Eating Disorders

Question 1

What are the criteria for anorexia nervosa?

Answer 1

weight loss of 15% below normal/expected weight; self-induced wt loss; self-perception of being too fat with intrusive dread of fatness; widespread endocrine disorder

Question 2

What does widespread endocrine disorder manifest in anorexia
nervosa
as in females?

Answer 2

amenorrhoea- except if on OCP

Question 3

What does widespread endocrine disorder in anorexia nervosa manifest as in males?

Answer 3

loss of sexual interest and potency

Question 4

What happens if anorexia nervosa onset if pre-pubertal?

Answer 4

puberty is delayed or arrested

Question 5

What are the criteria for bulimia nervosa?

Answer 5

recurrent episodes of overeating (2/week over 3 months); presistent preoccupation with eating; counteracts overeating by 1-vomiting; purging or starvation; self-perception of being too fat

Question 6

What is an episode of bing-eating charactered by?

Answer 6

eating within 2 hours an amount of food that is larger than most people ould eat; feeling of lack of control over eating

Question 7

What are binge-eating episodes associated with?

Answer 7

eating much more rapidly; eating until feeling uncomfortably full; eating large amount when not feeling physicallt hungry; eating alone due to embarrassment; feeling disgusted with oneself

Question 8

What are the signs of bulimia nervosa?

Answer 8

caries; russel’s sign- on hands

Question 9

When is the typical onset of anorexia nervosa?

Answer 9

pubertal onset: 7-15 years

Question 10

What are the psychological risk factors for devleoping an eatin disorder?

Answer 10

low self-esteem; perfectionist; black and white thinking; adolescence; childhood abuse

Question 11

What are the common comorbid conditions with eating disorders?

Answer 11

depression; OCD; substance misuse; DM

Question 12

What are the effects of starvation on the brain?

Answer 12

loss of grey and white matter; increased compulsive behaviour; enhanced response to hedonic and nutrostat signals; reduced social skills; focus on food; poor conc and decision making; new learning stunted

Question 13

What causes refeeding syndrome?

Answer 13

depletion of already inadequate store of nutrients which are used up as body starts to repair itself

Question 14

What are the metabolic complications of starvation?

Answer 14

hypothermia; dehydration; electrolyte disturbance; hypogylcaemia; riased LFTs