Eating Disorders

Question 1

2 Kinds of Anorexia Nervosa

Answer 1

Restrictive and binge-purge

Question 2

Difference b/w Anorexia Bingepurge and Bulimia

Answer 2

Anorexia underweight and keep doing it, bulimia not

Question 3

2 NT Relations of AN

Answer 3

5HT decreased in current cases and elevated in recovered - don’t know if causative or result of starvation
DA disregulation

Question 4

4 Hormonal Changes of AN

Answer 4

Hypersecretion of CRH increases cortisol
Decrease in LH leads to amenorrhea
Leptin decrease to reg body fat stores
Reduction of thyroid hormones, can’t handle cold

Question 5

Gross Brain Features of AN

Answer 5

Atrophy from similar mech as stress/HPA disreg

Question 6

Possible Meds

Answer 6

SSRIs like Fluoxetine

Question 7

Russell’s Signs

Answer 7

Lesions or calluses on knuckles from repeated induced vomiting

Question 8

Ionic Change w/ Bulimia

Answer 8

Hypokalemic hypochloremic alkalosis, bc lose Cl purging and then kidneys compensate by losing K

Question 9

Eating Disorder NOS

Answer 9

All criteria AN but has menses or

All criteria BN but binges occur less than twice/week or <3 months