Eating disorders

Question 1

screening tool for eating disorders ?

Answer 1

SCOFF
S - do you every make yourself sick?
C - do you feel like you have lost control over your life ?
O - have you lost one stone (>6.5kg) within past 3 months ?
F - do you think you are fat when others tell you otherwise ?
F - does food dominate your life ?

Question 2

criteria for hospital admission with an eating disorder ?

Answer 2

low weight (85% expected or 1/3 percentile)
lack of weight gain 
significant oedema
physiological decompensation 
- electrolyte disturbance
- cardiac disturbance
- altered mental status 
- orthostatic difference > 30 
temp < 36
pulse < 45
psychosis or high risk suicide 
symptoms unmanageable by outpatient

Question 3

1st line management options in treatment of anorexia in adults ?

Answer 3

one of the following;

• Maudsley anorexia nervosa treatment in adults (MANTRA)
• CBT
• specialist supportive clinical management (SSCM)

Question 4

1st line treatment for management of anorexia in children/adolescents ?

Answer 4

anorexia focussed family therapy

Question 5

ICD-10 criteria for anorexia nervosa ?

Answer 5

restriction of food intake
compensatory behaviours when food cannot be avoided
fear of gaining weight
BMI < 18 OR < 15% percentile
in post menarche women, amenorrhoea for 3 months

Question 6

ICD-10 criteria for bulimia ?

Answer 6

episodes of binge eating with feeling of lack of control
followed by compensatory behaviour (e.g. purging or non-purging)
binging and purging must occur at least 2x per week for 3 months
dissatisfaction with body weight and shape

Question 7

treatment options for bulimia?

Answer 7

bulimia nervosa focussed guided self-help

eating disorder focussed CBT

in children - bulimia focussed family therapy