Eating Disorders Flashcards

1
Q

Anorexia nervosa is the most common cause of admissions to child and adolescent psychiatric wards.

A

True

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

Anorexia nervosa Epidemiology

A

90% of patients are female
predominately affects teenage and young-adult females
prevalence of between 1:100 and 1:200

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

Anorexia nervosa BMI and amenorrhoea is part of diagnosis criteria

A

false

no longer specifically mentioned

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

Anorexia nervosa - Diagnosis is now based on the DSM 5 criteria.

A
  1. Restriction of energy intake relative to requirements leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health.
  2. Intense fear of gaining weight or becoming fat, even though underweight.
  3. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

For adults with anorexia nervosa, NICE recommend we consider one of:

A

individual eating-disorder-focused cognitive behavioural therapy (CBT-ED)
Maudsley Anorexia Nervosa Treatment for Adults (MANTRA)
specialist supportive clinical management (SSCM).

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

Anorexia In children and young people, NICE recommend

A

‘anorexia focused family therapy’ as the first-line treatment. The second-line treatment is cognitive behavioural therapy.

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

The prognosis of patients with anorexia nervosa is good

A

false

poor. Up to 10% of patients will eventually die because of the disorder.

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

Anorexia nervosa is associated with a number of characteristic clinical signs

A

reduced body mass index
bradycardia
hypotension
enlarged salivary glands

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

Anorexia nervosa causes hypo/hyperkalaemia

A

hypokalaemia

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

Anorexia nervosa causes hypo/hypercholesterolaemia

A

hypercholesterolaemia

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

Anorexia nervosa causes hypo/hypercarotinaemia

A

hypercarotinaemia

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

Anorexia nervosa causes hypo/hyper cortisol and growth hormone

A

raised

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

Anorexia nervosa causes impaired glucose tolerance

A

true

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

Anorexia nervosa causes low FSH, LH, oestrogens and testosterone

A

true

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

Bulimia nervosa is a type of eating disorder characterised by

A

episodes of binge eating followed by intentional vomiting or other purgative behaviours such as the use of laxatives or diuretics or exercising.

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

DSM 5 diagnostic criteria for a diagnosis of bulimia nervosa:

A

the binge eating and compensatory behaviours both occur, on average, at least once a week for three months.

recurrent episodes of binge eating

a sense of lack of control over eating during the episode

recurrent inappropriate compensatory behaviour in order to prevent weight gain

self-evaluation is unduly influenced by body shape and weight.

the disturbance does not occur exclusively during episodes of anorexia nervosa.

17
Q

recurrent inappropriate compensatory behaviour includes

A

self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise.

18
Q

Bulimia nervosa can be managed in primary care

A

false

referral for specialist care is appropriate in all cases

19
Q

Bulimia nervosa mx

A

NICE recommend bulimia-nervosa-focused guided self-help for adults

unacceptable, contraindicated, or ineffective after 4 weeks of treatment, NICE recommend that we consider individual eating-disorder-focused cognitive behavioural therapy (CBT-ED)

children should be offered bulimia-nervosa-focused family therapy (FT-BN)

20
Q

Bulimia nervosa pharmacological treatments have a limited role

A

true

trial of high-dose fluoxetine is currently licensed for bulimia but long-term data is lacking