Eating

Question 1

which is more common ? Anorexia or bulimia ?

Answer 1

bulimia

Question 2

what are the good prognosticationg factiors for anorexia nerviosa?

Answer 2

admits to hunger
less denial or immaturity
imrpve self esteem

poor : parental conflicts , neuroticsm, behavior - OCD , bulimia

onset- 10-30y/o
4-6% males

Question 3

since px with anroxia nervosa are probabbly malnut , what labs findings ?

Answer 3

CBC- leukopenia with lymphocytosis
low FBS, high chole, high salivary amylase
hypoK with alkalosis- ECG ST t wave changes
amennorhea, hypothyroid , high CRH
lanugo- this hairs

Question 4

most common comorbid of anorexia nervosa

Answer 4

depression- 65%
social phobia - 34%
OCD 26%
body dysmorphic - 20%

Question 5

what % below the expected body wt will a px with anorexia advised to be admitted ?

Answer 5

20% - inpatient
30%- psych ward

5-18% mortality rate

Question 6

pharmaco for anorexia

Answer 6

Chlorpromazine - thoughts of losing wt 
Cyproheptadine- anti allergy , serotionin and histamine antagonist- for wt gain and antidepressants 
Fluoxetine - prev relapse
TCA 
ECT- anorexia  with depressionb

Question 7

charact of bulimia nervosa

Answer 7

eating - cpould happen in a period of time , excessive on what is expected .
loss of control
compensatory behaviors- vomiting, laxatives

this cycle - at least 1 week for 3 mos

Question 8

subtyopes anorexia

Answer 8

restricting type

binge-purging type

• should be present for the past 3mos

Question 9

diff of typical vs atypical anorexia ?

Answer 9

atypical -s ame criteria but wt is normal and can recognize thiness, better prognosis

Question 10

brain chanes in malnourishes

Answer 10

dec total brain volume and inc ventricular size

Question 11

what diff bulimia nervosa from binge eating ( Atypical eating d/o not otherwise specified)

Answer 11

Bulimia nervosa - with compensatory
youngerbpatient 15-17
dieting before binge

Binge eating d/o - wala
pxs are ovwerwt or obese , older 30-50, most likely male. Patients not fixated on body shape or weight.
more comorbid ( depression)
nauuna nag binging prior to dieting

anorexia nervosa subtype na binge -purge
alternates of diet with binge/ purge

Question 12

when a person is 100% over desirable weight and has repsi and cardio pathology

Answer 12

Pickwickian syndrome

- with sleep disordered breathing

Question 13

signs for bulimia patients

Answer 13

parotid gland enlargement- signify inc amylase
dental erosions
esophageal erosions hasutral dilatation
hypoK alkalosis, hypomag

Question 14

wof ipecac intoxication

Answer 14

ipecac- for suspeted food poisoning 
paericardial pain
dyspnea
f=gen muscle weakness
hypotension 
tachy 
ECG abnormalities

Question 15

bawal ibigay sa bulimia patients pero pwede sa obese?

Answer 15

Bupropion- induce seizures

Question 16

organic brain conditions with hyperphagaia

Answer 16

Kluverbucy- bilateral temporal lobe, visual agnosia and hypersexuality

Kleine Levin syndorme - periodic hypersomnia with hyperphagia

Question 17

Theraphy of choce for
anorexia
bulimia

Answer 17

anorexia - family theraohy
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bulimia- CBT