Eating Disorders/Elimination disorders

Question 1

What is the most evidence based model for treatment of anorexia in adolescents?

Answer 1

Maudsley family therapy

Question 2

In anorexia nervosa, do you see high or low cortisol levels?

Answer 2

HIGH cortisol levels, is a state of chronic high stress

Question 3

What metabolic disturbance is seen in patients with anorexia nervosa who vomit?

Answer 3

metabolic alkalosis
- hypokalemic, hypochloremic

Question 4

What metabolic disturbance is seen in patients with anorexia nervosa who use laxatives?

Answer 4

metabolic acidosis
-hyperchloremic, hyponatremic

Question 5

What vitamin deficiencies do we see in Anorexia nervosa?

Answer 5

B1: thiamine
B12: Folate
Iron

Question 6

What is the danger of patients who have AN taking ipecac syrup?

Answer 6

irreversible cardiomyopathy

Question 7

What is FDA approved SSRI for Bulimia nervosa?

Answer 7

Prozac

Question 8

What is FDA approved for treatment of Binge Eating disorder?

Answer 8

Vyvanse (lisdexamfetamine)

Question 9

What is tx for rumination disorder for those without developmental disability?

Answer 9

Habit reversal therapy

Question 10

What are the 2 treatments for enuresis?

Answer 10

Desmopressin acetate
Tricyclic antidepressants

Question 11

What form of hepatitis is associated with Anorexia nervosa?

Answer 11

starvation hepatitis

Question 12

Exposure to which 2 infections in the sixth month of pregnancy has been significantly associated with the development of anorexia nervosa?

Answer 12

1. chickenpox
2. rubella

Question 13

Before what age is bedwetting considered normal?

Answer 13

5y/o

Question 14

Enuresis is not diagnosed until bedwetting occurs at least _____ a week for 3 consecutive months or there is clinically significant distress or impairment in functioning.

Answer 14

twice

Question 15

What is the incidence of enuresis in a child with whom
A) both parents are enuretic
B) families with no incidence of enuresis
C) one enuretic parents

Answer 15

A) 77%
B) 15%
C) 44%

Question 16

What is first line tx for enuresis?

Answer 16

Desmopressin

Question 17

Klüver-Bucy syndrome, a rare neurobehavioral disorder caused by damage to the____ lobes, characterized by hyperphagia, hypersexuality, and pica.

Answer 17

temporal

Question 18

What is the only drug known to be effective for sleep terror disorder?

Answer 18

Clonazepam

Question 19

What percentile is required for a pt to be considered in the BMI range <18.5 and potentially with AN?

Answer 19

<10th percentile

Question 20

______ (high or low) serum cholesterol levels are seen in young patients with anorexia nervosa and are associated with severe loss of body fat.

Answer 20

High

Question 20

What is the appropriate initial management for voiding postponement syndrome?

Answer 20

Urotherapy