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Bariatric Surgery

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Jonathan Carter, MD Professor of Clinical Surgery, University of California San Francisco

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1. Which of the following conditions is most likely to resolve after bariatric surgery?

Select only 1 answer.

  1. A. Hypertension
  2. B. Osteoarthritis
  3. C. Chronic obstructive pulmonary disease (COPD)
  4. D. Type 1 Diabetes

2. What is the primary mechanism by which bariatric surgery induces weight loss?

Select only 1 answer.

  1. A. Caloric malabsorption
  2. B. Hormonal alterations
  3. C. Increased physical activity post-surgery
  4. D. Complete digestive system bypass

3. Which of the following is a common long-term complication of Roux-en-Y gastric bypass?

Select only 1 answer.

  1. A. Gastroesophageal reflux disease (GERD)
  2. B. Marginal ulcer
  3. C. Gallstones
  4. D. Vitamin B12 deficiency

4. Which statement is true regarding the comparison of weight loss outcomes between gastric bypass and sleeve gastrectomy?

Select only 1 answer.

  1. A. Gastric bypass consistently results in greater weight loss than sleeve gastrectomy.
  2. B. Sleeve gastrectomy has a higher complication rate than gastric bypass.
  3. C. Both procedures result in similar long-term weight loss.
  4. D. Gastric bypass is preferred over sleeve gastrectomy for all patients.

5. Which hormone's suppression is primarily responsible for the reduced appetite seen in patients after gastric bypass?

Select only 1 answer.

  1. A. Insulin
  2. B. Ghrelin
  3. C. Leptin
  4. D. Cortisol

6. What is the recommended first-line treatment for a patient with a BMI of 28 and metabolic syndrome?

Select only 1 answer.

  1. A. Referral for bariatric surgery
  2. B. Lifestyle modification and pharmacotherapy
  3. C. Bariatric surgery
  4. D. Observation without intervention

7. Which diagnostic test is essential before bariatric surgery to assess for potential surgical complications?

Select only 1 answer.

  1. A. Colonoscopy
  2. B. Upper endoscopy
  3. C. Pulmonary function test
  4. D. Electrocardiogram (ECG)

8. Which of the following is a contraindication for bariatric surgery?

Select only 1 answer.

  1. A. BMI > 40 with no comorbid conditions
  2. B. BMI > 35 with type 2 diabetes
  3. C. Active substance abuse
  4. D. Stable coronary artery disease

9. Which of the following bariatric procedures is most associated with the development of gastroesophageal reflux disease (GERD)?

Select only 1 answer.

  1. A. Roux-en-Y gastric bypass
  2. B. Adjustable gastric banding
  3. C. Sleeve gastrectomy
  4. D. Biliopancreatic diversion

10. Which of the following BMI ranges qualifies a patient for bariatric surgery under the latest guidelines?

Select only 1 answer.

  1. A. BMI 25-29.9 with metabolic disease
  2. B. BMI 27-29.9 with metabolic disease
  3. C. BMI 30-34.9 with metabolic disease
  4. D. BMI 35+ without metabolic disease

11. What is the primary reason for using a sleeve gastrectomy over a Roux-en-Y gastric bypass?

Select only 1 answer.

  1. A. Lower incidence of nutrient malabsorption
  2. B. Higher long-term weight loss
  3. C. Reduced risk of postoperative GERD
  4. D. Simpler surgical procedure with fewer complications

12. Which hormone, often called the "hunger hormone," is significantly reduced after gastric bypass surgery?

Select only 1 answer.

  1. A. Insulin
  2. B. Leptin
  3. C. Ghrelin
  4. D. GLP-1

13. In a patient with a BMI of 44 and metabolic syndrome, what is the expected average percentage of total body weight loss after 12 years post-gastric bypass?

Select only 1 answer.

  1. A. 10%
  2. B. 20%
  3. C. 30%
  4. D. 40%

14. Which of the following is a contraindication to bariatric surgery?

Select only 1 answer.

  1. A. Uncontrolled schizophrenia
  2. B. Well-controlled Type 2 Diabetes
  3. C. Stable coronary artery disease
  4. D. Obesity-related obstructive sleep apnea

15. Which of the following is the most accurate description of how bariatric surgery impacts Type 2 Diabetes?

Select only 1 answer.

  1. A. Reduces the need for medication but rarely leads to remission
  2. B. Often results in remission or significant improvement in glycemic control
  3. C. Primarily helps by promoting weight loss alone
  4. D. Has little impact on glycemic control

16. Which of the following patients is most likely to benefit from bariatric surgery?

Select only 1 answer.

  1. A. A 65-year-old with a BMI of 28 and no metabolic disease
  2. B. A 50-year-old with a BMI of 35 and well-controlled hypertension
  3. C. A 40-year-old with a BMI of 32 and uncontrolled Type 2 Diabetes
  4. D. A 25-year-old with a BMI of 22 and a history of anorexia nervosa