Eating Disorders

Question 0

Bulimia Nervosa

Answer 0

Engage in repeated episodes of binge eating followed by compensatory behaviors (i.e. self induced vomiting, misuse of laxatives/diuretics/other meds, fasting, or excessive exercise

Question 1

Anorexia Nervosa

Answer 1

Refuse to maintain minimally normal weight for height and express intense fear of gaining weight

Question 2

Binge Eating

Answer 2

Repeated episodes of binge eating, after which they experience significant distress

Question 3

When are antidepressants effective for anorexic patients?

Answer 3

Mood changes begin after a patient reaches at least 90% of optimal weight

Question 4

Anorexia: Sx

Answer 4

Low weight, amenorrhea, yellow skin, lanugo, cold extremities, peripheral edema, muscle weakening, constipation, abnormal lab values, cardiovascular abnormalities (hypotension, bradycardia, heart failure), impaired renal function, hypokalemia, anemic pancytopenia, decreased bone density

Question 5

Common comorbidities

Answer 5

OCD, anxiety, social phobia, substance abuse

Question 6

Refeeding Syndrome

Answer 6

Treatment complication involving metabolic alteration in serum electrolytes, vitamin deficiencies, and sodium retention

Question 7

Overgeneralization

Answer 7

A single event affects unrelated situations (i.e. “he didn’t ask me out. It must be because I’m fat.”)

Question 8

All-or-nothing thinking

Answer 8

Reasoning is absolute and extreme, in mutually exclusive terms of black or white, good or bad (i.e. “If I have one popsicle, I must eat five”)

Question 9

Catastrophizing

Answer 9

The consequences of an event are magnified (i.e. “If I gain weight, my weekend will be ruined”)

Question 10

Personalization

Answer 10

Events are overinterpreted as having personal significance (i.e. “I know everyone is watching me eat”)

Question 11

Emotional Reasoning

Answer 11

Subjective emotions determine reality (i.e. “I know I’m fat because I feel fat”)

Question 12

Bulimia Nervosa: Sx

Answer 12

Normal to slightly low weight, dental caries, tooth erosion, parotid swelling, gastric dilation/rupture, calluses/scars on hand, peripheral edema, muscle weakening, abnormal lab values (electrolyte imbalance, hypokalemia, hyponatremia), cardiovascular abnormalities (cardiomyopathy, electrocardiographic changes), cardiac failure

Question 13

Which med is contraindicated for pts who purge?

Answer 13

Bupropion (Wellbutrin) - increased risk for seizures