3_4EatingDisorders

Question 1

What are the risk factors for developing an eating disorder?

Answer 1

female, middle class, sports, college-aged

Question 2

What hormones may be involved in eating disorder pathogenesis?

Answer 2

dopamine, serotonin, dopamine

Question 3

What are the screening tools for eating disorders?

Answer 3

SCOFF and ESP

Question 4

Define AN.

Answer 4

psychiatric disorder with severe physiologic consequences characterized by inability or refusal to maintain a minimally normal body weight

Question 5

What are the types of AN?

Answer 5

restricting; binge-eating and purging and/or purging

Question 6

What is the usual onset for AN?

Answer 6

13-18 yo

Question 7

What is the mortality rate for AN?

Answer 7

10%

Question 8

Describe restricting AN.

Answer 8

300-700 cal/day with intense exercise; no binging or purging

Question 9

Describe binge-eating and purging and/or purging

Answer 9

regular engagement of these activities

Question 10

What are the DSM-5 criteria for AN?

Answer 10

1) restriction of energy intake resulting in less than minimally normal weight 2) intense fear of becoming fat or gaining weight, 3) distorted body image

Question 11

What components are no longer included in DSM-5 for AN?

Answer 11

amenorrhea and weight

Question 12

What are the 3 components of treatment for eating disorders?

Answer 12

1) weight restoration, 2) psychotherapy, 3) nutrition

Question 13

What drug classes are used in the treatment of AN?

Answer 13

1) SSRIs, 2) atypical antipsychotics, 3) prokinetics, 4) PPIs

Question 14

What is refeeding syndrome?

Answer 14

occurs with AN and most common with < 70 % IBW. Acute decrease in PO4, K, and MG causes confusion, coma, seizures, death

Question 15

What is the prognosis for AN patients?

Answer 15

.5 good, .3 intermediate, .2 poor, .1 dead

Question 16

What is hospitalization criteria for AN?

Answer 16

> 25% weight loss, medical complications, suicidal ideas and poor motivation, nonresponsive to OP therapy, if continuous supervision needed

Question 17

What substance is used to induce vomiting?

Answer 17

ipecac

Question 18

What is bad about ipecac?

Answer 18

cardiotoxic

Question 19

What are complications of AN?

Answer 19

1) pubertal delay, 2) growth retardation, 3) electrolyte abnormalities, 4) EKG abnormalities, 5) constipation, delayed emptying

Question 20

What does bulimia nervosa mean in its original language?

Answer 20

Greek for excessive hunger

Question 21

What is the prevalence and mean onset of BN?

Answer 21

1% w/ onset @ 20 years lasting 8 years

Question 22

What are the DSM-5 for BN?

Answer 22

1) recurrent (>1/wk for 3 mos) binging, 2) purging/compensatory methods, 3) lack of self control during eating, 4) self-eval dependent on weight, 5) does not occur exclusively during episodes of AN

Question 23

What are the symptoms and complications of BN?

Answer 23

1) metabolic alkalosis, 2) electrolyte imbalance/dehydration causing palpitations, 3) GI/esophagitis, 4) dental issues (caries, erosion), 5) amenorrhea, 6) russels’ sign

Question 24

What is russel’s sign

Answer 24

calluses from the knuckles, diagnostic for BN

Question 25

Pharmacotherapy is more successful for?

Answer 25

BN compared to AN

Question 26

What new therapies are seeking indication for BED?

Answer 26

lisdexamfetamine (Vyvanse) and opiod antagonists (nasal naloxone)

Question 27

What is BED?

Answer 27

binge eating disorder

Question 28

Describe BED?

Answer 28

recurring binge-eating episodes but no compensatory measures. Associated with marked distress.

Question 29

What is OSFED?

Answer 29

other specified feeding or eating disorder

Question 30

What are 4 types of eating disorders?

Answer 30

1) BN 2) AN 3) BED 4) OSFED

Question 31

What was the former name for OSFED?

Answer 31

ED-NOS (eating disorder not otherwise specified)

Question 32

Describe OSFED.

Answer 32

eating/weight disorder that doesn’t meet any DSM-5

Question 33

What are examples of OSFEDs?

Answer 33

night eating syndrome, purging without binge eating