Clinical

Question 1

You’re concerned that you friend has something going on with them. Other than having OCD she say things that suggest they’re worried about their weight when she looks healthy and fit to you. She’s obsessed with working out and you noticed some laxatives on her shelf that were hidden behind a picture. What are some other physical features of someone with the likely eating disorder of this woman?

1) dry skin and brittle nails
2) lango hair
3) cardiac dysrhythmias
4) osteoporosis
5) all of the above
6) none of the above

Answer 1

5 all of the above for anorexia nervosa

Question 2

What are the most common electrolyte and metabolic conditions that are most problematic for someone with anorexia nervosa?

Answer 2

hypokalemia-cardiac arrhythmia

metabolic acidosis- vomiting and laxative abuse

Question 3

What is re-feeding syndrome and why is it so problematic? What is the pathology involved? How do you treat it?

Answer 3

This is when someone goes days without eating and then starts up again. This causes electrolyte abnormalities like decreased: phosphate, potassium, Mg, and thiamine,as well as, increased insulin leading to hypoglycemia.

Treat with fluid/electrolyte replacement and monitoring, and Liver aminotransferases, as well as, cardiac monitoring (chest x-ray).

Question 4

A patient comes into your office that looks like they have the mumps. Except they also scored a 3 on the waiting room SCOFF test, and you notice their teeth are yellow and they have some cuts on the knuckles of their right hand. What electrolyte imbalance is most concerning in the patient that likely has an eating disorder?

Answer 4

hypokalemia which can cause cardiac arrhythmia’s kidney failure and even death.

Question 5

Cognitive behavioral therapy is most effective for which of the following disorders?

1 bulemia
2 anorexia
3 agoraphobia
4 masturbation

Answer 5

bulemia

Question 6

What is pagophagia associated with and what type of disorder is this classified as?

Answer 6

gastric bypass surgery and Fe deficiency; also Pb poisoning and mental retardation

PICA -compulsion to eat non food items

Question 7

Binge eating disorder has a high association with what?

Answer 7

childhood sexual or physical abuse and self loathing and guilt. Generally overweight