Anarexia Nervosa

Question 1

What is a diagnostic feature of Anorexia nervosa related to body weight?

Answer 1

Significantly low body weight for height, BMI <18.5 or <5th centile in children

Rapid weight loss of >20% in 6 months is also a diagnostic feature.

Question 2

What are some compulsive compensatory behaviors in Anorexia nervosa?

Answer 2

• Self-induced vomiting
• Laxative abusing
• Excessive exercise
• Abuse of appetite suppressants & diuretics

These behaviors occur when food cannot be avoided.

Question 3

What is a common fear associated with Anorexia nervosa?

Answer 3

Extreme fear of weight gain

This fear leads to excessive preoccupation with body weight or shape.

Question 4

What is amenorrhea in the context of Anorexia nervosa?

Answer 4

Absence of the menstrual cycle or amenorrhea ≥3 cycles

This is a significant diagnostic feature.

Question 5

List three signs of Anorexia nervosa.

Answer 5

• Lanugo hair
• Cold intolerance
• Blue hands and feet

Other signs include constipation, bloating, and dry skin.

Question 6

What is the mortality rate associated with Anorexia nervosa?

Answer 6

20% mortality rate

This is due to starvation, self-harm, suicide, or hypokalaemia causing arrhythmias.

Question 7

What are some genetic predispositions linked to Anorexia?

Answer 7

• OCD
• Anxiety disorders
• Perfectionism
• Low self-esteem

These factors can contribute to the development of Anorexia nervosa.

Question 8

Fill in the blank: Refeeding Syndrome involves eating after a long period of fasting, leading to a change in metabolism from fat to _______.

Answer 8

[carbs]

Question 9

What is the target weight gain per week for anorexic patients?

Answer 9

0.5 kg per week

This is a goal for managing weight restoration in treatment.

Question 10

Name two types of therapy used in the non-medical management of eating disorders.

Answer 10

• CBT
• IPT

The Maudsley Model of Anorexia Nervosa (Mantra) is also used.

Question 11

What medication is commonly prescribed for managing anxiety and obsessive symptoms in eating disorders?

Answer 11

Fluoxetine 60 mg daily

It helps with anxiety and obsessive symptoms.

Question 12

True or False: Excessive school work can be a warning sign of Anorexia nervosa.

Answer 12

True

Question 13

What are some perpetuating factors of Anorexia?

Answer 13

• Delayed gastric emptying
• Narrowing focus on food
• Fat Obsessionality
• Body checking

These factors can maintain the disorder after onset.