Eating Disorders

Question 1

Binge Eating Disorder Must have at least 3 of the 5 criteria:

Answer 1

Eating much more rapidly than normal
Eating until uncomfortably full
Eating large amounts of food when not feeling physically hungry
Eating alone because of embarrassment
Feeling disgusted, depressed or very guilty over overeating

Question 2

PHYSICAL EXAM–anorexia

Answer 2

Vital signs to include orthostatics
Skin and extremity evaluation
Dryness, bruising, lanugo
Cardiac exam
Bradycardia, arrhythmia, MVP
Abdominal exam
Neuro exam
Evaluate for other causes of weight loss or vomiting (brain tumor)

Question 3

Bulimia Pharmacotherapy

Answer 3

Fluoxetine (Prozac) SSRI
TCAs
Topiramate (Topamax)
Ondansetron (Zofran) 24 mg/day

Question 4

The Female Athlete’s Triad

Answer 4

Eating Disorders
Stress Fractures
Amenorrhea

Question 5

The Female Athlete’s Triad Treatments

Answer 5

Estrogen Replacement
Decrease energy expenditure
Nutritional consultation
Calcium with vitamin D 
Psychological counseling.
NOT NSAIDs