Eating Disorders Flashcards
What are the types of anorexia nervosa?
Restricting type & Binde-eating/purging type
What term is used to describe the appearance of a colon due to chronic laxative use?
Melanosis Coli
What is the recommended treatment plan of a patient with anorexia nervosa?
Gradual weight restoration, treatment of underlying conditions, restoration of electrolytes, simplified CBT
What medical conditions are associated with binge eating disorder?
Prader Willi & Kluver Bucy Syndrome
True/False. Amenorrhea is required for a diagnosis of anorexia nervosa.
False. However, the symptoms is commonly seen in women
This disorder has the highest mortality rate of any psychiatric disorder.
Anorexia nervosa
What is the treatment for bulimia nervosa?
Fluoxetine, reduce binge/purging behaviors, therapy (CBT, interpersonal therapy, DBT)
This amphetamine is approved for the treatment of binge eating disorder. What is the drug and how is abuse prevented?
Vyvanse - drug must be hydrolyzed by stomach enzymes at a pH < 5 in order to be activated
This eating disorder is characterized by cravings for and chewing of substances that contain no nutritional value (ice, soil, paper).
Pica
What is Russel’s sign?
Callaces or abrasions of the knuckles due to forced induction of vomiting.
What criteria are required for a diagnosis of bulimia nervosa?
Recurring binge eating and inappropriate attempts to prevent weight gain for 3+ months, normal/elevated BMI
True/False. A cancer patient with decreased food intake due to medications may have anorexia.
True. Anorexia refers to decreased oral food intake. Anorexia nervosa is a specific psychiatric disorder with intentional limitation of food intake.
These features characterize anorexia nervosa.
Restriction of food, fear of weight gain, distorted body image
True/False. Anorexia nervosa is associated with later development of osteoporosis and osteopenia.
True - these are longterm effecets of the disorder
These mood-stabilizing drugs should not be used in patients with an eating disorder.
Wellbutrin & Lithium - lower seizure threshold
What is the only FDA-approved medication to treat bulimia nervosa?
Fluoxetine (SSRI)
How may a patient with anorexia nervosa present clinically?
Low BMI, socially withdrawn, rituals around eating, co-morbid mental illness, suicidal ideations
This disorder is common in children and is characterized by involuntary urination, especially at night.
Enuresis
A patient’s BMI must be below this value to be diagnosed with anorexia nervosa.
17.5
In what populations are anorexia nervosa and bulimia nervosa most common?
Females, ages 12-14 and 18, dancers, models, actors, gay/bisexual men
Anorexia nervosa is an obsession with weight loss. What is the general underlying theme in patients with bulimia nervosa?
Bulimia nervosa is generally associated with control, not weight
What is encopresis?
Involuntary defecation, common in children at night
True/False. A patient with bulimia nervosa has a BMI below average.
False. Patients with bulimia nervosa generally have a normal or elevated BMI.
What substances may be used for purging in eating disorders?
Stimulants, thyroid supplements, laxatives, diuretics, prescribed medications
What is Lanugo?
Soft, thin hair covering the back, chest, and stomach that is associated with anorexia nervosa
What is the timeframe for diagnosis of anorexia nervosa?
3 months
What symptoms must be present with binge eating disorder?
Recurring episodes of eating rapidly, eating past satiety, embarrassment around eating, feelings of disgust and guilt, eating until uncontrollably full
True/False. Anorexia nervosa is a psychiatric condition intended to obtain attention from others.
False. Anorexia nervosa is not an attention-seeking disorder.
What type of anorexia nervosa is most common?
Restricting type anorexia nervosa
What medications are FDA-approved for the treatment of anorexia nervosa?
There are no FDA-approved drugs for anorexia nervosa. SSRIs and appetite stimulants are used off-label
True/False. Cavities and enamel erosion may be present in patients with eating disorders.
True. This is due to frequent purging.
