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Y3 Psychiatry > Eating Disorders > Flashcards

Eating Disorders Flashcards

1
Q

what is the main characteristic of anorexia nervosa?

A

weight loss (or failure to gain weight in children)

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2
Q

what weight is suggestive of AN?

A

BMI <17.5

OR 85% weight for height in children

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3
Q

what are the psychological characteristics of anorexia nervosa?

A

fear of fatness and weight gain
overvalued importance placed on weight
mood determined by weight

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4
Q

what are the two subtypes of anorexia nervosa?

A

restricting

binge-purge

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5
Q

what is restricting anorexia nervosa?

A

weight loss accomplished by dieting and excessive exercise

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6
Q

what is binge purge anorexia?

A

still low in weight

regularly engaging in binge eating or purging behaviours

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7
Q

what is bulimia nervosa?

A

recurrent binge eating followed by compensatory behaviours to avoid weight gain

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8
Q

how often do episodes occur for a diagnosis of bulimia nervosa?

A

at least once a week for three months

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9
Q

what can body weight be like in sufferers of bulimia nervosa?

A

normal range

may fluctuate

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10
Q

what is the best predictor of a binge in bulimia nervosa?

A

a period of restricting resulting in physical hunger

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11
Q

what characterises binge eating disorder?

A

recurrent episodes of excessive food consumption over short periods of time, often to the point of discomfort accompanied by feelings of guilt

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12
Q

how often do episodes need to occur for a diagnosis of binge eating disorder?

A

at least once a week for three months

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13
Q

what can sufferers weight be like in binge eating disorder?

A

may become obese/overweight but they do not need to be

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14
Q

what can binge eating be for a patient?

A

a coping mechanism

an attempt to manage emotional stress

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15
Q

what does OFSED stand for?

A

other specified feeding or eating disorder

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16
Q

what is OFSED?

A

a group of disorders that do not fit the exact diagnostic criteria for other eating disorders, but mimic them in some ways

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17
Q

name three examples of OFSED

A

atypical anorexia
atypical bulimia
purging disorder

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18
Q

what is atypical anorexia?

A

all symptoms

weight in a normal range

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19
Q

what is atypical anorexia?

A

all symptoms

weight in a normal range

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20
Q

what is atypical bulimia nervosa?

A

all symptoms

binge purge cycle don’t happen as often or for as long

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21
Q

what is atypical BED?

A

all symptoms

episodes less frequent and shorter

22
Q

what is purging disorder?

A

where someone purges to affect their weight but not as part of a binge purge cycle

23
Q

what is night eating syndrome?

A

when someone repeatedly eats at night after waking or eating lots after their evening meal

24
Q

what eating disorder is not about weight or the patients perceptions of weight?

A

ARFID

25
Q

what eating disorder is not about weight or the patients perceptions of weight?

A

ARFID

26
Q

what does ARFID stand for?

A

avoidant restrictive food intake disorder

27
Q

how do patients with ARFID eat?

A

restrict eating to small amounts of food
avoid certain foods/food groups
may be uninterested in eating

28
Q

what age group is more commonly diagnosed with ARFID?

A

childen

29
Q

what psychiatric conditions can make a diagnosis of ARFID more likely?

A

autism
anxiety
ADHD

30
Q

what area of the brain is first affected by starvation?

A

the forebrain

this is where the self regulation system is found

31
Q

receptors for which neurotransmitters are found to be reduced in the acute stage of an eating disorder

A

serotonin

dopamine

32
Q

what are some common comorbidities in patients with eating disorders?

A 
depression 
anxiety 
personality disorders 
substance abuse 
bipolar disorder 
OCD
33
Q

what is physical assessment used for in a patient with a suspected eating disorder?

A

establish risk of harm and need for admission

NOT FOR DIAGNOSIS

34
Q

what BMI/weight loss makes a patient high risk?

A

<13

>1kg per week

35
Q

what can often be seen when measuring BP in someone with an eating disorder?

A

orthostatic hypotension

36
Q

what test is done as part of the physical examination of a suspected eating disorder patient?

A

sit up squat stand test (SUSS)

37
Q

what sodium level is considered high risk?

A

<130 mmol/L

38
Q

what is diabetes burnout?

A

when diabetics skip insulin doses to lose weight

39
Q

what is the risk of diabetes burnout?

A

can lead to things like DKA

40
Q

what screening tool can be used to screen patients for an eating disorder?

A

sick control one fat food (SCOFF)

41
Q

what score on SCOFF indicates high probability of an ED?

A

> 2

42
Q

what are the five questions asked in a SCOFF screening test?

A 
purging behaviours?
worry you've lost control over eating? 
lost/gained more than 1 stone in three months?
believe you're fat when others disagree?
thoughts and fears about food?
43
Q

what does MaRSIPAN stand for?

A

management of really sick patients with AN

44
Q

what is the key approach to treating a patient with AN in hospital?

A

slowly and carefully restart the feeding process

45
Q

what is the management for AN in adults?

A

CBT-ED
MANTRA
SSCM
FPT focussed on ED’s if none of these options are appropriate

46
Q

what is the management for AN in children?

A

family therapy focused on AN (FT AN)

47
Q

what is the management of BED?

A
  1. guided self help
  2. group CBT-ED
  3. individual CBT-ED
48
Q

what is the management of bulimia nervosa in adults?

A

guided self help

not appropriate/ineffective after 4 weeks, CBT-ED

49
Q

what is the management of bulimia nervosa in children?

A

family therapy focused on BN (FT-BN)

50
Q

what is the management for OFSED?

A

offer treatments recommended for the type of ED most similar to the patients symptoms

51
Q

what is the management for ARFID in young people?

A

refer to ED service/CAMHS

52
Q

what is the management for ARFID in adults?

A

refer to local ED service or community mental health team

Y3 Psychiatry (24 decks)

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