Management of morbid obesity - The Journal of Family Practice

Management of morbid obesity: The role of bariatric surgery
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1. What percentage of adults in the United States
are obese?
a. 19%
b. 31%
c. 43%
d. 52%
2. Which of the following bariatric surgical procedures
is no longer used in the United States?
a. Long-limb Roux-en-Y gastric bypass
b. Vertical banded gastroplasty
c. Biliopancreatic diversion
d. Jejunoileal bypass
3. The most commonly used bariatric surgical procedure is
a. Laparoscopic Roux-en-Y gastric bypass
b. Open Roux-en-Y gastric bypass
c. Laparoscopic gastric banding
d. Open gastric banding
4. Which of the following statements about nonsurgical
treatments for obesity is true?
a. Maximum average weight losses range
from 6 to 12 kg
b. Noncompliance rates are about 50%
c. Relapse rates approach 75%
d. All of the above
5. Which of the following antiobesity agents should be
administered with caution in patients with hypertension?
a. Sibutramine
b. Orlistat
c. All of the above
d. None of the above
6. Which of the following is a contraindication for
bariatric surgery?
a. Age 68 years
b. Severe hypertension
c. Schizoaffective disorder
d. None of the above
26 Supplement to The Journal of Family Practice March 2005
7. Gastric banding’s beneficial effects on weight and
preoperative comorbidities have made it the best surgical
solution for morbid obesity.
a. True
b. False
8. A minimal 4-specialty team that manages bariatric
surgery patients should include a
a. Nutritionist
b. Physical therapist
c. Diabetologist
d. Cardiologist
9. According to the Buchwald meta-analysis, how many
patients experience resolution of diabetes, hypertension,
and/or hyperlipidemia after bariatric surgery?
a. 50% to 60%
b. 60% to 70%
c. 70% to 80%
d. 80% to 90%
10. Nausea and vomiting after bariatric surgery may be
caused by
a. Dumping syndrome
b. Vitamin supplements
c. Inadequate mastication of food
d. All of the above
11. On average, how much does systolic blood pressure
decrease when an obese patient loses 2 kg of
weight?
a. 0.6 mm Hg
b. 0.8 mm Hg
c. 1.0 mm Hg
d. 1.2 mm Hg
12. Aspirin should be avoided by patients who have
undergone gastric banding.
a. True
b. False