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ART_MRCPSYCH_B_MENTOR > Eating Disorder - 1 > Flashcards

Eating Disorder - 1 Flashcards

1
Q

what hormone is found to be associated in bulimic women?

A

Cholecystokinin (Reduced)

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2
Q

what is ipecac?

A

It is a preparation syrup that makes one vomit in 15 -30 minutes.

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3
Q

what ingredient in ipecac causes vomiting?

A

Emetine, a toxic alkaloid that acts as stomach irritant

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4
Q

% of patients with eating disorder who experiment ipecac?

A

8%

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5
Q

% of patients with eating disorder who use it chronically?

A

1-2%

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6
Q

How can we know if someone has recently vomited?

A

Serum amylase level increases

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7
Q

effects of ipecac on heart (cardiac toxicity)?

A

Cardiomyopathy and left ventricular dysfunction

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8
Q

what eating disorders are recognised in ICD11

A
  • Anorexia nervosa
    -Bulimia nervosa
    -Avoidant-Restrictive Food Intake disorder (ARFID)
    -Pica
    -Rumination-Regurgitation Disorder
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9
Q

BMI below 18.5

A

Underweight

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10
Q

BMI 18.5 - 24.9

A

Healthy

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11
Q

MBI between 25 and 29.9

A

Overweight

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12
Q

BMI 30-39.9

A

Obese

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13
Q

Lifetime prevalence of Bulimia

A

.63%

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14
Q

M:F ratio for Bulimia

A

1:9

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15
Q

Lifetime prevalence for Anorexia?

A

.16%

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16
Q

M:F ratio for anorexia

A

1:9

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17
Q

Lifetime prevalence of Binge eating

A

1.53%

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18
Q

M:F ration for binge eating

A

1:2

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19
Q

Main points on ICD 11 criteria for anorexia nervosa?

A
  • Significant weight loss
    -Persistent patterns of restrictive eating
    -Excessive preoccupation with body weight and shape
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20
Q

how significant weight loss is defined on ICD 11 for anorexia nervosa?

A
  • BMI below 18.5
    -Rapid loss of 20% of body weight in 6 months
    -MBI-for-age Below 5th percentile for children
    -Failure to gain weight (rather than weight loss)
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21
Q

how persistent pattern of restrictive eating are defined on ICD 11 for anorexia nervosa?

A

Out of Fear of weight gain:

-Reducing energy intake (fasting, going with low calories)
-Purging behaviours (laxatives, diuretics, enemas)
-Excessive exercise & activity

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22
Q

How diabetic patient may act with anorexia nervosa to meet the ‘‘pattern of restric. eating…’’ criteria on ICD 11 for anorexia nervosa?

A

omission of insulin

23
Q

how excessive preoccupation with body weight and shape are defined on ICD 11 for anorexia nervosa?

A
  • body weight is overvalued and central to self-evaluation
    -excessive checking using scales & tapes, or mirrors
    -Avoiding mirrors, tight clothes…etc
24
Q

How is anorexia nervosa with significant low body weight defined on ICD 11?

A

BMI between 18.5 - 14 kg/m2
For children BMI-to-age between 5th and 3rd percentile

25
Q

How is anorexia nervosa with dangerously low body weight defined on ICD 11?

A

BMI < 14
for children >3rd percentile

26
Q

for a full recovery, how long body weight have to be maintained after Rx termination?

A

at least 1 year

27
Q

Enumerate specifiers used for anorexia nervosa on ICD 11

A
  • With a restrictive pattern
    -Binge-Purge patter
28
Q

Usual onset of anorexia nervosa?

A

10-24 (typically following a life event)

29
Q

anorexia nervosa onset in female vs male

A

earlier

30
Q

most patient with anorexia nervosa have remission in 5 years, true or false?

A

true

31
Q

is it common for anorexia nervosa patients in remission to keep some psychological symptoms of anorexia nervosa like perfectionism about body shape?

A

Hell, yeah!

32
Q

Main points on ICD 11 criteria for Bulimia nervosa?

A

-Frequent, recurrent episodes of binge eating
-Repeated inappor. compensatory behaviours
-Excessive preocuup. with body weight&shape
-Marked distress

33
Q

Main differenciating points between anorexia nervosa with binge-purging and bulimia nervosa?

A
  • Body weight status
    -Behaviour patterns
    -Cognitive feature
34
Q
  • Behaviour pattern in AN with binge-purging vs bulimia nervosa
A
  • in AN with binge purging:
    Binging followed by purging happens in the context of a heavy food restriction and fear of weight gain
    -In Bulimia nervosa:
    The binging happens then compensatory activity happens to undo the binging and keep weight in control
35
Q
  • Cognitive feature in AN with binge-purging vs bulimia nervosa
A

-in AN with binge purging:
Individual has a distorted body image and extreme preoccupation with it

-In Bulimia nervosa:
Have an unhealthy relationship with food and self-esteem (with some preoccupation with weight)

36
Q
  • Body weight status in AN with binge-purging vs bulimia nervosa
A
  • Very low in AN with binge purging
    -In normal range in bulimia
37
Q

Onset of bulimia nervosa

A

shortly after puberty begins

38
Q

How long bulimia nervosa symptoms have to last according to ICD 11?

A

at least 1 month

39
Q

which specifier ( type of ) Anorexia nervosa might evolve into binging and puring in bulimia nervosa?

A

restrictive pattern

40
Q

if anorexia nervosa evolved into Bulimia nervosa, the dx can be changed too?

A

yes. after 1 year.

41
Q

Main points on ICD 11 criteria for Binge Eating Disorder (BED)?

A
  • Recurrent frequent binge eating ( one or more per week for 3 months, unless very severe [1 month would be enough])
    -Periods of loss of control
  • Not regularly accompanied with compensatory behaviours
  • Marked distress
42
Q

Onset of BED

A

adolescent or young adulthood

43
Q

weight of BED

A

overweight

44
Q

Dx of Avoidant-Restrictive Food intake disorder (ARFID)

A
  • Verry restricted food intake
  • Significant impairment in function
    -Not preoccupied with weight or shape
45
Q

Dx Pica

A

Eating raw food or non food objects (for 2 years)

46
Q

Dx of rumination-regurgitation disorder)

A

Intentional & repeated regurgitation and re swalled (rumination) or spat out (not vomiting) for at least several week

47
Q

Duration required for PICA on icd11

A

2 years

48
Q

Duration required for Rumination-regurgitation disorders on ICD 11?

A

several weeks.

49
Q

Minimum age to diagnosis a patient with Rumination-regurgitation disorder?

A

2 years old

50
Q

Which eating disorder is associated with constipation?

A

Anorexia Nervosa

51
Q

which eating disorder is associated with hair loss?

A

Anorexia nervosa

52
Q

which GI symptoms can occur in all eating disorders?

A

Slowed GI motility

53
Q

which eating disorder associated with Russel sign?

A

AN-P/BN

54
Q

which eating disorder associated with sialadenosis (swelling of parotids)?

A

AN-P/BN

ART_MRCPSYCH_B_MENTOR (38 decks)

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