Eating D/o

Question 1

How many eating d/o can a person have at once?

Answer 1

Only one, the criteria are such that they are mutually exclusive diagnosis
- except pica

Question 2

What is pica?

Answer 2

Any eating of nonnutritive, nonfood substances x 1 month

Question 3

What if the person have ASD or some other diagnosis and they are eating dirt?

Answer 3

Still pica, can be part of another disease

Question 4

What causes pica?

Answer 4

We dont know, usually no nutritional deficiencies are found

Question 5

What is avoidant/restrictive food intake d/o?

Answer 5

A lack of eating due to

• lack of interest (sensory changes)
• concern about consequences of eating

Leads to persistent failure to meet nutritional and or energy needs

Question 6

What makes avoidant food intake d/o different for anorexia or bulimia?

Answer 6

Its not about body fat perception

- even infants can have this

Question 7

What is bulimia nervosa?

Answer 7

Binge eating followed by purging

- they loose control over eating during the episodes

Question 8

How long just bulimia nervosa go on?

Answer 8

At least 1 week x 3 months

Question 9

Severity of bulimia nervosa?

Answer 9

Mild - 1-3 episodes per week
Moderate - 4-7 episodes per week
Severe - 8-13 episodes per week
Extreme - 14 episodes per week

Question 10

How do bulimia pts look?

Answer 10

They are usually weight normal or overweight

Question 11

What is anorexia?

Answer 11

Restriction of energy intake - significantly low body weight

Question 12

Anorexics are a little neurotic about?

Answer 12

Gaining weight (intense fear of wt gain)

• its a disturbance in the way in which on’e s body weight or shape is experienced

Question 13

Subtypes of anorexia?

Answer 13

Restricting type - wt loss through fasting/exercise

Binge eating/purging type - vomiting, laxatives, diuretics or enemas

Question 14

Severity of anorexia?

Answer 14

Mild - BMP > 17kg/m
Moderate - BMP 16-16.999 kg/m
Severe - BMI 15-15.99 kg/m
Extreme - BMI <15 kg/m

Question 15

Big difference between anorexics and bulimics?

Answer 15

Anorexics loose weight

Bulimics stay fat

Question 16

What is binge eating disorder?

Answer 16

Recurrent episodes of binge eating

- lack of contro;

Question 17

Binge eating criteria?

Answer 17

3 or more of

• eating rapidly
• eating until uncomfortably full
• eating large amounts (even when not hungry)
• eating alone (embarrassed)
• feeling disgusted, guilty, or depressed

Marked distress regarding binge eating

Question 18

Severity of binge eating?

Answer 18

Mild - 1-3/week
Moderate - 4-7/week
Severe - 8-13/week
Extreme - 14+/week

Question 19

Contrast binge-eating and bulimia?

Answer 19

With binge eating Pts arent purging

Question 20

When do neurodevelopment d/o manifest?

Answer 20

Early - before school

- impair personal, social, academic or occupational functining

Question 21

What are intellectual disability (intellectual development d.o)?

Answer 21

Deficits in general mental abilities

• reasoning
• problem solving
• planning
• abstract thinking
• judgment
• academic learning
• learning from experience
• adaptive functioning (cant function normally)

Question 22

What is global developmental delay?

Answer 22

Not meeting milestones in several areas of function

• unable to understand the testing
• under 5

Question 23

What does global developmental delay become when they are over 5 y/o?

Answer 23

Unspecified intellectual disability

Question 24

What are included in communication d/o?

Answer 24

Language disorder
- acquisition and use 
Speech sound d/o
- cant produce sound
Social (pragmatic) communication
- social use of verbal/nonverbal
Child onset fluency (stuttering)
- disturbance in normal fluency at time of patterning of speech
Unspecified 
- doesn’t meet other criteria

Question 25

General considerations for ASD?

Answer 25

• Persistent issues w social communicaiton and interaction
• repetitive behaviors, interests, or activities
• interfere w functioning
• may or may not have language probs

Question 26

Clinical findings for ASD?

Answer 26

Neurodevelopmental d/o w pervasive difficulties w social communicationa nd repetitive restricted interest and behaviors

• sterotyped or repetitive motor movements
• insistence on sameness - inflexible
• highly restricted, fixed interests
• hyper/hypo reactivity to sensory input

Question 27

How is severity of ASD defined?

Answer 27

Based on social communication and repetitive patterns of behavior

Question 28

General considerations of ADD/ADHD?

Answer 28

Persistent patterns of inabilitity to sustain attention, excessive motor activity/restlessness/impulsivity or both

Interferes w daily functioning

Symptoms before age 12

Question 29

Clinical findings for ADD/ADHD?

Answer 29

Inattention
Restlessness
Impulsivity
Easily distracted, sidetracted
Cant keep deadlines
Forgetful

Question 30

How many hyperactive symptoms are needed for it to be ADHD?

Answer 30

Minium 5 symptoms to qualify as hyperactivity

Question 31

Tx for add/adhd?

Answer 31

Pahrm
- methylphenidate
Amphetamine
- bupropion

Behavioral
- psychoeducation

Question 32

What are specific learning d/o

Answer 32

Difficulty in abilit to perceive or process info efficientyl or accurately

• foundation skills (3 r’s)
• performance below peers

Question 33

Describe motor disorders?

Answer 33

Coordination/motor is well below peers

• clumsiness, slowness, inaccuracy
• causes interference in life
• onset early in life