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Neuro Exam 3 > Eating Disorders > Flashcards

Eating Disorders Flashcards

(56 cards)

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1
Q

True or False: An eating disorder is a behavioral disturbance due to a secondary condition.

A

False! Eating disorders are NOT due to a secondary condition.

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2
Q

True or False: A cancer patient that has lost his appetite and has begun losing weight is considered to have an eating disorder.

A

False! This would be a secondary condition cause.

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3
Q

True or False: There is a genetic factor to having an eating disorder.

A

True

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4
Q

Anorexia nervosa criteria states that a person will be greater than _____% below expected body weight

A

15%

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5
Q

True or False: A person with anorexia nervosa has an intense fear of gaining weight or becoming fat.

A

True

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6
Q

Mild anorexia nervosa is defined as having a BMI of ________.

A

greater than or equal to 17 kg/m2

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7
Q

Moderate anorexia nervosa is defined as having a BMI of ________.

A

16 - 16.9999 kg/m2

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8
Q

Severe anorexia nervosa is defined as having a BMI of ________.

A

15 - 15.9999 kg/m2

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9
Q

Extreme anorexia nervosa is defined as having a BMI of ________.

A

Less than 15 kg/m2

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10
Q

Most people with anorexia nervosa have a daily caloric intake of _______.

A

300-700 calories

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11
Q

True or False: Individuals with anorexia nervosa will reduce their caloric intake and compulsively exercise.

A

False! Compulsive exercise may or may not be present.

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12
Q

________ is the 3rd most common chronic illness among adolescents.

A

Anorexia nervosa

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13
Q

Anorexia nervosa is more common in:
A. Girls
B. Guys

A

A. Girls

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14
Q

The median age of onset for anorexia nervosa is 17, with the incidence rate highest between ages ___ and ___.

A

15 - 19

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15
Q

True or False: Anorexia nervosa often begins as a diet.

A

True

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16
Q

_______ is a disorder characterized by recurrent episodes of binge eating followed by recurring inappropriate compensatory behavior to prevent weight gain, and both of these features must happen at least once weekly for 3 months.

A

Bulimia Nervosa

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17
Q

The subtypes of bulimia nervosa are ______.

A

Purging and non-purging

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18
Q

True or False: Individuals suffering from bulimia nervosa can often use laxatives, enemas, and abuse diuretics.

A

True

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19
Q

The peak age of onset for bulimia nervosa is 18, with the highest incidence rates between ages ___ and ____.

A

20 - 24

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20
Q

True or False: Anorexia nervosa has a higher prevalence than bulimia nervosa.

A

False! Bulimia nervosa > Anorexia nervosa

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21
Q

A common etiology of bulimia nervosa is disturbances in ______ systems.

A

Serotonergic systems

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22
Q 
People with bulimia nervosa are often:
A. Underweight
B. Underweight but close to normal weight
C. Normal weight
D. Upper end of normal weight or over
E. Overweight
A

D. Upper end of normal weight or over

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23
Q

Callus on dorsum of hand is a sign of:
A. Anorexia nervosa
B. Bulimia nervosa

Study These Flashcards
A

B. Bulimia nervosa

24
Q

Erosion of dental enamel and dental caries are signs of:
A. Anorexia nervosa
B. Bulimia nervosa

Study These Flashcards
A

B. Bulimia nervosa

25
Weakness, lethargy, cachexia are signs of: A. Anorexia nervosa B. Bulimia nervosa
A. Anorexia nervosa
26
Osteoporosis is a sign of: A. Anorexia nervosa B. Bulimia nervosa
A. Anorexia nervosa
27
Amenorrhea is a sign of: A. Anorexia nervosa B. Bulimia nervosa
A. Anorexia nervosa
28
What is the main difference between binge-eating disorder (BED) and bulimia nervosa
Binge eating is NOT associated with recurrent use of inappropriate compensatory behavior (so no throwing up, using laxatives, diuretics, etc.).
29
To be diagnosed with binge eating disorder (BED), binge eating occurs, on average, _____/week for __ months.
At least once per week for 3 months.
30
Which of the following has the highest prevalence: A. Anorexia nervosa B. Bulimia nervosa C. Binge-Eating Disorder (BED)
C. Binge-Eating Disorder (BED)
31
Typically, binge-eating disorder (BED) is first diagnosed in _______.
Young adulthood (early-mid 20s)
32
True or False: Binge-eating disorders appears to run in families.
True
33
For any of the eating disorders, what is considered first line therapy?
Cognitive Behavioral Therapy (CBT)
34
``` Which of the following non-pharmacological therapies are used specifically for anorexia nervosa? A. Interpersonal psychotherapy B. Weight loss treatment C. Psychiatric treatment D. All of the above E. None of the above ```
C. Psychiatric treatment
35
``` Which of the following non-pharmacological therapies are used specifically for bulimia nervosa? A. Interpersonal psychotherapy B. Weight loss treatment C. Psychiatric treatment D. All of the above E. None of the above ```
A. Interpersonal psychotherapy
36
``` Which of the following non-pharmacological therapies are used specifically for binge eating disorder? A. Interpersonal psychotherapy B. Weight loss treatment C. Psychiatric treatment D. All of the above E. None of the above ```
B. Weight loss treatment
37
``` Nutritional counseling is a non-pharmacological therapy that is useful for: A. Anorexia Nervosa B. Bulimia Nervosa C. Binge-Eating Disorder D. A and C E. B and C ```
E. B and C
38
Family therapy is a non-pharmacological treatment used in eating disorders to help which age group?
Younger adults (< 18 YO)
39
``` What is the appropriate controlled weight gain amount in an inpatient setting? A. 0.5 - 1 lb/week B. 1 - 2 lbs/week C. 2 - 3 lbs/week D. 3 - 4 lbs/week ```
C. 2-3 lbs/week
40
``` What is the appropriate controlled weight gain amount in an outpatient setting? A. 0.5 - 1 lb/week B. 1 - 2 lbs/week C. 2 - 3 lbs/week D. 3 - 4 lbs/week ```
A. 0.5 - 1 lb/week
41
True or False: Total parenteral nutrition (TPN) should be used for anyone with an eating disorder.
False! Total parenteral nutrition (TPN) is reserved only for management of severely malnourished patients, and only used for patients with anorexia nervosa or bulimia nervosa who are underweight.
42
True or False: In treatment of eating disorders with nutritional support, enteral feeding (gastric) is preferred over parenteral nutrition (IV).
True
43
In nutritional support, slow feeding minimizes the risk of developing __________.
Refeeding Syndrome
44
_______ is a syndrome consisting of metabolic disturbances (mainly due to electrolyte disturbances) that occur as a result of reinstitution of nutrition to patients who are starved, severely malnourished or metabolically stressed due to severe illness.
Refeeding Syndrome
45
The FDA approved treatment for bulimia nervosa is ______.
Fluoxetine
46
Antidepressants have no role in acute phase of: A. Anorexia nervosa B. Bulimia nervosa
A. Anorexia nervosa
47
Antidepressants have robust benefit in acute phase of: A. Anorexia nervosa B. Bulimia nervosa
B. Bulimia nervosa
48
For anorexia nervosa, an SSRI, like fluoxetine, should be trial for ____ months.
9-12 months
49
Which class of medications has shown benefit in the acute phase of anorexia nervosa? A. Antidepressants B. Antipsychotics
B. Antipsychotics
50
Which antipsychotics can be used in the treatment of anorexia nervosa?
Risperidone or Olanzapine
51
When can antipsychotics be used in bulimia nervosa?
If they are treating an underlying disorder like bipolar or schizophrenia.
52
List the medications that can be used to treat Binge-Eating Disorder (BED).
Fluoxetine Topiramate Vyvanse
53
True or false: you should obtain baseline lab workup, physical exam, and EKG before starting pharmacological therapy for an eating disorder.
True
54
Which eating disorder has the highest mortality rate? A. Anorexia nervosa B. Bulimia nervosa C. Binge-Eating Disorder (BED)
A. Anorexia nervosa
55
``` Which of the following can be used as adjunctive therapy for anorexia nervosa? A. Benzodiazepines B. Metoclopramide/erythromycin C. Estrogen replacement D. Cyproheptadine E. All of the above ```
E. All of the above
56
``` Which of the following can be used as adjunctive therapy for anorexia nervosa? A. Menace B. Oxandrin C. Zinc Gluconate D. All of the above ```
D. All of the above

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