American Board of Internal Medicine (ABIM) Certification Practice Exam

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What additional risk factor is generally considered along with a BMI of 35 to qualify for bariatric surgery?

History of smoking
Presence of obesity-related comorbid conditions
Alcohol dependence
Age over 50

The correct answer is: Presence of obesity-related comorbid conditions

To qualify for bariatric surgery, a Body Mass Index (BMI) of 35 is often considered along with the presence of obesity-related comorbid conditions. This is because bariatric surgery is primarily indicated for individuals who not only have severe obesity but also suffer from weight-related health issues such as type 2 diabetes, hypertension, sleep apnea, or osteoarthritis. These comorbidities significantly increase the risk of adverse health outcomes associated with obesity, making surgical intervention more justified. The presence of these conditions can help to demonstrate the medical necessity of the procedure, as the benefits of weight loss through surgery may substantially alleviate or resolve these serious health issues, enhancing overall patient health and quality of life. This combined approach aids in ensuring that the surgery is not only a weight loss solution but a strategic means to improve the patient's health outcomes. Other factors like a history of smoking, alcohol dependence, or being over the age of 50 might contribute to overall health assessments but are not primary qualifying factors for bariatric surgery, particularly in direct relation to the necessity of treatment for obesity and related comorbidities.