Eating disorders

Question 1

Episodes of unrestrained eating without compensatory behaviors of bulimia. Dx?

Answer 1

Binge eating disorder

Question 2

Metabolic abnormality commonly found with anorexia nervosa/ purging subtype?

Answer 2

Decreased serum K

Question 3

During the acute initial referring phase of tx for pt with severe anorexia nervosa, which is the most helpful focus of psychotherapeutic interventions with the pt?

Answer 3

Coaching, support, and positive behavioral reinforcement

Question 4

Dehydrated bulimic with BP 100/60 and orthostasis. HR=60. Stat lab test?

Answer 4

Potassium

Question 5

What med has shown some efficacy int educing binging and purging in bulimia nervosa?

Answer 5

Fluoxetine

Question 6

Kid wants to operate nose because is asymmetrical. No psychological distress. Which is the likely psychological outcome for this pt after cosmetic surgery?

Answer 6

An improvement in quality of life

Question 7

Complication of anorexia nervosa LEAST likely to resolve after restoring weight is?

Answer 7

Osteoporosis

Question 8

A dx of anorexia nervosa requires that the patient has maintained a weight below what percentage of a minimally normal weight for age and height?

Answer 8

85%

Question 9

Pt with significant medical hx admitted to inpatient psych unit. Labs show: low K and Cl, elevated HCO3 and amylase, and normal lipase. Dx?

Answer 9

Bulimia nervosa, purging type

Question 10

23 yo patient with excessive preoccupation with body shape. Pt is in no apparent distress, but admits to binge eating episodes followed by purging twice weekly for past 6 months. Body weight: normal. Dx?

Answer 10

Bulimia nervosa

Question 11

Enlarged parotid glands in a patient treated for anorexia nervosa would suggest which of the following?

Answer 11

Self-induced vomiting

Question 12

Lab abnormality of referring syndrome

Answer 12

Hypophosphatemia