HBM 05b: Obesity and ED Flashcards

1
Q

DSM-5 states that cut-off for anorexia is BMI of:

A

17.0

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2
Q

T/F: Amenorrhea must be present to diagnose anorexia.

A

False

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3
Q

T/F: Anorexia patients can also have binge eating disorders.

A

True

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4
Q

Leading cause of death in U.S. is (X) and this has (increased/decreased/not changed) recently.

A

X = smoking

Decreased

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5
Q

Overweight/obese population has (increased/decreased/not changed) recently. What percent of adult population is overweight/obese?

A

Increased (by 10%);

66% ow/obese

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6
Q

BMI equation (in lbs and inches).

A

BW (lbs)*705/height(in)^2

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7
Q

Normal BMI range:

A

20-24.9

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8
Q

Overweight BMI range:

A

25-30

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9
Q

Obese BMI range:

A

Greater than 30

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10
Q

At least (X)% of adults are obese

A

X = 25

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11
Q

Women have (less/greater/equal) rate of obesity compared to men. By what factor?

A

Greater; Double the rate

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12
Q

(X)% of children, ages (Y), are markedly overweight or obese.

A
X = 17
Y = 2-19 yo
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13
Q

Which region in the U.S. has the highest obesity rates?

A

South

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14
Q

T/F: Not controlling your kid’s weight is not considered child abuse.

A

True

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15
Q

Overweight individuals are at increased risk for:

A
  1. Metabolic syndrome
  2. Diabetes
  3. Heart disease
  4. Some cancers
  5. Asthma
  6. Obstructive sleep apnea
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16
Q

T/F: Being overweight puts you at higher risk for all cancers.

A

False - only some

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17
Q

T/F: Being overweight puts you at increased risk for certain social/emotional problems.

A

True

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18
Q

How does obesity affect liver health?

A

Higher risk for cirrhosis, liver failure, liver cancer

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19
Q

A(n) (early/later/normal) onset of puberty is seen in some obese girls.

A

Early (7-8 y.o.)

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20
Q

T/F: Almost 50% of 8-yo black, obese girls have hit puberty.

A

True

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21
Q

Early maturation in girls can lead to which problem(s)?

A
  1. Lower self esteem
  2. Less favorable body image
  3. Early sexual intercourse
  4. Higher depression/suicide rates
  5. Greater risk of ED
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22
Q

Obese/overweight adults lost the most weight successfully through (X). Why?

A

X = weight watchers

Community, support network

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23
Q

T/F: A severely obese patient will undergo more successful treatment than mildly overweight patient due to higher motivation.

A

False - mildly overweight more successful (early intervention!)

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24
Q

Describe Gastric Bypass surgery

A

Food rerouted past part of stomach and small intestine

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25
Q

Describe Bariatric surgery

A

Size of stomach is effectively reduced

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26
Q

T/F: The surgical interventions are most effective in long term for weight management/loss.

A

False - initially successful, but little value in long term

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27
Q

What are some behavioral modifications that can assist overweight/obese patients?

A
  1. Self-monitor (when/why do you eat?)
  2. Stimulus control (modify environment)
  3. Response control (eat properly; huger/satiety cues)
  4. Contingency management (reward/punishment)
28
Q

Mean weight loss, from baseline, 10 years after bariatric surgery was (X)%.

A

X = 16

29
Q

List some long term complications that can arise from bariatric surgery.

A
  1. Stomal stenosis
  2. Anastomotic ulcers
  3. Nutritional deficiency
  4. Bowel obstruction
30
Q

T/F: When raising a child, it is important to label food as “good” and “bad” when he’s growing up, so he is aware what choices in food to make.

A

False - don’t label food as “bad” (makes them more appealing; leads to disorders)

31
Q

Obesity is common in (X) age group. EDs are common in (Y) age group.

A
X = all
Y = teens/young adults
32
Q

Obesity is frequent in (men/women).

A

Both

33
Q

Obesity has higher prevalence among (rich/poor). EDs more common in (rich/poor).

A

Poor; rich

34
Q

T/F: EDs, unlike obesity, are much more common in USA.

A

True

35
Q

Compensatory behaviors are seen in which ED?

A

Anorexia and bulimia; (not binge-eating disorder)

36
Q

Marked distress over eating is found in which ED?

A

Binge-eating disorder

37
Q

Distress by condition is found in which ED?

A

Bulimia

38
Q

Anorexia causes (increase/decrease) in bone density and (X) gland.

A

Decrease;

X = thyroid

39
Q

Anorexia causes increase in (X) enzymes.

A

X = liver

40
Q

Which EDs show anemia and hypokalemia?

A

Anorexia and (to a milder degree) bulimia

41
Q

CV problems, such as (X), in bulimia arise from:

A

X = arrhythmias

Malnutrition/electrolyte imbalance from purging

42
Q

For an individual to be diagnosed with bulimia, (X) must occur at what frequency?

A

X = binge/purge cycle

Twice a week for 3 months

43
Q

Mild bulimia is defined by:

A

1-3 binge/purge cycles per week

44
Q

Moderate bulimia is defined by:

A

4-7 binge/purge cycles per week

45
Q

Severe bulimia is defined by:

A

8-13 binge/purge cycles per week

46
Q

Extreme bulimia is defined by:

A

14 or more binge/purge cycles per week

47
Q

About how many calories are consumed per binge episode in bulimia?

A

2000-5000 calories

48
Q

Patients with bulimia are typically (normal/over/under) weight.

A

Normal or overweight

49
Q

Impulse problems in sexual promiscuity, impulsive spending, and self-mutilation can be indicative of which EDs?

A

Bulimia nervosa

50
Q

(X)% of bulimia patients report sexual abuse.

A

X = 20-5-

51
Q

Bulimia is found in (X)% of college women

A

X = 8

52
Q

Rectal prolapse is found in which ED?

A

Bulimia

53
Q

Most effective treatment for bulimia includes:

A

Combo of:

  1. Cognitive and behavioral therapies (individual therapy)
  2. Antidepressants (SSRIs)
54
Q

Anorexia mortality rate is (X)%.

A

X = 18

55
Q

T/F: Anorexia patients have normal appetite.

A

True

56
Q

T/F: Anorexia patients aren’t as preoccupied with becoming fat as other EDs.

A

False - intense fear of becoming fat

57
Q

Which macromolecules are especially avoided in anorexia?

A

CHO and fats

58
Q

T/F: Anorexia patients are fairly vocal about weight control efforts.

A

False - usually secretive

59
Q

T/F: Anorexia patients usually deny the seriousness of the illness.

A

True

60
Q

Typical age of onset for anorexia.

A

12 - 25 y.o.

61
Q

(X)% of anorexia patients also have bulimia diagnosis at times in their life.

A

X = 50

62
Q

(X)% of anorexia patients also have depression diagnosed at times in their life.

A

X = 50-75

63
Q

(X)% of anorexia patients also have OCD diagnosed at times in their life.

A

X = 10

64
Q

T/F: Unlike anorexia patients, bulimic patients will report their depression.

A

True

65
Q

(X) therapy is nearly always indicated for anorexia nervosa patients.

A

X = family

66
Q

Death in anorexia patients usually due to:

A

Cardiac arrhythmias (due to metabolic abnormalities like hypokalemia)