Eating Disorder Tx

Question 1

Anorexia DSM-5

Answer 1

-restriction of energy intake
-low body weight
-intense fear of gaining wt
-depression common
-restricting or binge/purge

Question 2

Restricting type ana

Answer 2

-no binge/purging in last 3 months
-wt loss through diet, fat, exercise

Question 3

Binge/purge type ana

Answer 3

-last 3 months
-vomiting/lax
-differs from bulimia bc low body weight

Question 4

AN severity

Answer 4

-BMI 18.5kg is low end of normal
-mild: 17
-mod:16
-severe: 15
-extreme: <15

Question 5

AN health consequences

Answer 5

-abnormally slow HR
-low BP
-dec bone density
-weakness
-electrolyte abnormalities
-hypoglycemia
-dry skin/hair loss
-dehydration
-lanugo hair all over body
-cold intolerance
-delayed gastric emptying
-constipation

Question 6

AN refeeding syndrome

Answer 6

-re-feeding = shift from fat to glucose metabolism
=hypokalemia, water retention, severe edema
-multiple organ failure
-must inc calories SLOWLY

Question 7

AN tx

Answer 7

-CBT (best outcomes)
-no FDA tx
-Olanzapine: modest wt gain
-SSRI: little benefit
-watch out for appetite-suppressing meds (bupropion)

Question 8

Binge Eating disorder

Answer 8

-recurrent episode of binge eating
-at least once a week for 3 months
-NOT associated w purging/ex exercise

Question 9

Binge-eating severity

Answer 9

-mild: 1-3 episodes/week
-mod: 4-7
-severe: 8-13
-extreme: > 14

Question 10

Binge-eating health consequences

Answer 10

-similar to obesity

Question 11

Binge -eating tx

Answer 11

-pharma + med
-lisdexamfetamine (vyvanse)

Question 12

Bulimia Nervosa DSM-5

Answer 12

-recurrent episodes of binge-eating
-recurrent inappropriate compensatory behavior
-at least once a week for 3 months
-same severity scale as binge-eating

Question 13

Bulimia health consequences

Answer 13

-GI probs
-inflammation, gastric and esophageal rupture from vomitting (Mallory Weiss Tears)
-diabetic ketoacidosis from witholding insulin in T1DM

Question 14

Bulimia tx

Answer 14

-CBT + fluoxtine