Eating disorders

Question 1

When do eating disorders usually present?

Answer 1

Adolescence

Question 2

OCD patients are more or less prone to eating disorders?

Answer 2

More

Question 3

True or false: athletes less commonly have eating disorders?

Answer 3

False–more common

Question 4

True or false: there is usually a critical sensitizing event with eating disorders

Answer 4

True

Question 5

The average american woman is how tall and weighs how much?

Answer 5

5’ 4”

140

Question 6

The average american model is how tall and weighs how much?

Answer 6

5’ 11’’

117

Question 7

What are the diagnostic criteria for anorexia? (4)

Answer 7

• Intense fear of gaining weight or becoming fat, even at a low weight
• Disturbance in the perception of shape or size
• Restriction of energy intake
• Disturbance or undue influence of weight or shape

Question 8

What are the BMI definitions of mild, moderate, severe, and extreme anorexia?

Answer 8

Mild less than [17-18
Moderate [16, 17)
Severe less than 16
Extreme = less than 15

Question 9

What is the progression of symptoms with anorexia?

Answer 9

Dieting progressing to more and more reductions in intake, switching to only fruits and vegetables, and an increase in physical activity

Question 10

True or false: objective hypothermia can occur with anorexia

Answer 10

True

Question 11

What is the deadliest of all psychiatric disorders?

Answer 11

Anorexia

Question 12

What are the diagnostic criteria for bulimia? (3)

Answer 12

• Recurrent episodes of binge eating
• Inappropriate compensatory behaviors to prevent weight change
• Self-eval based largely on image
• Greater than 18.5 BMI

Question 13

How often do episodes of binge eating occur with bulimia?

Answer 13

At least once a week for 3 months

Question 14

What are the drugs that are abused with bulimics?

Answer 14

Laxatives and diuretics

Question 15

What are the two subtypes of bulimia?

Answer 15

Purging and nonpurging

Question 16

What are the diagnostic criteria for binge eating disorders? (4)

Answer 16

• Frequent episodes of large quantities of food in short periods
• Feeling out of control
• Feeling ashamed or disgusted by the behavior
• Eating when not hungry or in secret

Question 17

What is the difference between BED and bulimia?

Answer 17

BED have significantly lower level of dietary restraints

Question 18

True or false: men more often have BED

Answer 18

True

Question 19

What is the pharmacotherapy treatment for BED?

Answer 19

Prozac (fluoxetine)

Question 20

Callouses on the back of the hand may suggest what?

Answer 20

Bulimia

Question 21

What causes the chipmunk cheeks with bulimia?

Answer 21

Increase salivary secretions

Question 22

True or false: cardiac impairment is a risk factor for anorexia

Answer 22

True

Question 23

True or false: there is a loss of brain tissue with anorexia

Answer 23

True

Question 24

What happens to bone density with anorexia?

Answer 24

Decreased density

Question 25

What mental illness has the highest mortality rate?

Answer 25

Anorexia

Question 26

What lab abnormality may occur with anorexia / bulimia?

Answer 26

Hypokalemia

Question 27

What are the medical complications of BED?

Answer 27

- HTN - Hypercholesterolemia - DM II - Gallbladder disease

Question 28

What are the EKG findings that can be seen with anorexia?

Answer 28

QT prolongation

Question 29

What are the CBC abnormality with anorexia?

Answer 29

Leukopenia

Question 30

What happens to hormone levels with anorexia?

Answer 30

Lower

Question 31

What metabolic disorders can be seen with bulimia? (3)

Answer 31

Hypokalemia Metabolic alkalosis Increased LFTs

Question 32

True or false: there is a lowered threshold for depression with anorexia

Answer 32

True

Question 33

What happens when starving to psych stuff?

Answer 33

- Depression - Asexual - Psych s/sx

Question 34

What are the comorbidities with eating disorders? (5)

Answer 34

- Depression - Anxiety - OCD - Substance abuse - Personality disorders

Question 35

What are the drugs that take away appetite? (2)

Answer 35

Opioids | Stimulants

Question 36

What is the treatment for eating disorders?

Answer 36

- Observed refeeding - Eliminate purging - Exercise management

Question 37

What is the multidisciplinary approach to anorexic patients? (4)

Answer 37

- Physician refers - Therapist - Dietician - Psychiatrist

Question 38

What are the two medications that may assist with weight gain and mood management?

Answer 38

- Atypical antipsychotics | - TCAs

Question 39

What do most eating disorders start off as?

Answer 39

A diet

Question 40

What personality types are predisposed to anorexia?

Answer 40

Perfectionists

Question 41

Which category of men have a higher incidence of eating disorders?

Answer 41

homosexual

Question 42

True or false: most pts with an eating disorder do not believe they are thin

Answer 42

False--most do, but fear of a loss of control if they eat

Question 43

What is the restricting type of anorexia?

Answer 43

Past 3 months individual has not engaged in recurrent episodes of binge eating or purging behavior

Question 44

What is the binge-eating/purging type of anorexia?

Answer 44

Past 3 months individual has engaged in recurrent episodes of "binge" (e.g 1 banana) eating or purging behavior

Question 45

Is amenorrhea a diagnostic criteria for anorexia?

Answer 45

Not anymore--not reliable

Question 46

What is the temperamental risk factor for anorexia?

Answer 46

Anxiety or obsessional

Question 47

True or false: having a biological relative with an eating disorder is a risk factor to developing an eating disorder

Answer 47

True

Question 48

What is the nonpurging type of bulimia?

Answer 48

Not purging, but doing other things to get rid of the calories quickly (e.g intensive exercise, etc)

Question 49

What were the results of the Maudsley approach to the treatment of anorexia?

Answer 49

50% of anorexia pts and 30% of bulimia pts showed improvement

Question 50

What are the meds that have been shown to reduce binge eating?

Answer 50

SSRIs