CSOWM MISCELLANEOUS EXAM QUESTIONS AND CORRECT ANSWERS – LATEST UPDATE 2026/2027 | GRADED A+ | GUARANTEED PASS.

CSOWM MISCELLANEOUS EXAM QUESTIONS AND CORRECT ANSWERS – LATEST UPDATE 2026/2027 | GRADED A+ | GUARANTEED PASS. The PCP prescribes short-term weight-loss management for an obese pt w/ migraine headaches. The nurse recognizes that which med will be most effective for the patient? a. Orlistat b. Topiramate c. Phendimetrazine Answer: B Rationale: Topiramate is an anticonvulsant that is taken in combination with a nonamphetamine like phentermine. It is effective in reducing migraines & treating obesity. The Obesity Surgery Mortality Risk Score (OS-MRS) identified what 5 preoperative risk factors that predicted increased risk of 30-day morbidity & mortality after RYGB 1. Advanced age: 45 y/o 2. "Super-obesity": BMI 50 3. HTN 4. Male gender 5. Pulmonary Embolism (PE) or surrogate (i.e. DVT, OSA) Insufficient evidence supports the routine screening & supplementation of what mineral? selenium When being treated for zinc deficiency or using supplemental zinc for hair loss, what other supplement should be taken? 1 mg copper for every 8-15 mg zinc (zinc replacement can cause copper deficiency) Thiamine supplementation should be included as part of daily MVI. Routine screening is not recommended unless post-op patient is experiencing: rapid weight loss, protracted vomiting, PN, excessive ETOH use, neuropathy or encephalopathy, or heart failure What mineral deficiency presents as hair loss, pica, significant dysgeusia, or in male pts w/ hypogonadism or erectile disfunction? zinc deficiency How should thiamine deficiency be treated? severe- IV thiamine 500mg for 3-5 days, followed by 250mg for 3-5 days or until resolution of Sx, then consider 100mg/d thiamine orally indefinitely or until risk factors resolved mildIV thiamine 100mg for 7-14 days recalcitrant or recurrent deficiency w/o 1 of the above risks= antibiotics for SIBO Lipid levels & need for lipid-lowering meds should be periodically evaluated as the effect of weight loss on dyslipidemia is ________. Meds should not be stopped unless what? - variable - clearly indicated The effect of weight loss on BP is ________. When should antihypertensive meds be evaluated & stopped? - variable - evaluated routinely, stopped only when clearly indicated Which of the following components of her presentation contributes most strongly to her personal risk of diabetes? a. Family Hx of T2D b. Presence of metabolic syndrome c. Personal Hx of gestational diabetes d. Current glucose values e. Hispanic ethnicity Answer: D - current glucose levels Rationale: Evaluations of diabetes risk in a pre-diabetic pop have consistently identified elevated fasting glucose as the dominant factor associated w/ progressive worsening of glycemia, even when mutually adjusted for other important risk factors such as gestational diabetes. Routine screening for what mineral deficiency should occur after malabsorptive procedures? Who should receive routine supplementation? - zinc - BPD/DS require supplementation Routine screening of copper is NOT indicated but should be evaluated in pts w/ anemia, neutropenia, myeloneuropathy, & poor wound healing. What dose should be included as part of daily MVI? Treatment includes? - 2 mg/d of copper supplementation - Severe deficiency treatment includes IV copper 2-4 mg/d for 6 days, subsequent treatment of mild-mod oral copper sulfate or gluconate 3-8 mg/d until levels normalize & symptoms resolve Difference between BMR & RMR BMR = measure of minimal energy needed to maintain basic & essential physiological functions - usually measured in the morning, after an overnight fast, no exercise for the previous 24 h, free from emotional stress, familiar with the apparatus, and the subject completely rested RMR = measure of minimal energy needed to maintain basic & essential physiological functions - measured either in the sitting or supine positions, with a minimum of 15 min of rest, sometimes up to an overnight rest. Total Daily Energy Expenditure (TDEE) Multiply the RMR (measured or estimated) by one of the following PA factors: Sedentary: 1.0 - 1.4 Low active: 1.4 - 1.6 Active: 1.6 - 1.9 Very active: 1.9 - 2.5. AND Adult Weight Management (AWM) Evidence-Based Nutrition Practice Guideline: Screening & Referral Annual Screening for Overweight/Obesity The RDN, in collaboration w/ other HCPs, admins & public policy decision-makers, should ensure that all adult pts have the following measurements at least annually: Persistent & severe GI sx warrant evaluation. What is the gold standard eval for celiac disease or bacterial overgrowth? When should a stool sample be obtained? - upper endoscopy w/ small bowel biopsies & aspirates - screen stool if presence of Clostridium difficile colitis is suspected