A nurse is meeting with a 25-year-old client who has a BMI of 30 and type 2 diabetes mellitus to discuss possible treatment options, including bariatric surgery. Based on the Obesity Medicine Association (OMA) guidelines, which of the following statements by the nurse is accurate?
“You must try medication and diet changes for at least two years before surgery is considered.”
“You may be a candidate for bariatric surgery because of your BMI and type 2 diabetes.”
“Bariatric surgery is only recommended for individuals with a BMI of 40 or higher.”
“Bariatric surgery is not appropriate for people under the age of 30.”
The Correct Answer is B
A. "You must try medication and diet changes for at least two years before surgery is considered.”
The OMA and ASMBS guidelines recommend considering bariatric surgery in patients with a BMI ≥30 with comorbidities like type 2 diabetes when lifestyle and medical therapies are insufficient. There is no strict 2-year requirement.
B. "You may be a candidate for bariatric surgery because of your BMI and type 2 diabetes."
The OMA supports considering bariatric surgery for individuals with a BMI ≥30 who also have comorbidities like type 2 diabetes, especially if other treatments have failed.
C. "Bariatric surgery is only recommended for individuals with a BMI of 40 or higher."
Surgery is also considered for patients with a BMI ≥35 with comorbidities, and in some cases, ≥30 with significant health issues like diabetes.
D. "Bariatric surgery is not appropriate for people under the age of 30."
Age alone is not a disqualifier for bariatric surgery. Candidates are evaluated on BMI, comorbidities, and failure of other treatments.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lifestyle modification is the first-line treatment, including diet and physical activity, followed by pharmacotherapy if weight loss goals are not met after 6 months. Surgery is reserved for those with a BMI ≥35 kg/m².
Current guidelines emphasize lifestyle modification (diet, exercise, behavior therapy) as the first-line approach. If insufficient, pharmacotherapy may be added. Surgery is typically reserved for individuals with BMI ≥40, or BMI ≥35 with comorbidities, such as diabetes.
B. Pharmacotherapy is recommended as the first-line treatment for individuals with a BMI ≥25 kg/m², with lifestyle changes and surgery considered secondary options.
BMI ≥25 is considered overweight, and lifestyle changes, not medications, are the first-line intervention at this level.
C. Lifestyle modifications, including diet and exercise, are secondary treatments, with pharmacotherapy being the first-line approach for all individuals with a BMI ≥30 kg/m². Surgery is recommended for those with a BMI ≥40 kg/m².
Lifestyle modification is first-line, even for BMI ≥30. Pharmacotherapy is used only if lifestyle changes are insufficient.
D. Surgical interventions should be considered the first-line treatment for individuals with a BMI ≥30 kg/m², with lifestyle modifications and pharmacotherapy used only after surgery.
Surgery is not first-line for a BMI of ≥30. It is considered only for severe obesity or obesity with comorbidities after other methods fail.
Correct Answer is A
Explanation
A. Metabolism
Metabolism is the sum of all chemical reactions in the body that maintain life, including those that break down nutrients for energy and those that build new cellular components.
B. Anabolism
Anabolism refers to the building up of complex molecules from simpler ones (e.g., protein synthesis), but it is just one part of overall metabolism.
C. Catabolism
Catabolism is the breakdown of molecules to release energy (e.g., digestion), but it’s also just one half of metabolism.
D. Health promotion
Health promotion refers to activities that improve health and prevent disease, not chemical changes in the body.
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