk lipid profile [D]).
d. High-risk lipid profile
,Bariatric Surgery Key Points Consider weight loss surgery if patients are
motivated, have not succeeded using nonsurgical
treatments, and have a BMI of > 40 kg/m2 or a
BMI of > 35 kg/m2 plus a serious complication
(eg, diabetes, hypertension, obstructive sleep
apnea, high-risk lipid profile) or a BMI of 30 to
34.9 with type 2 diabetes and inadequate
glycemic control despite optimal lifestyle and
medical therapy.
Weight loss surgery is contraindicated if patients
have an uncontrolled psychiatric disorder (eg,
major depression), drug or alcohol abuse, cancer
that is not in remission, or another life-threatening
disorder or if they cannot comply with nutritional
requirements (including life-long vitamin
replacement when indicated).
The most common procedures are sleeve
gastrectomy and Roux-en-Y gastric bypass; use
of adjustable gastric banding has decreased
dramatically in the US.
Monitor patients regularly after surgery for
maintenance of weight loss, resolution of weight-
related comorbid disorders, and complications of
surgery (eg, nutritional deficiencies, metabolic
bone disease, gout, cholelithiasis, nephrolithiasis,
depression, alcohol abuse).
Which of the following increases Answer: B: Excess abdominal fat. Complications,
the risk of cardiovascular disorders including coronary artery disease, are more likely
in patients with obesity? in patients with fat that is concentrated
a. Osteoporosis abdominally. Choices A, C, and D do not increase
b. Excess abdominal fat the risk of cardiovascular disorders in patients
c. Psychological disorders with obesity.
d. Gastric Ulcer
, What is the role of ghrelin in food Answer: A: Ghrelin, secreted primarily by the
intake-regulating pathways? stomach, increases food intake. B, C, and D:
a. It increases food intake. Other hormones and regulatory substances have
b. It decreases food intake. these effects.
c. Level decreases when weight is
lost.
d. It integrates energy balance
signals.
Which type of exercise is MOST Answer: B: Resistance (strengthening) exercises
effective for increasing BMR? are the most effective way to increase BMR.
a. Aerobic exercise Resistance exercises increase muscle mass.
b. Resistance exercise Because muscle tissue burns more calories at rest
c. Balancing exercise than does fat tissue, increasing muscle mass
d. Flexibility exercise produces lasting increases in BMR. Choices A, C,
and D can also be effective in a weight
management program. A combination of aerobic
and resistance exercise is better than either
alone, particularly when patients choose
activities they enjoy.
