Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Aging- Phys > Clinical Disciplines-Eating Disorders > Flashcards

Clinical Disciplines-Eating Disorders Flashcards

1
Q

How long must eating of non-nutritive food, nonfood substances persist for it to be considered PICA?

A

1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

At what age is eating non-nutritive food, nonfood substances considered developmentally inappropriate?

A

24 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Are medications recommended in PICA?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List the psychosocial interventions in PICA

A

Behavior strategies:

  1. Training to discriminate between edible and non-edible
  2. Sensory reinforcement
  3. Correct the environment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are avoidant/restrictive food intake disorder pt’s avoiding in the food?

A

sensory characteristics of food

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

List the DSM5 criteria for ARIFD

A

One or more of the following:

  1. Significant wt. loss
  2. Significant nutritional deficiency
  3. Dependence on general feeding or oral nutritional supplements
  4. Marked interference with psychosocial functioning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treatment for ARIFD

A
  1. Refeeding
  2. Behavioral interventions
  3. Cognitive behavioral therapy
  4. exposure therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the two types of anorexia nervosa?

A
  1. Restricting Type-: In the last 3 months, wt. loss through dieting, fasting, and/or excessive exercise
  2. Binge-eating/purging type: In the last 3 months, recurrent episodes of Inge eating or purging behavior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define partial remission in anorexia nervosa

A

Normal body wt BUT:

  1. Intense fear of gaining weight OR
  2. Disturbance in self-perception of weight and shape
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mild anorexia BMI

A

BMI > or equal to 17

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Moderate anorexia BMI

A

BMI 16-16.99

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Severe anorexia BMI

A

15-15.99

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Extreme anorexia BMI

A

<15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Psychologic profile in anorexia

A
  1. Anxiety
  2. Major depression
  3. Dysthmic disorders
  4. OCD with rigid and ritualistic eating behaviors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SCOFF questionare for anorexia screening tool

A 
S-Sick
C-Control. (loss of)  
O-One (14 lbs) in a 3 month period 
F- Fat, even though you are told you are too thin
F- Food predominates
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Eating Disorder Co-morbidities screening tools (4)

A
  1. Depression (PHQ-9)
  2. Anxiety (GAD-7)
  3. OCD (Yale-Brown obsessive compulsive scale)
  4. PTSD (7-item Breslau screen)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Endocrine complications in anorexia

A

Euthyroid Sick Syndrome

  • Normal TSH despite hyper metabolism
  • Edema
  • Estrogen declines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Skeletal complications in anorexia

A

Osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Urinary complications anorexia

A

Increased BUN
Decreased GFR
Renal calculi
-Appearance of diabetes insipidus

20
Q

Skin changes in anorexia

A

Yellowing of skin from hypercaraotenemia

  • Lanugo hair or frank hirsuitsim
  • Dry and brittle hair/nails
21
Q

Neurologic complications anorexia

A

Decreased Serotonin and Norepinephrine

Hypothermia

22
Q

Cardiovascular complications anorexia

A 
Decreased CO (due to decreased muscle mass and chamber size)
Hypotension 
Bradycardia
Anemia
leukopenia
thrombocytopenia
23
Q

GI/Hepatic complications anorexia

A

Decreased gastric emptying
Abdominal pain and distention
Constipation and diarrhea
Increased hepatic enzymes (fatty liver)

24
Q

Is acute pharmacologic intervention necessary in anorexia?

A

No

Calcium supplementation if needed

25
Q

Once anorexia pt’s are stable, what pharmacologic treatment would be beneficial?

A

SSRIs and SNRIs

26
Q

What syndrome are we worried about in anorexia?

A

Refeeding syndrome

27
Q

DSM5 criteria for bulimia

A
  1. Eating in a discrete period of time (within any 2-hr period), and a very large amount of food
  2. Sense of lack of control over eating during the episode
28
Q

Mild bulimia

A

1-3 episodes/wk

29
Q

Moderate bulimia

A

4-7 episodes/wk

30
Q

Severe bulimia

A

8-13 episodes/wk

31
Q

Extreme bulimia

A

14+ episodes/wk

32
Q

Female athlete triad

A
  1. Eating disorder
  2. Amennorhea
  3. Osteoporosis
33
Q

Screening tools in bulimia

A
  1. SCOFF Q

2. Eating disorder screen for primary care (ESP)

34
Q

HEENT effects in bulimia

A

Swollen and sore cheeks
Cavities, tooth enamel erosions, gum dz
Sore/irritated throat
Blood in vomit

35
Q

Skin changes in bulimia

A

Russels sign-callused knuckles

36
Q

GI effects in bulimia

A

Ulcers
Delayed empyting
abdominal pain

37
Q

When IS hospitalization recommended for bulimia?

A
  1. Major electrolyte disturbances
  2. SI or attempt
  3. No response to outpatient tx
38
Q

What is the best treatment option in bulimia?

A

Intensive outpatient treatment 40 hrs/wk 5 days/wk

39
Q

What psychotherapy is preferred in bulimia?

A

Group psychotherapy

–>superior to individual cognitive behavioral therapy

40
Q

Effects of anti-depressants in bulimia?

A

Decrease bulimic sx’s, even if NOT depresses

41
Q

Other pharmacologic tx in bulimia?

A

Topiramate (Topamax) may decrease binge cycle

Odanssetron (zofran) for nausea

42
Q

What drug is associated with increased incidence of seizures in bulimia nervosa?

A

Bupropion

43
Q

Partial remission of binge eating

A

After criteria for binge eating met, episodes occurs about 1x week

44
Q

Health consequences of binge eating

A
  1. Increased psychopathology compared to obese pt’s who don’t binge
    - Major depression, panic disorder, borderline personality disorder, avoidant personality disorder
  2. HTN
  3. Type II DM
  4. Dyslipidemias
  5. Moderate obesity develops after 5 yrs
45
Q

Psychotherapy treatment for bulimia

A
  1. Cognitive behavioral
  2. Dialectical
  3. Interpersonal psychotherapy
46
Q

Pharmacologic therapy for bulimia

A

SSRIs and Venlafaxine (SNRI)

Topiramate (Topamax)

47
Q

What is considered safe weight gain during the acute treatment phase in eating disorders?

A

0.16 kg/day or 0.45-1/36 kf/wk

Aging- Phys (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions