Weight Loss

Question 1

Any loss of more than________ of normal body weight is

significant

Answer 1

5%

Question 2

The most common cause in adults of recent weight

loss is _________

Answer 2

stress and anxiety

Question 3

Two conditions commonly associated with
weight loss are ______ and ______; they must be
excluded

Answer 3

anaemia and fever

Question 4

Red flag pointers for weight loss

Answer 4

• Weight loss per se is a big red flag
• Rapid weight loss with malaise
• Acid dental erosion on surfaces of upper teeth:
think bulimia
• Weakness and malaise in young females: consider
eating disorder and hypokalaemia
• Evidence of abuse in a child

Question 5

_________ is quite common and is almost
entirely confined to females between the ages of
12 and 20 years

Answer 5

Anorexia nervosa

Question 6

Weight loss in children can be considered as:
1
2

Answer 6

1. failure to thrive (FTT): the child up to 2 years
   below 3rd percentile (
2. weight loss in a child after normal development

Question 7

In common with the younger child who
fails to thrive, the older child may be suffering from
1
2
3

Answer 7

malabsorption syndrome, chronic infection of the
urinary tract or a rare chromosomal or metabolic
disorder.

Question 8

Traits associated with people who have eating DO

Answer 8

They tend to be perfectionists with

obsessive–compulsive traits

Question 9

Hx associated with eating DO

Answer 9

A history of childhood

sexual abuse may be relevant.

Question 10

_________ is a syndrome characterised by
the obsessive pursuit of thinness through dieting with
extreme weight loss and disturbance of body image

Answer 10

Anorexia nervosa

Question 11

Onset of anorexia nervosa

Answer 11

Bimodal age of onset: 13–14 and 17–18 years

Question 12

Anorexia Nervosa DSM Criteria

A Restriction of energy intake relative to
requirements leading to significantly low body
weight in context of age, sex and physical
health. That weight is less than minimally normal
or expected
B Intense fear __________
C Disturbance of_________

Answer 12

of gaining weight or becoming fat, despite current underweight status

body image (body size or shape) or persistent lack of recognition of seriousness of low body weight

Question 13

Types of anorexia

Answer 13

restricting type—no binge eating or purging binge eating/purging type

Question 14

__________ is episodic secretive binge eating followed by self-induced vomiting, fasting or the use of laxatives
or diuretics.

Answer 14

Bulimia

Question 15

Bulimia nervosa

This binge–purge syndrome is also referred to as _______

Answer 15

bulimarexia.

Question 16

Types of bulimia

Answer 16

There are two types—the purging type and the nonpurging type

Question 17

Type pf bulimia where fasting or excessive exercise are the compensatory behaviours

Answer 17

non-purging type

Question 18

Bulimia

The_________ is the most life-threatening behaviour because of the danger of hypokalaemia.

Answer 18

purging type

Question 19

True of menses of pts with bulimia

Answer 19

Menstrual history usually normal but periods may be irregular—amenorrhoea rare

Question 20

Cx of bulimia

Answer 20

Physical complications of frequent vomiting (e.g.

dental decay, effects of hypokalaemia)

Question 21

Other associations of bulimia

Answer 21

• Impulse control disorders (e.g. gambling,
substance abuse)
• Depressed mood with guilt after a binge

Question 22

defined as recurrent episodes of binge eating in the absence of regular use of inappropriate compensatory behaviours characteristic of bulimia nervosa.

Answer 22

‘binge eating disorder’

Question 23

_______ is the preferred agent for bulimia

Answer 23

Fluoxetine

Question 24

_____________ is the most common
reversible cause of weight loss in elderly people,
occurring in up to 30% of all medical outpatients
presenting with undernutrition

Answer 24

Depression

Question 25

Weight loss of more than 5% body weight in 6 months is significant and suggests ___________

Answer 25

undernutrition.