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PHRM 845 > L60-62 Eating Disorders > Flashcards

L60-62 Eating Disorders Flashcards

1
Q

im going to skip a lot of the bold and underlined stuff in here because it is incredibly obvious

A

okay

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2
Q

what 3 things are common in people with anorexia? (that arent not eating and shit)

A

depression*, OCD, suicidal ideation

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3
Q

During the last 3 months, the individual has NOT engaged in recurrent episodes of binge eating or purging behavior.
A. Restricting type AN
B. Binge-eating/purging type AN

A

A

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4
Q

Weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise
A. Restricting type AN
B. Binge-eating/purging type AN

A

A

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5
Q

During the last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behavior (i.e. self-induced vomiting or the misuse of laxatives, diuretics, or enemas)
A. Restricting type AN
B. Binge-eating/purging type AN

A

B

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6
Q

** The difference between purging subgroup of AN and bulimia nervosa disorder is _____________________

A

the low body weight for AN**

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7
Q

> 17kg/m2
A. Mild BMI
B. Moderate BMI
C. Severe BMI
D. Extreme BMI

A

A

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8
Q

16-16.99 kg/m2
A. Mild BMI
B. Moderate BMI
C. Severe BMI
D. Extreme BMI

A

B

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9
Q

15-15.99 kg/m2
A. Mild BMI
B. Moderate BMI
C. Severe BMI
D. Extreme BMI

A

C

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10
Q

<15 kg/m2
A. Mild BMI
B. Moderate BMI
C. Severe BMI
D. Extreme BMI

A

D

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11
Q

The CDC and WHO consider what BMI to be on the low end of normal? ***

A

18.5 kg/m2

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12
Q

T or F: decreased bone density is a health consequence of AN

A

True

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13
Q

T or F: Abnormally fast heart rate and a low blood pressure is a health consequence of AN

A

false, slow heart rate

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14
Q

T or F: Downy layer of hair (lanugo) all over body is a health consequence of AN

A

True, its the bodys attempt to keep warm (this seems niche)

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15
Q

Inpatient hospitalization
A. tx of acute risks
B. tx of chronic sxs and relapse prevention

A

A

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16
Q

Outpatient hospitalization
A. tx of acute risks
B. tx of chronic sxs and relapse prevention

A

B

17
Q

Re-feeding results in shift from _____ metabolism to _______ metabolism

A

fat to glucose (bc in starvation energy is derived from fat)

18
Q

which of the following is not caused by re-feeding syndrome?
A. Hyperkalemia
B. Water retention
C. Severe edema

A

A

19
Q

T or F: Organ failure is not a risk in re-feeding syndrome

A

False, there is a lot of organ failure involved

20
Q

AN TX:
Increasing calories regimen for inpatient re-feeding. ***

A

increase by 500 calories/day every 4 days up to 3500 calories a day

21
Q

AN TX:
Increasing calories regimen for outpatient re-feeding. ***

A

Initial re-feeding 1200-1500 calories/day (increase weekly by 500 calories)

22
Q

What AN tx has the best outcomes? *

A

Cognitive behavioral therapy

23
Q

what drug is contraindicated in the tx of AN? (there’s probably a few but this one was bolded) **

A

bupropion bc its an appetite suppressant

24
Q

How often does binge-eating have to occur for it to be considered a disorder?

A

at least once a week for 3 months

25
Q

what is a compensatory behavior when talking about eating disorders? (not in the lecture but just for my benefit)

A

eating disordered behaviors designed to counteract the effects of eating in order to avoid weight gain or to alleviate guilt associated with eating.

26
Q

Not associated with the recurrent use of inappropriate compensatory behavior
A. Anorexia
B. Binge eating disorder
C. Bulimia

A

B

27
Q

specifiers for binge eating disorder: 3 episodes/week
A. Mild
B. Moderate
C. Severe
D. Extreme

A

A. Mild

28
Q

specifiers for binge eating disorder: 4-7 episodes/week
A. Mild
B. Moderate
C. Severe
D. Extreme

A

B. Moderate

29
Q

specifiers for binge eating disorder: 8-13 episodes/week
A. Mild
B. Moderate
C. Severe
D. Extreme

A

C. Severe

30
Q

specifiers for binge eating disorder: >14 episodes per week
A. Mild
B. Moderate
C. Severe
D. Extreme

A

D. Extreme

31
Q

The health consequences of binge eating are similar to what is observed in ______

A

obesity -> CAD, T2DM, hyperlipidemia, htn

32
Q

what is the only FDA approved drug for the tx of binge eating disorder **

A

vyvanse

33
Q

5 methods of purging in bulimia nervosa

A

vomiting
laxatives
diuretics
excessive exercise
“diabulimia” -> pts with T1DM give themselves less insulin or stop taking it

34
Q

FDA approved medication for bulimia nervosa tx

A

fluoxetine (60mg/day) -> higher dose than for depression

PHRM 845 (34 decks)

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