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Native valve infective endocarditis — RCPSC IM MCQ

Instant feedback + full explanation. One question, done properly.

HardInfectious DiseasesNative valve infective endocarditisRCPSC IM

A 45-year-old with BMI 37 kg/m² has type 2 diabetes that remains above target despite intensive medical and behavioural treatment. He wants to discuss metabolic surgery. Which next step is appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Refer for comprehensive bariatric-surgery eligibility and risk assessment

The best answer is “Refer for comprehensive bariatric-surgery eligibility and risk assessment”. BMI 37 with inadequately controlled diabetes is an appropriate phenotype for multidisciplinary metabolic-surgery assessment, not an automatic operation. Evaluation addresses operative suitability, informed preference, nutrition, mental health and lifelong monitoring; diabetes supports consideration, a BMI of 50 is not required, and effective medical care continues.

Reference: Obesity Canada, adult clinical practice guideline: https://obesitycanada.ca/guidelines/