Eating and Sleep Disorders Flashcards
0
Q
Most common cause of death in anorexia?
A
Arrhythmia
1
Q
EKG changes in anorexia due to?
A
Potassium deficiency
2
Q
Treatment for Anorexia?
A
#Hospitalization to prevent dehydration/starvation/electrolyte imbalance #Psychotherapy and behavioral therapy #Mirtazapine for weight gain and appetite stimulation
3
Q
Bulimia characteristics?
A
#Binge eating with lack of control #Compensatory behaviors to prevent weight gain
4
Q
Bulimia versus anorexia?
A
#Later in adolescence versus age 14-18 #Normal weight versus underweight #No hospitalization (unless electrolyte abnormality) versus hospitalization
5
Q
Treatment of bulimia?
A
#No hospitalization (unless electrolyte abnormality) #Psychotherapy #SSRIs
6
Q
Eating disorder not otherwise specified – examples?
A
#Anorexia but normal menstruation #Anorexia but normal weight #Compensatory behavior after eating normal amount of food
7
Q
Narcolepsy – general features? Diagnosis with? Treatment?
A
#Excessive daytime sleepiness #Abnormalities of sleep
Sleep study
#Forced naps #modafinil #Methylphenidate or dextroamphetamine
8
Q
Specific features of narcolepsy?
A
Sleep attacks – irresistible sleepiness but refreshed upon awakening
9
Q
Patient with increased appetite and yawning – potential diagnosis? Treatment?
A
Insomnia
#Sleep hygiene – no naps, no caffeine, regimented bedtime #Behavioral modification – no reading, watching TV or eating in bed #Zolpidem, Eszopiclone, zaleplon
