Eating disorders

Question 1

SUSS tests

Answer 1

Sit-up Squat-stand test
- Assesses degree of muscle weakness in those with anorexia

0= unable to carry out movements
1= Cannot carryout without using hands to help
2= Carries out movement with some difficulty
3= normal

Question 2

The ____ checklist can be used to guide management of eating disorders

Answer 2

MEED
- Medical emergencies in eating disorders

Question 3

______ questionnaire is a screening tool that can be used for eating disorders

Answer 3

SCOFF
- Sick
- Control
- One
- Fat
- Food

Question 4

Questions in SCOFF questionnaire

Answer 4

Sick
- Do you make yourself sick because you feel full

Control
- Worry you have lost control over how much is eaten

One
- Recently lost >1 stone over 3 months

Fat
- Do you believe you’re fat when others say you’re too thin

Food
- Would you say food dominates your life?

Question 5

Activities assoicated with high risk of eating disorders

Answer 5

Professional athletes

Fashion/ modelling professional

Dancers

Question 6

Features of eating disorders

Answer 6

Rapid weight loss/ low BMI

Dieting/ restrictive eating

Social withdrawl

Fear of weight gain/ being fat

Compensentory behaviours

Question 7

Psychotherapy management for anorexia in adults

Answer 7

Eating-disorder focused CBT
- Up to 40 sessions

Maudsley anorexia nervosa treatment for adults (MANTRA)

Specialist supportive clinical management

Question 8

Psychotherapy management for anorexia in children/ young people

Answer 8

First line= Anorexia-nervosa-focused family therapy

Individualised CBT-ED

Adolescent focused psychotherapy for anorexia nervosa (AFP-AN)

Question 9

Psychotherapy management for anorexia in children/ young people

Answer 9

First line= Anorexia-nervosa-focused family therapy

Individualised CBT-ED

Adolescent focused psychotherapy for anorexia nervosa (AFP-AN)

Question 10

What are the NICE high risk factors for refeeding syndrome?

Answer 10

• BMI <16
• Little/ no nutritional intake >10 days
• Weight loss >15% over 3-6 months
• Low K/ Mg/ phosphate before feeding

Question 10

What are the NICE high risk factors for refeeding syndrome?

Answer 10

• BMI <16
• Little/ no nutritional intake >10 days
• Weight loss >15% over 3-6 months
• Low K/ Mg/ phosphate before feeding

Question 11

ICD-10 criteria for bulimia

Answer 11

• Preoccupation with eating
• Irresistible craving for food
• Binges
• Counter-acting fattening effects of food (purging)= vomiting, starvation, drugs
• Dread of fatness/ imposed weight threshold