Eating disorders

Question 1

Anorexia Nervosa

Answer 1

Refusal to maintain weight within a normal range for height and age.
More than 15% below ideal.
Amenorrhea for 3 months

Question 2

Anorexia subtypes

Answer 2

Restricting

Binging/purging

Question 3

Bulimia

Answer 3

Binging and purging (or non purging).
Generally don’t get as light as anorexics.
2 days/wk for 6 months

Question 4

Eating disorder NOS

Answer 4

All criteria for anorexia but regular menses, regular weight.
Binges below diagnostic threshold

Question 5

Bulemia physical exam

Answer 5

Parotid gland hypertrophy

Erosion of teeth

Question 6

Osteopenia

Answer 6

Low bone density
A severe complication
Tx is weight gain, calcium, vitamin D, hormone replacement.

Question 7

Secondary amenorrhea affects ___% of anorexics.

Answer 7

90%

Caused by low levels of FSH and LH.

Question 8

Menses resumes within ___months of achieving 90% IBW

Answer 8

6 months

Question 9

Cardiac complications w/ anorexia

Answer 9

Mitral valve prolapse
Long QT
Heart failure (greatest risk in first 2 wks of refeeding)

Question 10

Anorexia Tx

Answer 10

CBT
Meds dont work very well
90-92% of IBW

Question 11

Bulimia tx

Answer 11

CBT
Prozac
Topomax
Zofran

Question 12

Female athlete triad

Answer 12

Eating disorders
Stress fx’s
Amenorrhea