Practice Test Geeks(CBC) Certified Bariatric Counselor Practice Test
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Bariatric Surgery and Procedures Flashcards

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Read the first 7 Bariatric Surgery and Procedures flashcards as text

  1. Two weeks after gastric bypass, a patient reports dizziness, sweating, and cramping shortly after eating a sugary dessert. What is the most likely cause?

    Answer: Early dumping syndrome

    Early dumping syndrome occurs 15-30 minutes after eating high-sugar foods when hyperosmolar contents rapidly enter the small intestine.

  2. Which postoperative complication after bariatric surgery is a life-threatening emergency typically presenting with tachycardia, fever, and abdominal pain in the first week?

    Answer: Anastomotic or staple-line leak

    A leak from the anastomosis or staple line allows gastric contents into the abdomen, and persistent tachycardia is often the earliest sign.

  3. A gastric bypass patient develops burning epigastric pain and is found to have an ulcer at the connection between the pouch and small intestine. Which behavior most increases this risk?

    Answer: Smoking and NSAID use

    Marginal ulcers at the gastrojejunal anastomosis are strongly associated with smoking and NSAID use, both of which impair mucosal healing.

  4. Years after Roux-en-Y gastric bypass, a patient presents with intermittent severe abdominal pain. Which delayed surgical complication should the counselor recognize as unique to bypass anatomy?

    Answer: Internal hernia through a mesenteric defect

    Rerouted bowel in Roux-en-Y anatomy creates mesenteric defects through which intestine can herniate and twist, sometimes years later.

  5. Which complication is most specifically associated with adjustable gastric banding?

    Answer: Band slippage or erosion into the stomach

    Gastric bands can slip out of position or erode through the stomach wall, which are leading reasons for band removal.

  6. A sleeve gastrectomy patient reports new or worsening heartburn after surgery. Why is this a recognized issue with this procedure?

    Answer: The high-pressure sleeve can worsen or cause gastroesophageal reflux

    The narrow, high-pressure sleeve can increase reflux, and severe GERD may require conversion to gastric bypass.

  7. Why does rapid weight loss after bariatric surgery increase the risk of gallstones?

    Answer: Rapid fat mobilization increases cholesterol saturation of bile

    Rapid weight loss raises cholesterol concentration in bile and reduces gallbladder motility, promoting stone formation.