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Behavioral Health > eating disorders > Flashcards

eating disorders Flashcards

1
Q

Biological factors that may contribute to an eating disorder

A

family history, history of dieting, T1DM, genetics

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2
Q

Psychological factors that may contribute to an eating disorder

A

low self esteem, relationship with self, feelings of inadequacy, depression/anxiety/fear/loneliness

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3
Q

Social factors that contribute to an eating disorder

A

cultural norms, body dissatisfaction drive for “perceived ideal body type”, history of trauma, weight stigma/bullying

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4
Q

Emotional/behavioral signs of an eating disorder

A

weight loss/dieting/control food, food rituals, social withdrawal, frequent dieting/body checking, extreme mood swings

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5
Q

Physical signs of an eating disorder

A

weight fluctuations, GI complaints, dizziness upon standing, difficulty concentrating/sleeping, issues with dental/skin/hair/nails

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6
Q

M or F: more prevalent of anorexia

A

females

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7
Q

65% cases of anorexia also have

A

depression

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8
Q

two types of anorexia

A

restricting type

binge-eating/purging type

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9
Q

Tye of anorexia where weightloss is through dieting, fasting, and/or exercise

A

restricting type

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10
Q

weight loss may be contributed to recurrent episodes of binge eating/purging

A

binge eating/purging type of anorexia

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11
Q

Food symptoms of anorexia

A

dieting even though thin
peculiar behavior about food
pretend to eat/lie about eating
strange/secrete food rituals

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12
Q

Appearance and behavior symptoms of anorexia

A

dramatic weight loss, feeling fat (even though underweight), fixated or obsessed with body image, critical about appearance, excessive exercise, anxiety about gaining weight, primary life focus is on weight loss and diet, withdrawal from friends

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13
Q

Signs and symptoms of anorexia

A

emaciation, cold intolerance, constipation, amenorrhea, bradycardia, hypotension, hypothermia, loss of body fat, dry/scaly skin, increase in lanugo, parotid enlargement, edema, osteoporosis

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14
Q

What will you see on CBC of anorexic patient?

A

leukopenia

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15
Q

what will you see on EKG for anorexic patient?

A

ST T wave changes secondary to electrolyte abnormalities

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16
Q

treatment for anorexia

A

may need hospitalization, psychotherapy

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17
Q

What criteria would you hospitalize an anorexic patient?

A

< 20% weight for height, need to restore nutritional state

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18
Q

what is the caloric goal for an anorexic patient?

A

1500 - 2000

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19
Q

Meds that can cause weight gain and may benefit an anorexic patient

A

cyproheptadine, amitryptyline, fluoxetine

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20
Q

Disorder characterized by recurrent and frequent binge eating combined with inappropraite ways of stopping weight gain

A

bulimia nervosa

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21
Q

Psychological symptoms that may be associated with bulimia nervosa

A

depression, anxiety, irritability, obsession with eating/food/body shape/weight, low self esteem, sensititve to comments relating to food/weight/body shape/exercise

22
Q

behavior of patient with bulimia nervosa

A

eating in private, repetitive or obsession relating to body shape or weight, excessive exercising, trips to bathroom following meals, use of laxatives/emetics/diuretics/diet pills

23
Q

signs and symptoms of bulimia nervosa

A

poor dentition, calluses on the back of hands, parotid gland enlargement, heartburn, amenorrhea

24
Q

4 tests you want to order for a patient presenting with bulimia nervosa

A

CBC, CMP, TSH, albumin

25
Q

first line treatment for bulimia nervosa

A

CBT psychotherapy

26
Q

pharmacotherapy that is FDA approved to treat bulimia nervosa

A

SSRI → fluoxetine

27
Q

disorder characterized by patient eating an abnormally large amount of food over short period of time → does NOT compensate in any way after binge eating

A

binge eating disorder

28
Q

What is the most common eating disorder?

A

binge eating disorder

29
Q

what personality style is more prone to binge eating disorder?

A

impulsive, extroverted

30
Q

Binge eating may be a coping mechanism for

A

depression, stress, anxiety

31
Q

what are some consequences of binge eating disorder?

A

MSK problems, HTN, hyperlipidemia, diabetes

32
Q

Two criteria for binge eating

A

eating abnormally large amount of food within certain time period and sense of lack of self control during episode

33
Q

What are binge eating episodes associated with?

A

eating faster than normal
eating until feel uncomfortably full
eating large amounts of food when not hungry
eating alone
feeling disgusted with self/depressed or guilty after

34
Q

According to DSM5 what is the frequency and length to be considered binge eating?

A

once a week for 3 month

35
Q

signs and symptoms of binge eating disorder

A

obesity, frequent weight cycling, insomnia/early menarche/neck,should,lower back pain/ chronic muscle pain/metabolic disorders

36
Q

Most common treatment for binge eating

A

CBT psychotherapy

37
Q

pharmacotherapy for binge eating

A

SSRI, weight loss med

38
Q

characterized by persistent failure to meet nutritional or energy needs by: significant weightloss, or failure to achieve expected weight, nutritional deficiency, dependence on enteral feedings or nutritional supplements, marked interference with psychosocial functioning

A

avoidant-restrictive food intake disorder

39
Q

How does avoidant-restrictive food intake disorder differ from anorexia?

A

patient does not have distress over body shape/size or fear fatness

40
Q

Patient shows food refusal, food selectivity, eating too little, food avoidance, and delayed self feeding - they may have?

A

avoidant-restrictive food intake disorder

41
Q

signs and symptoms of avoidant restrictive food intake disorder

A

weight loss, dress in layers, constipation, abdominal pain, cold intolerance, vague GI issues

42
Q

for avoidant restrictive food intake disorder in a child - what do you want to rule out or double check?

A

rule out medical causes and check that food is available for the child

43
Q

If a child doesn’t grow out of avoidant restrictive food intake disorder, what can you do?

A

CBT psychotherapy

44
Q

Criteria is met for anorexia nervosa but the weight is not below normal

A

atypical anorexia nervosa

45
Q

criteria for bulimia nervosa is met but there are less frequent occurences

A

subthreshold bulimia nervosa

46
Q

criteria for binge eating disorder is met but occurs at lower frequency

A

subthreshold binge eating disorder

47
Q

Disorder where the patient purges without binge eating

A

purging disorder

48
Q

excessive nighttime food consumption

A

night eating syndrome

49
Q

preoccupation with imagined defect in appearnce that causes clinically significant distress or impairment in important areas of functioning

A

body dysmorphic disorder

50
Q

What does body dysmorphic disorder fall under?

A

obsessive compulsive related disorders

51
Q

treatment for body dysmorphic disorder

A

SSRI, treat comorbid conditions

Behavioral Health (4 decks)

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