436 - Bariatric Surgery and Kidney-Related Outcomes

APRIL 2020 | The Surgical Technologist | 169 AST Member No. ■ My address has changed. The address below is the new address. Name Address City State Zip Telephone ■ Check enclosed  ■ Check Number a b c d a b c d 1 ■ ■ ■ ■ 11 ■ ■ ■ ■ 2 ■ ■ ■ ■ ■ ■ ■ ■ 3 ■ ■ ■ ■ 13 ■ ■ ■ ■ 4 ■ ■ ■ ■ 14 ■ ■ ■ ■ 5 ■ ■ ■ ■ 15 ■ ■ ■ ■ 6 ■ ■ ■ ■ 16 ■ ■ ■ ■ 7 ■ ■ ■ ■ 17 ■ ■ ■ ■ 8 ■ ■ ■ ■ 18 ■ ■ ■ ■ 9 ■ ■ ■ ■ 19 ■ ■ ■ ■ 10 ■ ■ ■ ■ 20 ■ ■ ■ ■ #436   APRIL 2020   1 CE CREDIT  $6 4. The two most common reported causes of end-stage renal disease (ESRD), are: a. Obesity and diabetes b. Diabetes and hypertension c. Hypertension and cardiovascular disease d. None of the above 5. Change in kidney function after bariatric surgery was first described in a study in _____. a. 1970 b. 1975 c. 1980 d. 1985 6. In a study of 985 patients, bariatric surgery was associated with a 57% lower risk of ______. a. ESRD b. eGFR c. RYGB d. CKD 7. What is one risk that may increase after bariatric surgery and may be related to the degree of fat malabsorption? a. Obesity b. Kidney stones c. Inoperative hypotension d. Steatorrhea 1. Contemporary bariatric surgery techniques are very effective in achieving sustained weight loss, with total weight loss averaging ______ of total body weight. a. 10-25% b. 15-30% c. 20-35% d. 25-30% 2. Initial efforts in bariatric surgery started in the 1970s with the jejunoileal bypass, which was a purely malabsorptive procedure, bypassing most of the ________. a. Kidney b. Small intestine c. Large intestine d. Bladder 3. Laparoscopic adjustable gastric banding (LAGB) is a purely restrictive procedure that involves the inser- tion of an adjustable ring immediately below the ___________. a. Gastroesophageal junction b. Esophagus c. Duodenum d. Stomach remainder 8. In a 2004 study, RYGB was reported effective at achieving weight loss in ____ morbidly obese patients with CKD or ESRD. a. 10 b. 20 c. 30 d. 40 9. What is the most severe renal complication of bariatric surgery? a. Oxalate nephropathy b. Urinary risk c. Dehydration d. Perioperative AKI 10. Laparoscopic vertical sleeve gastrectomy (LSG) is a restrictive surgery that involves the removal of _____ of the lateral stomach. a. 25-35% b. 40-50% c. 55-65% d. 70-80% BARIATRIC SURGERY AND KIDNEY-RELATED OUTCOMES # 436 APRIL 2020 1 CE CREDIT $6 Make It Easy - Take CE Exams Online Y ou must have a credit card to pur- chase test online. We accept Visa, MasterCard and American Express. Your credit card will only be charged once you pass the test and then your credits will be automati- cally recorded to your account. Log on to your account on the AST homepage to take advantage of this benefit. If you want to mail in your CEs, but still want to pay by credit card, give us at call at 800-637-7433. Bariatric Surgery andKidney-RelatedOutcomes