Eating Disorders (Hill)

Question 1

This AN type is 3 months of no binging or purging (no self-induced vomiting or use of laxatives); excessive exercising, fasting

Answer 1

Restricting type AN

Question 2

This AN type is 3 months of the binging and purging behaviors

Answer 2

Binge-eating/purging type AN

Question 3

Cardiac complications of AN?

Answer 3

Bradycardia
hypotension
QT dispersion
cardiac atrophy 
mitral prolapse

Question 4

What is Re-feeding syndrome?

Answer 4

DO NOT rehydrate or feed pts beyond their current capacity. This is a serious complication of tx of AN

Question 5

Mood disorder comorbidity with AN?

Answer 5

OCD

Question 6

Avoid what drugs for AN and why?

Answer 6

Avoid:

• Bupropion –> increased seizure risk w/binging and purging
• TCAs–> cardiotoxic

Question 7

off-label use for Olanzapine with AN?

Answer 7

adjunctive med shown to help with weight gain

Question 8

Compare weight in AN vs BN:

Answer 8

BN: vary between normal body weight, slightly underweight, overweight or obese

AN: mostly underweight

Question 9

Tx of choice for BN?

Answer 9

CBT

Question 10

Which drug is 1st line for BN?

Answer 10

Fluoxetine

Question 11

1st and only med approved to tx moderate to severe Binge Eating Disorder in adults?

Answer 11

Vyvanse (lisdexamfetamine dimesylate)

Also indicated for ADHD

Question 12

Persistent cross-gender identification that leads to persistent distress with sex assigned at birth

Answer 12

Gender dysphoria

Question 13

Minimum 1st line care for AN?

Answer 13

Nutritional rehab –> supervised by dietitian

Psychotherapy