Eating Disorders

Question 1

What are the types of anorexia nervosa?

Answer 1

Restricting type & Binde-eating/purging type

Question 2

What term is used to describe the appearance of a colon due to chronic laxative use?

Answer 2

Melanosis Coli

Question 3

What is the recommended treatment plan of a patient with anorexia nervosa?

Answer 3

Gradual weight restoration, treatment of underlying conditions, restoration of electrolytes, simplified CBT

Question 4

What medical conditions are associated with binge eating disorder?

Answer 4

Prader Willi & Kluver Bucy Syndrome

Question 5

True/False. Amenorrhea is required for a diagnosis of anorexia nervosa.

Answer 5

False. However, the symptoms is commonly seen in women

Question 6

This disorder has the highest mortality rate of any psychiatric disorder.

Answer 6

Anorexia nervosa

Question 7

What is the treatment for bulimia nervosa?

Answer 7

Fluoxetine, reduce binge/purging behaviors, therapy (CBT, interpersonal therapy, DBT)

Question 8

This amphetamine is approved for the treatment of binge eating disorder. What is the drug and how is abuse prevented?

Answer 8

Vyvanse - drug must be hydrolyzed by stomach enzymes at a pH < 5 in order to be activated

Question 9

This eating disorder is characterized by cravings for and chewing of substances that contain no nutritional value (ice, soil, paper).

Answer 9

Pica

Question 10

What is Russel’s sign?

Answer 10

Callaces or abrasions of the knuckles due to forced induction of vomiting.

Question 11

What criteria are required for a diagnosis of bulimia nervosa?

Answer 11

Recurring binge eating and inappropriate attempts to prevent weight gain for 3+ months, normal/elevated BMI

Question 12

True/False. A cancer patient with decreased food intake due to medications may have anorexia.

Answer 12

True. Anorexia refers to decreased oral food intake. Anorexia nervosa is a specific psychiatric disorder with intentional limitation of food intake.

Question 13

These features characterize anorexia nervosa.

Answer 13

Restriction of food, fear of weight gain, distorted body image

Question 14

True/False. Anorexia nervosa is associated with later development of osteoporosis and osteopenia.

Answer 14

True - these are longterm effecets of the disorder

Question 15

These mood-stabilizing drugs should not be used in patients with an eating disorder.

Answer 15

Wellbutrin & Lithium - lower seizure threshold

Question 16

What is the only FDA-approved medication to treat bulimia nervosa?

Answer 16

Fluoxetine (SSRI)

Question 17

How may a patient with anorexia nervosa present clinically?

Answer 17

Low BMI, socially withdrawn, rituals around eating, co-morbid mental illness, suicidal ideations

Question 18

This disorder is common in children and is characterized by involuntary urination, especially at night.

Answer 18

Enuresis

Question 19

A patient’s BMI must be below this value to be diagnosed with anorexia nervosa.

Answer 19

17.5

Question 20

In what populations are anorexia nervosa and bulimia nervosa most common?

Answer 20

Females, ages 12-14 and 18, dancers, models, actors, gay/bisexual men

Question 21

Anorexia nervosa is an obsession with weight loss. What is the general underlying theme in patients with bulimia nervosa?

Answer 21

Bulimia nervosa is generally associated with control, not weight

Question 22

What is encopresis?

Answer 22

Involuntary defecation, common in children at night

Question 23

True/False. A patient with bulimia nervosa has a BMI below average.

Answer 23

False. Patients with bulimia nervosa generally have a normal or elevated BMI.

Question 24

What substances may be used for purging in eating disorders?

Answer 24

Stimulants, thyroid supplements, laxatives, diuretics, prescribed medications

Question 25

What is Lanugo?

Answer 25

Soft, thin hair covering the back, chest, and stomach that is associated with anorexia nervosa

Question 26

What is the timeframe for diagnosis of anorexia nervosa?

Answer 26

3 months

Question 27

What symptoms must be present with binge eating disorder?

Answer 27

Recurring episodes of eating rapidly, eating past satiety, embarrassment around eating, feelings of disgust and guilt, eating until uncontrollably full

Question 28

True/False. Anorexia nervosa is a psychiatric condition intended to obtain attention from others.

Answer 28

False. Anorexia nervosa is not an attention-seeking disorder.

Question 29

What type of anorexia nervosa is most common?

Answer 29

Restricting type anorexia nervosa

Question 30

What medications are FDA-approved for the treatment of anorexia nervosa?

Answer 30

There are no FDA-approved drugs for anorexia nervosa. SSRIs and appetite stimulants are used off-label

Question 31

True/False. Cavities and enamel erosion may be present in patients with eating disorders.

Answer 31

True. This is due to frequent purging.