Eating Disorders

Question 1

What is the least common eating disorder in general but most common in children?

Answer 1

Anorexia

Question 2

What are the 2 subtypes of anorexia nervosa?

Answer 2

Restricting - v.low calorie intake + excessive exercise routine

Binge-purge - still low weight but regularly engaging in binge eating/purging

Question 3

How is the binging and purging in bulimia different from that in anorexia?

Answer 3

Anorexia - only occurs during strict episodes

Bulimia - will occur at least once a week for 3 months and is more a cycle of behaviour of binging hugeee quantities of food due to a certain trigger (e.g. physical hunger)

Question 4

Bingeing in Binge Eating Disorder (BED) leads to a purge in order to lose weight. T/F?

Answer 4

F - patients often binge to get comfort from some sort of emotional stress and then sit with the feelings of guilt as a sort of punishment

Question 5

How regularly do bingeing episodes have to occur in bulimia and BED to get a diagnosis?

Answer 5

Once a week for 3 months

Question 6

What does OSFED stand for?

Answer 6

Other specified feeding and eating disorder - doesn’t neatly fit criteria for other conditions

Makes up a large percentage of Eds

Question 7

What is ARFID?

Answer 7

Avoidant restrictive food intake disorder

Where a patient limits food to small amounts or avoids certain food groups/types but not in order to control body image

Question 8

Why may someone develop ARFID

Answer 8

• dislike to certain foods texture etc.
• bad experience e.g. choking etc.
• disinterest in food

link to ADHD and autism

Question 9

T/F? Anorexia has the 2nd highest mortality rate of any mental illness.

Answer 9

F - it’s number 1 (4/5 due to physical illness 1/5 - suicide)

Question 10

How does starvation and stress have an effect on your rational and regulation of thoughts and behaviour?

Answer 10

The forebrain is the area responsible for this kind of thinking and is unfortunately most affected by stress and starvation

Question 11

In people w/o an ED we get pleasure hormones when we eat when we are hungry. How does this differ in people with anorexia?

Answer 11

They are calmer and have more pleasure the longer they don’t eat - it’s reversed

Question 12

Is there any conclusive drug management for Eds?

Answer 12

No - only sometimes SSRIs and anti-pyschotics in anorexia

Question 13

What is the name of the monitoring chart for anorexic patients?

Answer 13

MARSIPAN

Question 14

With anorexia patients they are first tried on food if that isn’t tolerated what are the following 2 steps to get calorie and nutritional intake?

Answer 14

Oral supplement

Nasogastric feeding

Question 15

Patients with bulimia and BED are rarely admitted, what is the main stay of treatment for them?

Answer 15

CBT and guided self help

Question 16

What is the name of the fine hair that can appear on anorexic patients?

Answer 16

Lanugo hair

Question 17

What is Russell’s sign?

Answer 17

Calluses on the knuckles caused by grazing them on the teeth when inducing vomitting

Question 18

How can a patients face appear in bulimia and what is their ABG likely to be?

Answer 18

Swollen glands below jaw

Alkalosis due to constant vomiting of HCl

Question 19

What is referring syndrome?

What electrolyte imbalance (3) can take place as a result?

Answer 19

When a patient has experienced a period of starvation or incredibly underweight and they start eating again

The body is not used to processing and insulin increases

Leads to:

• low K+
• low P
• low Mg

Needs to be very carefully monitored to make sure doesn’t impact patient