Weightloss

Practise MCQs on Bariatric surgery & Complications

Welcome to the Bariatric Surgery Complications MCQ Practice section at mcqsurgery.com—your go-to resource for mastering the critical challenges of weight loss surgery.
 
As bariatric procedures like gastric bypass, sleeve gastrectomy, and adjustable gastric banding become increasingly common in addressing obesity, understanding their complications is essential for every surgeon-in-training and exam candidate. From anastomotic leaks to dumping syndrome, strictures to nutritional deficiencies, this specialized question bank dives deep into the real-world scenarios that test your clinical knowledge and decision-making skills.
Bariatric Surgery MCQs

Bariatric Surgery & Obesity MCQs

This page has 8 questions. First 3 are free. Questions 4–8 are visible only to premium members.
Q1) Ghrelin is secreted by?
a) Stomach - Fundus
b) Stomach - Antrum
c) Proximal Small Intestine
d) Distal Small Intestine
Ghrelin, the only known orexigenic gut hormone, is also known as the hunger hormone and is secreted by P/D1 cells of the gastric fundus.

Ghrelin stimulates release of various neuropeptides, such as neuropeptide Y (NPY) and growth hormone, from the hypothalamus, which creates an orexigenic or increased appetite state.
Q2) Dietary restriction is the 1st step in initiating weight loss in patients with Morbid Obesity. Which of the following is not true regarding diet control in such patients?
a) Patients with Body mass index (BMI) more than 35% an energy restriction of 1000 cal/day induces weight loss of 1 pound/day
b) Adherence to low calorie diet reduces weight loss of about 6-8% in 6 months
c) Energy deficit leads to glucogen mobilization
d) Water loss also occurs in this state
2) a
Any patient of morbid obesity when seen for the 1st time should be advised life style modification as well as dietary restrictions. Low calorie diet is one such option but it requires adherence and determination.

Low calorie diet of about 1000 cal/day leads to weight loss of 1 pound in a week and not in one day.
All other statements are true.
Ref- Buchwald: Surgical Management of Obesity, 1st ed.
Q3) Which of the following weight loss surgery for morbid obesity is obsolete?
a) Gastric Bypass
b) Jejuno ileal bypass
c) Vertical band gastroplasty
d) Bilio Pancreatic Diversion
3) b
Earlier jejunoileal bypass was the procedure done for morbid obesity. Later results showed that this procedure was associated with significant short term and long term complications, the most important being cirrhosis due to bacterial overgrowth and malabsorption.

Biliopancreatic diversion involves the diversion of these secretions to the bypassed intestinal segment. This procedure decreases but does not completely eliminate bacterial overgrowth.
Shackelford stomach pg 194.
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