Eating Disorders

Question 1

What is the ICD 10 diagnostic criteria for Anorexia Nervosa?

Answer 1

BMI of 17.5 or less
Self induced weight loss
Body image disturbance
Fear of fatness
Amenorrhoea

Question 2

A 17 year old girl comes into your clinic referred from her GP as he has a BMI of 15 and her parents have noticed abnormal behaviour around food. What tests would you want to do to assess her physical health?

Answer 2

• FBC
• U & E’s
• LFTs
• Glucose
• Creatinine Kinase
• ECG
• HR and BP
• Squat test
• Core temperature
• DEXA scan

Question 3

What cardiac arrythmia is seen in anorexia nervosa?

Answer 3

Long QT syndrome

Question 4

Are cortisol levels raised or lowered in anorexia nervosa?

Answer 4

Lowered

Question 5

Are pottasium levels raised or lowered in anorexia nervosa?

Answer 5

Lowered

Question 6

Are growth hormone levels low or high in anorexia nervosa?

Answer 6

High

Question 7

Is cholesterol low or high in anorexia nervosa?

Answer 7

High

Question 8

Is T3 low or high in anorexia nervosa?

Answer 8

Low

Question 9

Is heart rate fast or slow in anorexia nervosa?

Answer 9

Slow

Question 10

Below what BMI should an urgent referral for anorexia nervosa be made?

Answer 10

15

Question 11

What is the ICD 10 diagnostic criteria for bulimia nervosa?

Answer 11

• Persistent preoccupation with eating
• Irresistable craving for food
• Binges
• Attempts to counter the effects of binges
• Morbid fear of fatness

Question 12

What is russels sign?

Answer 12

Calluses on knuckles due to self infliction of vomiting

Question 13

What antidepressent is helpful in bulemia?

Answer 13

SSRI