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Neuro Exam 3 > Eating Disorders > Flashcards

Eating Disorders Flashcards

1
Q

True or False: An eating disorder is a behavioral disturbance due to a secondary condition.

A

False! Eating disorders are NOT due to a secondary condition.

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2
Q

True or False: A cancer patient that has lost his appetite and has begun losing weight is considered to have an eating disorder.

A

False! This would be a secondary condition cause.

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3
Q

True or False: There is a genetic factor to having an eating disorder.

A

True

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4
Q

Anorexia nervosa criteria states that a person will be greater than _____% below expected body weight

A

15%

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5
Q

True or False: A person with anorexia nervosa has an intense fear of gaining weight or becoming fat.

A

True

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6
Q

Mild anorexia nervosa is defined as having a BMI of ________.

A

greater than or equal to 17 kg/m2

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7
Q

Moderate anorexia nervosa is defined as having a BMI of ________.

A

16 - 16.9999 kg/m2

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8
Q

Severe anorexia nervosa is defined as having a BMI of ________.

A

15 - 15.9999 kg/m2

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9
Q

Extreme anorexia nervosa is defined as having a BMI of ________.

A

Less than 15 kg/m2

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10
Q

Most people with anorexia nervosa have a daily caloric intake of _______.

A

300-700 calories

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11
Q

True or False: Individuals with anorexia nervosa will reduce their caloric intake and compulsively exercise.

A

False! Compulsive exercise may or may not be present.

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12
Q

________ is the 3rd most common chronic illness among adolescents.

A

Anorexia nervosa

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13
Q

Anorexia nervosa is more common in:
A. Girls
B. Guys

A

A. Girls

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14
Q

The median age of onset for anorexia nervosa is 17, with the incidence rate highest between ages ___ and ___.

A

15 - 19

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15
Q

True or False: Anorexia nervosa often begins as a diet.

A

True

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16
Q

_______ is a disorder characterized by recurrent episodes of binge eating followed by recurring inappropriate compensatory behavior to prevent weight gain, and both of these features must happen at least once weekly for 3 months.

A

Bulimia Nervosa

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17
Q

The subtypes of bulimia nervosa are ______.

A

Purging and non-purging

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18
Q

True or False: Individuals suffering from bulimia nervosa can often use laxatives, enemas, and abuse diuretics.

A

True

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19
Q

The peak age of onset for bulimia nervosa is 18, with the highest incidence rates between ages ___ and ____.

A

20 - 24

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20
Q

True or False: Anorexia nervosa has a higher prevalence than bulimia nervosa.

A

False! Bulimia nervosa > Anorexia nervosa

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21
Q

A common etiology of bulimia nervosa is disturbances in ______ systems.

A

Serotonergic systems

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22
Q 
People with bulimia nervosa are often:
A. Underweight
B. Underweight but close to normal weight
C. Normal weight
D. Upper end of normal weight or over
E. Overweight
A

D. Upper end of normal weight or over

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23
Q

Callus on dorsum of hand is a sign of:
A. Anorexia nervosa
B. Bulimia nervosa

A

B. Bulimia nervosa

24
Q

Erosion of dental enamel and dental caries are signs of:
A. Anorexia nervosa
B. Bulimia nervosa

A

B. Bulimia nervosa

25
Q

Weakness, lethargy, cachexia are signs of:
A. Anorexia nervosa
B. Bulimia nervosa

A

A. Anorexia nervosa

26
Q

Osteoporosis is a sign of:
A. Anorexia nervosa
B. Bulimia nervosa

A

A. Anorexia nervosa

27
Q

Amenorrhea is a sign of:
A. Anorexia nervosa
B. Bulimia nervosa

A

A. Anorexia nervosa

28
Q

What is the main difference between binge-eating disorder (BED) and bulimia nervosa

A

Binge eating is NOT associated with recurrent use of inappropriate compensatory behavior (so no throwing up, using laxatives, diuretics, etc.).

29
Q

To be diagnosed with binge eating disorder (BED), binge eating occurs, on average, _____/week for __ months.

A

At least once per week for 3 months.

30
Q

Which of the following has the highest prevalence:
A. Anorexia nervosa
B. Bulimia nervosa
C. Binge-Eating Disorder (BED)

A

C. Binge-Eating Disorder (BED)

31
Q

Typically, binge-eating disorder (BED) is first diagnosed in _______.

A

Young adulthood (early-mid 20s)

32
Q

True or False: Binge-eating disorders appears to run in families.

A

True

33
Q

For any of the eating disorders, what is considered first line therapy?

A

Cognitive Behavioral Therapy (CBT)

34
Q 
Which of the following non-pharmacological therapies are used specifically for anorexia nervosa?
A. Interpersonal psychotherapy
B. Weight loss treatment
C. Psychiatric treatment
D. All of the above
E. None of the above
A

C. Psychiatric treatment

35
Q 
Which of the following non-pharmacological therapies are used specifically for bulimia nervosa?
A. Interpersonal psychotherapy
B. Weight loss treatment
C. Psychiatric treatment
D. All of the above
E. None of the above
A

A. Interpersonal psychotherapy

36
Q 
Which of the following non-pharmacological therapies are used specifically for binge eating disorder?
A. Interpersonal psychotherapy
B. Weight loss treatment
C. Psychiatric treatment
D. All of the above
E. None of the above
A

B. Weight loss treatment

37
Q 
Nutritional counseling is a non-pharmacological therapy that is useful for:
A. Anorexia Nervosa
B. Bulimia Nervosa
C. Binge-Eating Disorder
D. A and C
E. B and C
A

E. B and C

38
Q

Family therapy is a non-pharmacological treatment used in eating disorders to help which age group?

A

Younger adults (< 18 YO)

39
Q 
What is the appropriate controlled weight gain amount in an inpatient setting?
A. 0.5 - 1 lb/week 
B. 1 - 2 lbs/week
C. 2 - 3 lbs/week
D. 3 - 4 lbs/week
A

C. 2-3 lbs/week

40
Q 
What is the appropriate controlled weight gain amount in an outpatient setting?
A. 0.5 - 1 lb/week 
B. 1 - 2 lbs/week
C. 2 - 3 lbs/week
D. 3 - 4 lbs/week
A

A. 0.5 - 1 lb/week

41
Q

True or False: Total parenteral nutrition (TPN) should be used for anyone with an eating disorder.

A

False! Total parenteral nutrition (TPN) is reserved only for management of severely malnourished patients, and only used for patients with anorexia nervosa or bulimia nervosa who are underweight.

42
Q

True or False: In treatment of eating disorders with nutritional support, enteral feeding (gastric) is preferred over parenteral nutrition (IV).

A

True

43
Q

In nutritional support, slow feeding minimizes the risk of developing __________.

A

Refeeding Syndrome

44
Q

_______ is a syndrome consisting of metabolic disturbances (mainly due to electrolyte disturbances) that occur as a result of reinstitution of nutrition to patients who are starved, severely malnourished or metabolically stressed due to severe illness.

A

Refeeding Syndrome

45
Q

The FDA approved treatment for bulimia nervosa is ______.

A

Fluoxetine

46
Q

Antidepressants have no role in acute phase of:
A. Anorexia nervosa
B. Bulimia nervosa

A

A. Anorexia nervosa

47
Q

Antidepressants have robust benefit in acute phase of:
A. Anorexia nervosa
B. Bulimia nervosa

A

B. Bulimia nervosa

48
Q

For anorexia nervosa, an SSRI, like fluoxetine, should be trial for ____ months.

A

9-12 months

49
Q

Which class of medications has shown benefit in the acute phase of anorexia nervosa?
A. Antidepressants
B. Antipsychotics

A

B. Antipsychotics

50
Q

Which antipsychotics can be used in the treatment of anorexia nervosa?

A

Risperidone or Olanzapine

51
Q

When can antipsychotics be used in bulimia nervosa?

A

If they are treating an underlying disorder like bipolar or schizophrenia.

52
Q

List the medications that can be used to treat Binge-Eating Disorder (BED).

A

Fluoxetine
Topiramate
Vyvanse

53
Q

True or false: you should obtain baseline lab workup, physical exam, and EKG before starting pharmacological therapy for an eating disorder.

A

True

54
Q

Which eating disorder has the highest mortality rate?
A. Anorexia nervosa
B. Bulimia nervosa
C. Binge-Eating Disorder (BED)

A

A. Anorexia nervosa

55
Q 
Which of the following can be used as adjunctive therapy for anorexia nervosa?
A. Benzodiazepines
B. Metoclopramide/erythromycin
C. Estrogen replacement
D. Cyproheptadine
E. All of the above
A

E. All of the above

56
Q 
Which of the following can be used as adjunctive therapy for anorexia nervosa?
A. Menace
B. Oxandrin
C. Zinc Gluconate
D. All of the above
A

D. All of the above

Neuro Exam 3 (7 decks)

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