Anorexia Nervosa

Question 1

What is anorexia nervosa?

Answer 1

Where people are low weight due to limiting energy intake.

Question 2

What are some compensatory compulsive behaviours associated with anorexia? (5)

Answer 2

• Excess exercise
• Self induced vomiting
• Abuse of laxatives
• Abuse of appetite suppressants
• Abuse of diuretics

Question 3

What is the female to male ratio of having anorexia?

Answer 3

4:1

Question 4

What is the diagnostic consideration for Anorexia?

Answer 4

BMI 17.5 or less (15% below ideal body weight)

Question 5

What is the extra diagnostic consideration for postmenarchal women for anorexia?

Answer 5

For three cycles or more:

• Amenorrhoea
• Absence of Menstrual Cycle

Question 6

What are the two potential outcomes of Anorexia Nervosa?

Answer 6

1) Resilience and Protective Factors override = Health

2) Perpetuating and Amplifying Factors override = Death

Question 7

What is asked in the SCOFF questionnaire?

Answer 7

Sick - do you feel too full?
Control - lost control?
One stone - lost in a 3 month period?
Fat - Feel fat?
Food - does it dominate your life?

Question 8

What talk therapies are available for patients with anorexia? (3)

Answer 8

• CBT
• MANTRA
• SSCM

Question 9

What red flags do you look for with patients with anorexia? (6)

Answer 9

• Low body temp
• Muscle weakness (can’t stand)
• Abnormal liver function
• Very low WBC and Potassium
• Low HR / Signs of Heart Failure
• BMI < 14