Eating Disorders

Question 1

5 kinds of eating

Answer 1

anorexia, bulimia binge and purge, healthy, binge, obesity

Question 2

anorexia nervosa diagnostic criteria

Answer 2

restriction of energy intake leading to significantly low body weight, intense fear of gaining weight or becoming fat

Question 3

demographics of anorexia nervosa

Answer 3

more diagnosed in females (3:1), ~0.9% prevalence

Question 4

common comorbidities of anorexia nervosa

Answer 4

depression, OCD, suicidal ideation

Question 5

those with _____ are more likely to be affected by anorexia nervosa

Answer 5

1st degree relatives

Question 6

there are two types of anorexia nervosa

Answer 6

restricting type and binge-eating/purging type

Question 7

what is restricting anorexia

Answer 7

weight loss accomplished by dieting, fasting, or excessive exercise

Question 8

what is binge-eating/purging type of AN

Answer 8

individual has engaged in recurrent episodes of self-induced vomiting or the misuse of laxatives, diuretics, or enemas

Question 9

what BMI is considered AN

Answer 9

18.5

Question 10

What BMI is considered severe AN

Answer 10

less than 15

Question 11

Consequences of AN (12)

Answer 11

1. slow heart rate
2. low BP
3. decreased bone density
4. weakness
5. electrolyte imbalance (hypoglycemia)
6. dry skin
7. hair loss
8. severe dehydration
9. down layer of hair all over body (lanugo)
10. cold intolerance
11. delayed gastric emptying
12. constipation

Question 12

what are the treatment focuses of inpatient vs outpatient AN care

Answer 12

inpatient is treatment of acute risks and outpatient is treatment of chronic symptoms and relapse prevention

Question 13

suicidality, psychosis, severe electrolyte imbalances, and cardiac irregularities are ____ focuses of inpatient care

Answer 13

acute

Question 14

what is the goal weight increase per week of inpatient AN care

Answer 14

2-3 lbs

Question 15

what is the goal weight increase per week of outpatient care

Answer 15

0.5-1lb/week

Question 16

what is re-feeding syndrome

Answer 16

the shift from fat metabolism to glucose metabolism, rapid glucose metabolism and increased insulin secretion

Question 17

what are the 3 results of re-feeding syndrome

Answer 17

hypokalemia, water retention, and severe edema

Question 18

Re-feeding may cause what (SEVERE)

Answer 18

multiple organ failure

Question 19

What does CCI stand for in AN treatment

Answer 19

concern, correct, increase

Question 20

what is the concern phase of AN treatment

Answer 20

concern of re-feeding syndrome with initial treatment

Question 21

what is the correct phase of AN treatment

Answer 21

correct electrolytes, fluid deficits, thiamine, vitamin b complex, and other multivitamin supplements

Question 22

what is the increase phase of AN treatment

Answer 22

increase calories slowly (as low as 300-700 kcal/day

Question 23

In addition to physical feeding therapy, what other treatments should be considered for anorexia nervosa

Answer 23

CBT for best outcomes and psychotherapy

Question 24

What drug therapy is FDA approved for anorexia nervosa

Answer 24

none

Question 25

olanzapine can be used for AN to do what

Answer 25

modest weight gain

Question 26

Are SSRIs helpful for anorexia nervosa

Answer 26

little benefit for core symptoms

Question 27

what medication is contraindicated in anorexia nervosa

Answer 27

bupropion

Question 28

what is binge eating

Answer 28

recurrent episodes of binge eating at least once a week for 3 months, not associated with inappropriate compensatory behavior (purging)

Question 29

how many calories count as a binge

Answer 29

average of 3,500, some can eat 6,000-10,000 in one episode

Question 30

demographics of binge eating disorder

Answer 30

more common in females but less skewed than anorexia nervosa, tends to run in families

Question 31

common co-morbid conditions with binge eating disorder

Answer 31

depression, anxiety, borderline personality disorder, and substance use disorder

Question 32

Mild BED episode number

Answer 32

1-3

Question 33

Moderate BED episode number

Answer 33

4-7

Question 34

severe BED episode number

Answer 34

8-13

Question 35

extreme BED episode number

Answer 35

over 14

Question 36

Health consequences of binge eating disorder (5)

Answer 36

hypertension, elevated cholesterol, CVD, T2DM, gallbladder disease

Question 37

What therapy combination provides the best outcomes for patients with binge eating disorder

Answer 37

CBT + Medication

Question 38

what drug is approved for the treatment of moderate to severe binge eating disorder

Answer 38

lisdexamfetamine (vyvanse)

Question 39

Bulimia Nervosa demographics

Answer 39

more diagnosed in females, similar ratio to anorexia nervosa

Question 40

what history increases the risk for bulimia nervosa

Answer 40

anxiety as a child, HX of sexual for physical abuse, childhood obesity, early pubertal maturation

Question 41

what is bulimia nervosa

Answer 41

recurrent episodes of binge eating with recurrent inappropriate compensatory behaviors to prevent weight gain that occurs at least once a week for 3 months

Question 42

Bulimia Nervosa methods of purging (5)

Answer 42

vomiting, laxatives, diuretics, excessive exercise, diabulimia

Question 43

what is diabulimia

Answer 43

pts with diabetes give themselves less insulin than they need or stop taking insulin to promote weight loss

Question 44

outward bulimia nervosa signs of purging may include

Answer 44

teeth, lips, eyes, hands

Question 45

consequences of bulimia nervosa

Answer 45

digestive tract consequences, amenorrhea, orthostatic hypotension, bradycardia, arrhythmias, osteopenia, osteoporosis

Question 46

what treatment combination provides the best outcomes for patients with bulimia nervosa

Answer 46

CBT + medication

Question 47

what medication is FDA approved for bulimia nervosa

Answer 47

fluoxetine