Eating disorders

Question 1

Biological RFs for eating disorders

Answer 1

F
FH
Age - Adolescence
Early menarche (bulimia nervosa)

Question 2

Psychological RFs for eating disorders

Answer 2

Adverse parenting - eg. high expectations
Abuse
Perfectionism
Low self esteem

Question 3

Social RFs for eating disorders

Answer 3

Adolescence - social media
Western culture
Bullying
Occupation

Question 4

Common eating disorders

Answer 4

Anorexia nervosa
Bulimia nervosa
Binge eating disorder

Question 5

Anorexia nervosa features

Answer 5

BMI < 17.5
Amenorrhoea
Excess in higher social class
Overvalued idea of dread of fatness

Question 6

Definition of anorexia nervosa

Answer 6

Person tries to keep weight low

Eg. Starving, Excessive exercise

Question 7

Bulimia nervosa features

Answer 7

BMI > 17.5

Mostly young adults

Question 8

Bulimia nervosa definition

Answer 8

Periods of binge eating and then deliberate purge (eg. vomiting, laxatives) to control weight

Question 9

Binge eating disorder age? BMI?

Answer 9

BMI > 30

Pts usually present in 40s

Question 10

Binge eating disorder definition

Answer 10

Compelled to overeat large food quantities in short space of time in absence of weight control behaviour

Question 11

Overvalued idea vs delusion

Answer 11

Overvalued idea may be challenged

Delusion cannot

Question 12

Diabulimia

Answer 12

Diabetic and reduce calorie intake by modifying insulin regime
Very dangerous

Question 13

Binge-purge subtype of anorexia vs Bulimia nervosa

Answer 13

BMI < 17.5 vs BMI > 17.5

Question 14

Binge eating disorder criteria

Answer 14

Pt distressed by their behaviour

Binge eating > 2 days per month

Question 15

Binge definition

Answer 15

Eaten in discrete amount of time ( < 2 hrs)

Associated with lack of control

Question 16

BMI level for concerns over capacity

Answer 16

BMI < 15

Question 17

Brain daily calorie requirements

Answer 17

500 kcal per day

Question 18

Physical Sx

Answer 18

Increased sensitivity to cold
GI Sx
Syncope
Amenorrhoea
Low sexual appetite
Lanugo
Stunted growth
Dry skin

Question 19

Physical signs of eating disorders

Answer 19

Hypercarotenaemia
Russel's sign
Parotid and submandibular swelling
Perimylolysis
Bradycardia / Arrhythmias
Orthostatic hypotension

Question 20

Lanugo

Answer 20

Fine downy hair

Question 21

Perimylolysis

Answer 21

Erosion of inner surface of teeth

Due to frequent vomiting

Question 22

Common complications of eating disorders

Answer 22

Hypokalaemia - ‘U’ have no Pot and no T but a long PR and a long QT
Thyroid dysfunction
Osteoporosis

Question 23

Assessment of eating disorders

Answer 23

Medical
Patterns of eating - changes over time
Psychological

Question 24

Medical assessment of eating disorders

Answer 24

BMI

Physical Sx

Question 25

Psychological assessment of eating disorders

Answer 25

Body image disturbance Why now? Motivation to change?

Question 26

Hypercarotenaemia

Answer 26

Orange pigmentation of skin

Question 27

Russel's sign

Answer 27

Calluses on back of hand over knuckles | Due to repeated self induced vomiting