Weight Management Blackboard Quiz

Medication class that should be given IV after Roux-en-Y gastric bypass (RYGB)

NSAIDs

People in the action stage have NOT made lifestyle changes within the past six months

False

Monitoring needed after RYGB for levothyroxine, lisinopril, and divalproex

Valproic acid serum concentration; Thyroid-stimulating hormone (TSH); Blood pressure

Lifestyle change patients should expect after bariatric surgery

Attend support groups

Vitamin supplementation recommendation after LAGB

Two multivitamins daily + 1200 mg calcium citrate in divided doses + 3000 IU vitamin D3

Medical condition that lowers BMI criteria for bariatric surgery eligibility

Osteoarthritis

Medication that should be avoided before bariatric surgery

Ethinyl estradiol

Appropriate medication changes before RYGB in diabetic patient

Start high-intensity statin; monitor blood glucose and decrease insulin before adjusting metformin

Drug formulation most concerning after RYGB due to absorption issues

Extended-release medications

Stages of the transtheoretical model of change

Precontemplation; Contemplation; Action

Appropriate medication management before bariatric surgery in HTN/gout patient

Monitor blood pressure and adjust medications as needed

Vitamin deficiency caused by reduced intrinsic factor after surgery

Vitamin B12

Most common limitation of iron supplementation

Constipation

Correct application of the transtheoretical model of change in weight management

None of the above

Surgery that removes part of the stomach but keeps the rest of the GI anatomy intact

Vertical sleeve gastrectomy (VSG)

Most accurate statement regarding BMI recommendations for metabolic bariatric surgery

ASMBS and ADA have similar BMI thresholds

Kayser-Fleischer rings indicate toxicity of

Copper

The transtheoretical model involves five stages of behavioral change

True

Important counseling point for contraception after bariatric surgery

Women may have increased fertility after surgery

Surgery balancing significant weight loss with fewer malabsorption complications

Vertical sleeve gastrectomy (VSG)

Medication characteristic most concerning after RYGB

Drug metabolized by CYP3A4

Surgery associated with the least amount of weight loss

Gastric band

Stage where people do not intend to take action soon

Precontemplation

Stage where people intend to take action within six months

Contemplation

Patients who require 1800-2400 mg/day of elemental calcium after surgery

Biliopancreatic diversion with duodenal switch (BPD/DS)