Eating Disorders

Question 1

What are the three eating disorders?

Answer 1

Anorexia nervosa
Bulimia nervosa
Binge eating disorder

Question 2

What patients suffer from a disturbance of body image, and use extensive measures to avoid gaining weight?

Answer 2

Anorexia
Bulimia

Question 3

What are the extensive measures taken by patience with bulimia and anorexia?

Answer 3

Use of laxatives and enemas
Fasting in excess of exercise

Question 4

Binge eating disorder

Answer 4

Typically binge in response to negative emotions

Question 5

Main DSM requirement for Anorexia nervosa

Answer 5

Restriction of caloric intake, leading to significant low body weight

Question 6

Anorexia nervosa is associated with what type of traits?

Answer 6

Obsessive compulsive

Question 7

What are the two types of anorexia nervosa?

Answer 7

Restrictive type
Binging and purging type

Question 8

Restrictive anorexia nervosa

Answer 8

achieve weight loss through diet, fasting, or excessive exercise

Question 9

Binging/purging type AN

Answer 9

Follows binges with vomiting, and use of laxatives, enemas, or diuretics

Question 10

Physical manifestations of a AN

Answer 10

A menorrhea
Hypotension
Arrhythmias
Alopecia
Cold intolerance with hypothermia
Bradycardia
Lanugo - small, soft baby like hair
Constipation
Hypothyroidism

Question 11

Lab abnormalities with AN

Answer 11

Hyponatremia
Arrhythmias with QT prolongation
Leukopenia and anemia
Elevated liver enzymes
Hypothyroidism
Hypoglyc
Med. Complications related to weight loss, and purging
Hypocaloremic hypokalemia alkalosis -with vomiting

Question 12

Treatment of anorexia nervosa

Answer 12

CBT
family therapy with supervised weight gain programs
Reseeding

Question 13

Are SSRIs helpful with anorexia nervosa?

Answer 13

No

Question 14

Bulimia nervosa is characterized by

Answer 14

Binge eating combined with behaviors intended to counteract weight gain
vomiting
Use of laxatives
Enemas
Diuretics

Question 15

What does binge eating?

Answer 15

Excessive food intake within a two hour period accompanied with a lack of self-control

Question 16

Unlikely anorexia nervosa bulimia patients appear how?

Answer 16

Maintain normal width or are overweight

Question 17

DSM criteria for bulimia nervosa

Answer 17

Recurrent episodes of binge eating with inappropriate attempts to compensate

Question 18

Physical manifestations of bulimia nervosa

Answer 18

Sialadenitis
Dental erosions
Calluses in abrasions on dorsal surface of hand
Petechiae
Peripheral edema

Question 19

First line Treatment for bulimia nervosa

Answer 19

SSRIs
Fluoxetine specifically

Question 20

What SSRI do we avoid in bulimia nervosa?

Answer 20

Bupropion, because it lower seizure threshold

Question 21

Key distinguishing feature in anorexia nervosa

Answer 21

Abnormally, low weight
BMI less than 18.5.

Question 22

Appearance of bulimia, nervosa, patience

Answer 22

Maintain body weight or above minimally normal level

Anatomic and Physiologic sequelae of severe weight loss that occur in anorexia nervosa is not seen in bulimia

Question 23

Binge eating disorder

Answer 23

Recurrent episodes of eating, excessive quantities of food, not followed by unhealthy compensation’s

Question 24

Compared to patients with anorexia nervosa or bulimia nervosa patients with binge eating disorder appear how?

Answer 24

Overweight/obese

Question 25

Patience, avenge, eating disorder often suffered from what medical problems?

Answer 25

Cardiovascular disease
Type two diabetes
Metabolic syndrome

Question 26

Treatment of binge eating disorder

Answer 26

CBT or interpersonal psychotherapy with strict diet and exercise regimen