Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Behavioral Health > Eating Disorders > Flashcards

Eating Disorders Flashcards

1
Q

Define obesity

A

BMI greater than or equal to 30 or body weight 20% or greater over the ideal body weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

About 50% of patients with obesity experience ________

A

binge eating episodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the four categories of obesity treatment?

A
  1. Behavior modification
  2. Medical therapy
  3. Medications
  4. Surgical
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are behavior modifications for obesity?

A

Exercise/ diet and group therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What medical therapy is indicated for obesity?

A

Antidepressants for underlying depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What medications exist for obesity?

A

Orlistat and Lorcaserin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the MOA of Orlistat?

A

Decreases GI fat digestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the MOA of Lorcaserin?

A

Serotonin agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What surgical options exist for obesity?

A

-Gastric bypass
-Gastric sleeve
-Gastric band
-Bariatric surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Who should be screened for obesity?

A

Everyone 6 and older

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Binge Eating Disorder:

-Recurrent episodes of _______
-Severe distress over binge eating
-May be triggered by stress or mood changes

A

binge eating at least weekly for three months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Binge Eating Disorder:

-Recurrent episodes of binge eating at least weekly for three months
-Severe ________
-May be triggered by stress or mood changes

A

distress over binge eating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Binge Eating Disorder:

-Recurrent episodes of binge eating at least weekly for three months
-Severe distress over binge eating
-May be _______

A

triggered by stress or mood changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe episodes of binge eatin

A

Recurrent episodes of eating within a 2 hour period more than people would eat in a similar period with lack of control during an overeating episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Unlike Bulemia Nervosa, binge-eating episodes….

A

are not associated with compensatory behaviors, and they are not as fixated on the body shape or wait

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the four managements for binge eating disorder?

A
  1. Psychotherapy
  2. Strict diet and exercise plan
  3. Topiramate
  4. Stimulants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Why is topiramate indicated for binge eating disorder?

A

Antiepileptic associated with weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Define anorexia nervosa

A

Failure to maintain a normal body weight, fear and preoccupation with body weight, body image and being thin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Anorexia nervosa is most commonly seen in

A

Teenage girls ages 14-18 (often athletes, dancers etc)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

There is a 60% incidence of _____ in anorexia nervosa

A

Depression

21
Q

What psychiatric condition has the highest mortality rate and why?

A

anorexia nervosa secondary to arrhythmias

22
Q

What are the clinical manifestations of anorexia nervosa?

A

Behaviors targeted at maintaining a low weight (excess water intake, food-related obsessions)

23
Q

Is anorexia nervosa ego-syntonic or dystonic?

A

Syntonic

24
Q

What are the two types of anorexia nervosa?

A
  1. Restrictive type
  2. Binge eating / purging type
25
Q

What does restrictive anorexia nervosa present with?

A

Strict reduced calorie intake, dieting, fasting, excessive exercise and diet pills

26
Q

What does binge/purging anorexia nervosa look like?

A

Self induced vomiting, diuretic, laxative or enema abuse

27
Q

What can be seen on physical exam in anorexia nervosa?

A

-Emaciation
-Hypotension
-Bradycardia
-Skin or hair changes (lanugo)
-Dry skin
-Salivary gland hypertrophy
-Amenorrhea
-Arrhythmias
-Osteopenia
Russel’s Sign

28
Q

What is Russel’s SIgn?

A

Callouses on the dorsum of the hand from self induced vomiting

29
Q

What are the weight categories of anorexia nervosa?

A

BMI 17.5 or less OR body weight <85% of ideal weight

30
Q

What are the diagnostic criteria of anorexia nervosa (3)

A
  1. Restriction of calories leading to significantly low body weight
  2. Intense morbid fear of fatness or gaining weight
  3. Distorted body image
31
Q

What might be seen on labs of anorexia nervosa?

A

Hypokalemia
Lactic Acidosis

Maybe also:
-Increased BUN
-Hypochloremia
-Hypogonadotropic hypogonadism
-Hypothyroidism

32
Q

What are the treatments for anorexia nervosa? (4)

A
  1. Medical stabilization
  2. Nutritional rehab
  3. Psychotherapy
  4. Pharmacotherapy
33
Q

When should patients be hospitalized with anorexia nervosa?

A

<75% expected weight or significant complication

34
Q

What is the most dangerous complication of anorexia nervosa?

A

Electrolyte imbalances > arrhythmias

35
Q

What is the most common complication of nutritional rehab in anorexia nervosa?

A

Refeeding syndrome

36
Q

What is refeeding syndrome?

A

Increased insulin leads to hypophosphatemia and cardiac complications

37
Q

What medications may be useful in anorexia nervosa?

A

If depressed: SSRIs and atypical antipsychs

38
Q

What is the basic definition of bulemia nervosa?

A

Binge eating combined with compensatory behaviors to prevent weight gain

39
Q

What two things differentiate bulimia nervosa from anorexia?

A
  1. Bulimia usually maintains a normal weight (or even overweight)
  2. Bulimia behaviors are often dystonic
40
Q

What three things may be seen on physical exam in bulimia nervosa?

A
  1. Teeth pitting or enamel erosion
  2. Russell’s Sign
  3. Parotid gland hypertrophy
41
Q

What are the lab findings of bulimia nervosa?

A

Increased amylase (from salivary gland hypertrophy and vomiting)

Maybe also:
-Hypokalemia
-Hypomagnesemia
-Metabolic alkalosis

42
Q

What are the diagnostic criteria for bulimia nervosa?

A
  1. Recurrent episodes of binge eating at least weekly for 3 months plus compensatory behaviors

-Perception of self worth excessively influenced by body shape and weight

43
Q

What are the two types of compensatory behaviors in bulimia nervosa?

A

Purging type and nonpurging type

44
Q

What are the behaviors of purging type in bulimia nervosa?

A

Primarily vomiting
DIuretic, laxative or enema abuse

45
Q

What are the behaviors of non-purging type of bulimia nervosa?

A

Reduced calorie intake, dieting, fasting, excessive exercise and diet pills

46
Q

What is the management of bulimia nervosa?

A
  1. Psychotherapy
  2. Fluoxetine
47
Q

What is the only medication FDA approved for bulimia nervosa?

A

Fluoxetine

48
Q

What are the dangers of fluoxetine in bulimia?

A

Cardiac effects, esp in the setting of electrolyte abnormalities.

Behavioral Health (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions