CSOWM Actual 2025 QUESTIONS AND

CSOWM (Actual 2025) QUESTIONS AND

ANSWERS

Protein needs- surgical - <<<>>60 grams minimum, 1.5g/kg IBW

Management of oxalosis + calcium oxalate stones - <<<>>Avoid dehydration Low oxalate meal plan Oral calcium Potassium citrate therapy

Iron deficiency treatment - <<<>>Ferrous sulfate, fumerate, gluconate 150-200mg elemental iron daily + vit C

Selenium deficiency markers - <<<>>Unexplained anemia/fatigue, persistant diarrhea, cardiomyopathy, metabolic bone disease

Signs of zinc def. - <<<>>Hair loss Pica / taste changes Significant dysgeusia male patients with hypogonadism or erectile dysfunction

• / 4

CSOWM (Actual 2025) QUESTIONS AND

ANSWERS

Patients being treated for zinc deficiency or using supplemental zinc should receive 1mg of copper for each 8-15 mg zinc

Copper s/s deficiency, supplementation - <<<>>2mg/day

anemia, neutropenia, myeloneuropathy, impaired wound healing

Treatment: IV copper (2-4mg/d) x 6 days

Lipid and HTN meds after surgery - <<<>>need for meds to be evaluated periodically

don't stop unless indicated

Thiamine deficiency s/s - <<<>>rapid weight loss, protracted vomitting, parenteral nutrition, excessive alcohol use, neuropathy, encephalopathy, heart failure

SIBO- impairs thiamine

NSAIDS post-op - <<<>>Avoid, may develop anastomotic ulcerations/perforations 2 / 4

CSOWM (Actual 2025) QUESTIONS AND

ANSWERS

Probiotic therapy for post-op (general recs) - <<<>>Lactobacillus plantarum Lactobacillus GG

Caffeine guidelines post-bariatric surgery - <<<>>Avoid for 30 days due to acidity and because some coffee drinks have too much sugar/calories

Waist to Hip Ratios - <<<>>Male:

Low risk: <0.95

Moderate: .96-1.0

HIgh: >1.0

Female:

Low: <0.8

Moderate: 0.81-0.85

High: >0.85

Waist circumference - <<<>>>40cm (men) >35cm (women)

associated with T2DM, Heart Dz, HTN 3 / 4

CSOWM (Actual 2025) QUESTIONS AND

ANSWERS

Risks for megaloblastic anemia - <<<>>acholrhydia alcoholism celiac ileal resection (i.e. RNY bypass) insufficient intake

Microcytic anemia - <<<>>Low MCV low normal MCHC

MCHC - <<<>>hemaglobin concentration in cell (i.e. the color of the cell)---microcytic cells are more pale

MCV - <<<>>average blood cell size

Blood test signs for megaloblastic anemia -

<<<>>Diagnose:

Low RBC Low Hgb normal MCHC low B12/folate

• / 4