Bulimia Nervosa

Question 1

Features of bulimia nervosa

Answer 1

Not significantly underweight
Preoccupation with body shape/weight which strongly influences self evaluation
Episodes of binge eating
Recurrent compensatory behaviours

Question 2

Episodes of binge eating how often

Answer 2

Once a week for a month

Question 3

Diabetes type 1 eating disorder restricitve

Answer 3

Diabulimia

Question 4

Binge eating disorder

Answer 4

Frequent binges
Distressing accompanied by negative emotions
Not ass with compensatory behaviours
Discrete period of time
Subjective loss of control
More than usual

Question 5

ARFID

Answer 5

Abnormal eating/feeding resulting in insufficient quantity of variety of food

Question 6

Features of ARFID

Answer 6

Significant weight loss/failure to gain weight
Negatively affect health of person/functioning
Not due to concerns about body weight or shape
It isn’t about lack of food availability

Question 7

3 subtypes ARFID

Answer 7

Specific phobia - choking, committing, allergy, worsening condition, GI upset
Picky eating - autistic traits, taste, texture, smell, brand
Lack of appetite or somatic anxiety symptoms

Question 8

What use in children

Answer 8

Expected percentage body weight
Arrest of puberty - prepubertal onset

Question 9

Hormonal affects of eating disorders

Answer 9

Amenorrhea
Men - loss of sexual interest or potency

Question 10

Bigorexia

Answer 10

Muscle dysphoria

Question 11

Drunkorexia

Answer 11

Restrict so can have calories in alcohol

Question 12

Orthorexia

Answer 12

Healthy or clean diet obsessed

Question 13

Cycle of bulimia nervous

Answer 13

Diet
Binge
Purge

Question 14

Peak age of onset anorexia

Answer 14

15-25

Question 15

Average illness duration anorexia

Answer 15

6 years

Question 16

Incidence of bulimia over 16 in UK

Answer 16

1%

Question 17

Binge eating disorder % in population

Answer 17

3.2%

Question 18

Anorexia comorbid mental heatlh disorders

Answer 18

Depressive
OCD
Anxiety disorder
Personality disorder - BPD

Question 19

Comorbid health disorders mental with bulimia

Answer 19

Depression
Substance misuse
Self harm/suicide attempts
Emotionally unstable personality disorder

Question 20

What are some recurrent compensatory behaviours?

Answer 20

Purging
Restricting
Exercise
Neglect insulin treatment

Question 21

Avoidant Restricitve Food Intake Disorder

Answer 21

Abnormal eating/feeding resulting in insufficient quanitity/variety of food
Significant weight loss/failure to gain weight
Negatively affective the health of the person/impaired functioning
Not due to concerns about body weight or shape
It isn’t about lack of food availability/effects of meds/substance use/underlying physical health condition

Question 22

Criteria for eating disorders

Answer 22

DSM-V

Question 23

Signs of eating disorder in children

Answer 23

BMI for age under 5th percentile
Prepubertal onset - delayed/arrested

Question 24

Men signs of eating disorder

Answer 24

Loss of sexual interest or potency
Differences in idealised body shape - muscular strength, definition, physical fitness

Question 25

Behaviours driven by fear in anorexia

Answer 25

Lying, aggression, distress Falsifying weight, tampering with feed, secret exercise

Question 26

% young women in high income countries with eating disorers

Answer 26

15%

Question 27

What is the most chronic illness common in adolescence

Answer 27

Anorexia

Question 28

What % of patients with anorexia go on to develop bulimia

Answer 28

50%

Question 29

What is the most common eating disorder in the uk

Answer 29

Binge eating

Question 30

How many people with bulimia or binge eatind disorder will become obese?

Answer 30

33-50%

Question 31

How much more likely are you to have anorexia vs bulimia if a relative does?

Answer 31

11.3 - anorexia 4.4-9.6 - bulimia

Question 32

Starvation physical symptoms

Answer 32

Cardiac arrhythmias Postural hypotension Hypothermia Bone marrow suppression Sepsis Electrolyte imbalance Renal Failure Liver failure / Hepatitis Hypoglycaemia Lagopthalmos Muscle wasting Pressure sores Osteoporosis Impaired fertility Thyroid abnormalities Hypercortisolaemia Dermatological complications Impaired cognitive function

Question 33

Complication of hyponatremia

Answer 33

Confusion/coma