Nutritional Counseling Flashcards
7 cards from real CBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Nutritional Counseling flashcards as text
Which eating behavior is most important to address preoperatively because it predicts poor postoperative weight outcomes?
Answer: Grazing on small amounts of food continuously throughout the day
Grazing circumvents the restrictive effect of surgery and is linked to weight regain.
A patient reports vomiting after eating bread and dry chicken. What counseling point addresses this most directly?
Answer: Chew thoroughly, eat slowly, and moisten dense foods
Dense, dry foods commonly cause obstruction symptoms unless chewed thoroughly and eaten slowly.
What is the primary reason bariatric patients are advised to take calcium citrate rather than calcium carbonate?
Answer: Calcium citrate does not require stomach acid for absorption
Reduced gastric acid after surgery impairs carbonate absorption, while citrate absorbs well without acid.
A patient 2 years post-op has regained 15 pounds and reports drinking sweetened coffee drinks daily. Which concept best explains the regain?
Answer: Liquid calories bypass restriction and add energy without satiety
Caloric liquids pass easily through the pouch, contributing significant calories without triggering fullness.
Which laboratory finding would most strongly suggest thiamine deficiency in a post-op patient with persistent vomiting?
Answer: Neurological symptoms such as confusion and gait disturbance
Thiamine deficiency from prolonged vomiting can cause Wernicke encephalopathy with confusion, ataxia, and eye movement problems.
When counseling a patient on alcohol after gastric bypass, which point is most accurate?
Answer: Alcohol reaches higher blood levels faster and increases addiction transfer risk
Altered anatomy accelerates alcohol absorption, producing higher peak levels and elevating risk of alcohol use disorder.
A vegetarian patient asks how to meet protein needs post-surgery. Which option is the best recommendation?
Answer: Incorporate Greek yogurt, eggs, legumes, and soy-based protein sources
Dairy, eggs, legumes, and soy provide concentrated, high-quality protein compatible with a vegetarian bariatric diet.