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Specialty Disciplines Psych > Eating Disorders > Flashcards

Eating Disorders Flashcards

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1
Q

There is an increased UPTAKE of this neurotransmitter in anorexics and bulimics

A

Serotonin

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2
Q

There is an increase of this satiety peptide in the gut of anorexics and bulimics, causing a decrease in appetite

A

Peptide tyrosine tyrosine

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3
Q

Baseline and post-prandial cholecystokinin is ____ in anorexics. What does this cause?

A

Increased! Causes decreased appetite

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4
Q

What hormone is dysfunctional in binge eaters?

A

Ghrelin (The “hunger hormone”)

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5
Q

What are some comorbid disorders that are common with eating disorders?

A

Kleptomania, suicide, drug and ETOH abuse, sexual promiscuity

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6
Q

The prevalence of eating disorders is highest in what age and gender?

A

Adolescents (median age 18-21) and women

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7
Q

What are the two types of anorexia?

A

Restricting type and binge-eating/purging type

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8
Q

What are the three eating disorders?

A

Anorexia, bulimia, binge eating disorder

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9
Q

Which test involving 5 questions can be used to identify an eating disorder?

A

SCOFF test

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10
Q
  • Make yourself SICK when you feel uncomfortably full
  • Worry you have lost CONTROL over how much you eat
  • Recently lost more than 14lbs in the last 3 months (ONE stones worth of weight)
  • Believe you are FAT when others say you are too thin
  • Would you say that FOOD dominates your life
A

SCOFF test questions

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11
Q

Persistent restriction of energy intake leading to significantly lower body weight; Either an intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain; Disturbances in the way one’s body weight or shape is experienced

A

Anorexia

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12
Q

What is typically the most obvious clue to anorexia?

A

Weight loss - Emaciated person who believes that are overweight and continues to try and lose weight

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13
Q

What are the 5 stages of binge/purge type anorexia?

A

Binge eat, purge, guilt, restrict, feel deprived, repeat

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14
Q

Restricting type anorexia consists of a patient restricting their calorie intake to as little as ___ to ___ calories/day

A

300 to 600

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15
Q

May have obsessive and compulsive symptoms regarding food, eating habits, and exercise

A

Restricting type anorexia

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16
Q

BMI greater than or equal to 17

A

Mild anemia

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17
Q

BMI 16-16.9

A

Moderate anorexia

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18
Q

BMI 15-15.9

A

Severe anorexia

19
Q

BMI less than 15

A

Extreme anorexia

20
Q

Eating in a discreet period of time, an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances AND feeling a sense of lack of control over eating during the episode

A

Binge eating

21
Q

What two behaviors characterize bulimia nervosa?

A

Binge eating AND inappropriate compensatory behavior in order to prevent gaining weight

22
Q

What are some of the compensatory behaviors patients who suffer from bulimia might do in order to prevent gaining weight?

A

Purging, laxative abuse, diuretics, fasting, or excessive exercise

23
Q

How often must the binge eating and compensatory behaviors occur simultaneously to make a diagnosis of bulimia nervosa?

A

On average at least once a week for 3 months

24
Q

Patient reports feeling a lack of control while eating and engages in inappropriate compensatory behavior to prevent weight gain

A

Bulimia nervosa

25
Q

Patients who suffer from bulimia nervosa are often a ______ weight

A

NORMAL

26
Q

1-3 episodes of compensatory behavior/week

A

Mild bulimia nervosa

27
Q

4-7 episodes of compensatory behavior/week

A

Moderate bulimia nervosa

28
Q

8-13 episodes of compensatory behavior/week

A

Severe bulimia nervosa

29
Q

14 or more episodes of compensatory behavior/week

A

Extreme bulimia nervosa

30
Q

What is the female athlete triad?

A

Nutritional: Eating disorder
Endocrine: Amenorrhea
Musculoskeletal: Osteoporosis

31
Q

Russell’s sign (calluses on the back of hand or knuckles) is a medical complication that arises from?

A

Vomiting

32
Q

If you have a patient with an eating disorder and they are suffering from a life threatening cardiomyopathy, what drug should you suspect that they are abusing?

A

Ipecac

33
Q

What is the difference between bulimia and binge eating disorder?

A

With binge eating disorder there is NO compensatory behavior after binge eating – leads to weight gain

34
Q
  • Eating very rapidly
  • Until uncomfortably full
  • Large amounts when not hungry
  • Eating alone due to embarrassment over the amount
  • Feeling disgusted with oneself, depressed, or very guilty afterwards
  • Marked distress regarding the binge eating
A

Binge eating episodes must be associated with 3 or more of the following to be binge eating disorder

35
Q

In order to diagnose a patient with binge eating disorder, how frequent must the episodes be?

A

At least once a week for three months

36
Q

1-2 binge eating episodes/week

A

Mild binge eating disorder

37
Q

4-7 binge eating episodes/week

A

Moderate binge eating disorder

38
Q

8-13 binge eating episodes/week

A

Severe binge eating disorder

39
Q

14 or more binge eating episodes/week

A

Extreme binge eating disorder

40
Q

What type of therapy is the cornerstone of treatment for eating disorders?

A

Cognitive behavioral therapy

41
Q

What is the initial goal weight for patients who are underweight and have an eating disorder?

A

90% of healthy BMI

42
Q

Should SSRIs be sole therapy in patients with eating disorders?

A

NO! In bulimia it may decrease frequency of binging in addition to CBT

43
Q

What drugs may help with binge eating disorder?

A

SSRIs, TCAs, Antiepileptics (topiramate), appetite suppressants (orlistat)

Specialty Disciplines Psych (5 decks)

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