Eating Disorders

Question 1

Definition of Purge

Answer 1

Use of vomiting, laxatives, diuretics, enemas to eliminate calories

Question 2

Definition of Binge

Answer 2

Eating a large amount of food within a discrete period
Eating is out of control during the episode

Question 3

Anorexia Nervosa Diagnostic Criteria

Answer 3

1. Restriction of food leading to <18.5 BMI
2. Intense fear of weight gain
3. Body image disturbance

Question 4

Subtypes of Anorexia Nervosa

Answer 4

1. Binge-eating/purging Type (only needs one)
2. Restricting Type: does not binge/purge but weight loss is through dieting, fasting, +/- exercise

Question 5

Anorexia Nervosa: Associated Features

Answer 5

1. Amenorrhea, loss of sex drive, constipation
2. Hair loss
3. Dry skin, brittle nails
4. Low HR, low BP, and low temp
5. LANUGO

Question 6

Treament of Anorexia Nervosa

In hospitalization

Answer 6

Usually referred by family-pt does not believe it is a problem
1. Slow feeding in hospital (weight gain)
2. Behavioral principles (operant conditioning) to encourage weight gain
3. Supervision of eating to thwart behaviors to lose weight

Question 7

What is the treatment for ALL Eating Disorders?

Answer 7

CBT

Question 8

Bulimea Nervosa Diagnostic Criteria

Answer 8

1. Recurrent binge eating
2. Inappropriate compensatory behavior (purging, fasting, excessive exercise)
3. Once a week for at least 3 months
4. Self evaluation is unduly influenced by body shape and weight

Question 9

Associated Features with Bulimia Nervosa

Answer 9

1. Electrolyte Imbalances
2. Arrhythmias
3. Consequences of excessive vomitting

Question 10

What are the consequences of excessive vomitting?

Answer 10

1. Tooth Decay
2. Salivary gland inflammation (chipmunk cheeks)
3. Russell’s sign (knuckles callused)
4. Tearing of tissue in stomach and throat

Question 11

What is the only med that is FDA approved for Bulimia Nervosa?

Answer 11

Fluoxetine

Question 12

Binge-Eating Disorder Diagnostic Criteria

Answer 12

Binge eating but then No inappropriate compensatory behavior
Must be more than 1 x wk for > 3 months

Question 13

Are all obese people diagnosed w/ binge-eating disorder?

Answer 13

NO-there is greater distress/functional impairement in binge eating disorder

Question 14

Treatment of Binge-Eating Disorder

Answer 14

1. CBT
2. Antidepressants

Question 15

Unspecified Eating Disorder Criteria

Answer 15

Do not meet criteria for any other disorder-even if the syptoms are concerning