Eating Disorders

Question 1

what are three criteria for anorexia nervosa diagnosis?

Answer 1

restriction of energy intake causes low weight
intense fear of gaining weight
disturbance of body image or lack of insight on seriouseness of low body weight

Question 2

what are the two subtypes of anorexia nervosa?

Answer 2

restricting or binge eating/purging

Question 3

what is normal BMI?

Answer 3

btw 18.5 and 24.99

Question 4

what is cutoff for mild anorexia BMI?

Answer 4

17-18

Question 5

what is cutoff for severe anorexia BMI?

Answer 5

less than 15 BMI

Question 6

what is % ideal body weight that signals anorexia?

Answer 6

less than 80% IBW

Question 7

what psych disorder has the highest mortality rate?

Answer 7

anorexia nervosa

Question 8

why does anorexia have highest mortality of all psych disorders?

Answer 8

medical complication and suicide due to illness

Question 9

name four disorders that are often comorbid with anorexia

Answer 9

dep, anx, OCD, personality disorders

Question 10

what are the two aspects of treatment for anorexia?

Answer 10

medical stabilization…food

psychiatric treatment targeting the conditions/behaviors that drive the disorder

Question 11

what is refeeding syndrome in anorexia?

Answer 11

patient has been in fasted state and metabolic processes have been turned off and then get turned on and have a big demand for sugars and electrolytes…

Question 12

what can happen in refeeding syndrome in anorexia?

Answer 12

low levels of electrolytes already due to fasting…then use them up quick and it can lead to cardiac arrhythmias

Question 13

what is the classic hallmark of refeeding syndrome?

Answer 13

HYPOPHOSPHATEMIA…high yield

Question 14

what are the five criteria for bulimia nervosa??

Answer 14

recurrent binge eating
compensatory behavior to rid of binge
both of above occur once a week for three months
influence of body image on self eval 
no anorexia nervosa

Question 15

what medication is FDA approved for treatment of bulimia?

Answer 15

fluoxetine

Question 16

what class of drugs should you use with bulimia?

Answer 16

SSRI/SNRI

Question 17

what drug should you avoid with bulimia?

Answer 17

Bupropion

Question 18

what is body weight usually like in bulimia?

Answer 18

normal or overweight

Question 19

what are criteria for binge eating disorder?

Answer 19

recurrent binge eating once a week for three months without anorexia or bulimia nervosa signs…also feel stress about their eating and may do it isolated

Question 20

is anorexia and bulimia more common in men or women?

Answer 20

10:1 women to men

Question 21

is binge eating more common in men or women?

Answer 21

2:1 women to men

Question 22

what is treatment for binge eating?

Answer 22

therapy and meds

Question 23

what are the three meds you can give for binge eating?

Answer 23

lisdexamphetamine
sertraline (SSRI)
topiramate

Question 24

what is ARFID?

Answer 24

avoidant restrictive food intake disorder

Question 25

what are criteria for avoidant restrictive food intake disorder?

Answer 25

persistent failure to meet nutritional needs but not due to lack of food/ fasting and no body image issues and not explained by another medical condition

Question 26

give an example of why someone may have ARFID?

Answer 26

kid choked on hot dog and wont eat solids for rest of life…