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

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  1. Which vitamin deficiency is most critical to prevent after gastric bypass because the procedure bypasses the primary site of intrinsic factor-mediated absorption?

    Answer: Vitamin B12

    Bypassing much of the stomach reduces intrinsic factor and acid needed for B12 absorption, so lifelong supplementation is required.

  2. A counselor advises a post-bypass patient on calcium supplementation. Which form is preferred and why?

    Answer: Calcium citrate, because it does not require stomach acid for absorption

    Calcium citrate is preferred after bariatric surgery because it absorbs well without stomach acid, unlike calcium carbonate.

  3. Which eating guideline is standard during the first weeks after bariatric surgery?

    Answer: Progress gradually from clear liquids to pureed foods to soft foods

    Patients advance through staged textures — clear liquids, full liquids, purees, then soft foods — to protect the healing pouch.

  4. Why are patients told to avoid drinking fluids within 30 minutes of meals after bariatric surgery?

    Answer: Fluids can flush food through the pouch, reducing satiety and risking discomfort

    Drinking with meals washes food rapidly through the small pouch, reducing fullness and potentially causing dumping or overeating.

  5. What daily protein intake is generally recommended for adults after bariatric surgery to preserve lean body mass?

    Answer: At least 60-80 grams per day

    Most guidelines recommend a minimum of 60-80 grams of protein daily after bariatric surgery to prevent muscle loss.

  6. A post-surgical patient develops confusion, unsteady gait, and eye movement abnormalities after weeks of persistent vomiting. Which deficiency must be treated urgently?

    Answer: Thiamine (vitamin B1)

    Persistent vomiting can deplete thiamine within weeks, causing Wernicke encephalopathy, which requires immediate thiamine replacement.

  7. Which patients after bariatric surgery are at greatest risk of iron deficiency anemia?

    Answer: Menstruating women after gastric bypass

    Menstruating women lose iron regularly, and bypass reduces acid and duodenal absorption, compounding their deficiency risk.