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Psychiatry pro +1700 > Eating disorders > Flashcards

Eating disorders Flashcards

1
Q

When do eating disorders usually present?

A

Adolescence

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2
Q

OCD patients are more or less prone to eating disorders?

A

More

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3
Q

True or false: athletes less commonly have eating disorders?

A

False–more common

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4
Q

True or false: there is usually a critical sensitizing event with eating disorders

A

True

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5
Q

The average american woman is how tall and weighs how much?

A

5’ 4”

140

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6
Q

The average american model is how tall and weighs how much?

A

5’ 11’’

117

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7
Q

What are the diagnostic criteria for anorexia? (4)

A
  • Intense fear of gaining weight or becoming fat, even at a low weight
  • Disturbance in the perception of shape or size
  • Restriction of energy intake
  • Disturbance or undue influence of weight or shape
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8
Q

What are the BMI definitions of mild, moderate, severe, and extreme anorexia?

A

Mild less than [17-18
Moderate [16, 17)
Severe less than 16
Extreme = less than 15

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9
Q

What is the progression of symptoms with anorexia?

A

Dieting progressing to more and more reductions in intake, switching to only fruits and vegetables, and an increase in physical activity

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10
Q

True or false: objective hypothermia can occur with anorexia

A

True

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11
Q

What is the deadliest of all psychiatric disorders?

A

Anorexia

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12
Q

What are the diagnostic criteria for bulimia? (3)

A
  • Recurrent episodes of binge eating
  • Inappropriate compensatory behaviors to prevent weight change
  • Self-eval based largely on image
  • Greater than 18.5 BMI
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13
Q

How often do episodes of binge eating occur with bulimia?

A

At least once a week for 3 months

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14
Q

What are the drugs that are abused with bulimics?

A

Laxatives and diuretics

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15
Q

What are the two subtypes of bulimia?

A

Purging and nonpurging

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16
Q

What are the diagnostic criteria for binge eating disorders? (4)

A
  • Frequent episodes of large quantities of food in short periods
  • Feeling out of control
  • Feeling ashamed or disgusted by the behavior
  • Eating when not hungry or in secret
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17
Q

What is the difference between BED and bulimia?

A

BED have significantly lower level of dietary restraints

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18
Q

True or false: men more often have BED

A

True

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19
Q

What is the pharmacotherapy treatment for BED?

A

Prozac (fluoxetine)

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20
Q

Callouses on the back of the hand may suggest what?

A

Bulimia

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21
Q

What causes the chipmunk cheeks with bulimia?

A

Increase salivary secretions

22
Q

True or false: cardiac impairment is a risk factor for anorexia

A

True

23
Q

True or false: there is a loss of brain tissue with anorexia

A

True

24
Q

What happens to bone density with anorexia?

A

Decreased density

25
Q

What mental illness has the highest mortality rate?

A

Anorexia

26
Q

What lab abnormality may occur with anorexia / bulimia?

A

Hypokalemia

27
Q

What are the medical complications of BED?

A
  • HTN
  • Hypercholesterolemia
  • DM II
  • Gallbladder disease
28
Q

What are the EKG findings that can be seen with anorexia?

A

QT prolongation

29
Q

What are the CBC abnormality with anorexia?

A

Leukopenia

30
Q

What happens to hormone levels with anorexia?

A

Lower

31
Q

What metabolic disorders can be seen with bulimia? (3)

A

Hypokalemia
Metabolic alkalosis
Increased LFTs

32
Q

True or false: there is a lowered threshold for depression with anorexia

A

True

33
Q

What happens when starving to psych stuff?

A
  • Depression
  • Asexual
  • Psych s/sx
34
Q

What are the comorbidities with eating disorders? (5)

A
  • Depression
  • Anxiety
  • OCD
  • Substance abuse
  • Personality disorders
35
Q

What are the drugs that take away appetite? (2)

A

Opioids

Stimulants

36
Q

What is the treatment for eating disorders?

A
  • Observed refeeding
  • Eliminate purging
  • Exercise management
37
Q

What is the multidisciplinary approach to anorexic patients? (4)

A
  • Physician refers
  • Therapist
  • Dietician
  • Psychiatrist
38
Q

What are the two medications that may assist with weight gain and mood management?

A
  • Atypical antipsychotics

- TCAs

39
Q

What do most eating disorders start off as?

A

A diet

40
Q

What personality types are predisposed to anorexia?

A

Perfectionists

41
Q

Which category of men have a higher incidence of eating disorders?

A

homosexual

42
Q

True or false: most pts with an eating disorder do not believe they are thin

A

False–most do, but fear of a loss of control if they eat

43
Q

What is the restricting type of anorexia?

A

Past 3 months individual has not engaged in recurrent episodes of binge eating or purging behavior

44
Q

What is the binge-eating/purging type of anorexia?

A

Past 3 months individual has engaged in recurrent episodes of “binge” (e.g 1 banana) eating or purging behavior

45
Q

Is amenorrhea a diagnostic criteria for anorexia?

A

Not anymore–not reliable

46
Q

What is the temperamental risk factor for anorexia?

A

Anxiety or obsessional

47
Q

True or false: having a biological relative with an eating disorder is a risk factor to developing an eating disorder

A

True

48
Q

What is the nonpurging type of bulimia?

A

Not purging, but doing other things to get rid of the calories quickly (e.g intensive exercise, etc)

49
Q

What were the results of the Maudsley approach to the treatment of anorexia?

A

50% of anorexia pts and 30% of bulimia pts showed improvement

50
Q

What are the meds that have been shown to reduce binge eating?

A

SSRIs

Psychiatry pro +1700 (28 decks)

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