Bulimia Nervosa

Question 1

what is the obsession often for men

Answer 1

muscle gain and fat loss

Question 2

is binge eating required for diagnosis

Answer 2

yes, uncontrollable overeating

• consuming a large amount of food over a discrete period of time

Question 3

BMI required for diagnosis

Answer 3

>17.5 - weight may flucctuate

Question 4

how often do binge episodes occur

Answer 4

typically at least weekly for 3 months

Question 5

what behavioual traits are often seen

Answer 5

impulsive, body dissatisfaction, perfectionism

Question 6

is past obesity a risk factor

Answer 6

yes

Question 7

females or males more common

Answer 7

females

Question 8

what happens to your teeth

Answer 8

dental erosion from stomach acid

Question 9

what is seen on the knuckles

Answer 9

Russell’s sign

Question 10

what happens to the parotid gland

Answer 10

hypertrophy, non tender

has to make a lot of saliva when pt vomits

Question 11

what biochemistry is seen

Answer 11

metabolic alkalosis

• lost stomach acid - alkaline body fluids
• low Na, K and Ca

Question 12

co morbidities

Answer 12

depression and low self esteem

substance misuse

diabetes

Question 13

what long term effects does misuse of insulin have

Answer 13

marked flucctuations in blood sugar causes rapid onset of microvascular complications

Question 14

management of bulimia

Answer 14

CBT

SSRIs

treat co morbid disorders

Question 15

is theere use of pharmacological interventions in AN and BN?

Answer 15

BN - SSRIs can reduce binge cravings