Eating Disorders ILA

Question 1

weight less than minimum normal range for age and height
fear of gaining weight
most common in young females
absent periods

Answer 1

anorexia

Question 2

recurrent episodes of binge eating
throwing up or laxative use to prevent weight gain
normal weight
has periods but could be irregular

Answer 2

bulimia

Question 3

recurrent episodes of eating large amount of food in brief period w/ sense of loss of control and marked distress

Answer 3

binge eating disorder

Question 4

SCOFF questionare
ask about eating practices
BMI measurement

Answer 4

screening for eating disorders

Question 5

FH
social (“visual sports”)
low self esteem
abuse

Answer 5

risk factors for eating disorders

Question 6

lethargy
dizziness
hair loss
lanugo hair
injuries
dental erosions and caries
parotid inflammation
russell sign

Answer 6

signs of eating disorder

Question 7

Answer 7

signs of eating disorder

Question 8

Answer 8

signs of eating disorder

Question 9

workup for suspicion of eating disorder

Answer 9

physical
ECG
CBC
CMP

Question 10

semi starvation or malnutrition

Answer 10

anorexia

Question 11

2 types of anorexia nervosa:

Answer 11

binge-eating/purging type
restricting type

Question 12

self-induced vomiting or the misuse of laxatives, diuretics, or enemas

Answer 12

purging type of bulimia

Question 13

the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas

Answer 13

nonpurging type of bulimia

Question 14

Dx eating disorder

Answer 14

hx
DSM 4-5 criteria
psychiatric eval

Question 15

Answer 15

Bulimia nervosa

Question 16

characterized by frequent episodes (≥1 per week) of binge eating followed by inappropriate compensatory behaviors (self-induced vomiting or misuse of laxatives, diuretics, and enemas) due to fear of weight gain

Answer 16

bulimia nervosa

Question 17

Nutritional restoration can almost always be successfully accomplished by oral feeding
Calories can then be gradually increased to achieve a weight gain of 1–2 kg (2–4 lb) per week, (typically requiring an intake of 3000–4000 kcal/d.)

Answer 17

Rx eating disorders

Question 18

antidepressants indicated in bulimia

Answer 18

Fluoxetine

Question 19

____ not indicated in anorexia until weight is restored

Answer 19

antidepressants

Question 20

Imipramine
Topiramate
SSRI (sertraline, citalopram)

Answer 20

Rx binge eating disorder

Question 21

Hypophosphatemia results in 12-72 hours post re-feeding
life threatening

Answer 21

refeeding syndrome

Question 22

decreased serum K+
decreased serum phosphorus
edema

Answer 22

refeeding syndrome

Question 23

highest mortality of any mental illness

Answer 23

anorexia

Question 24

best thing to do to prevent/treat eating disorder

Answer 24

early identification

Question 25

time to recovery around 5-6 years

Answer 25

anorexia nervosa

Question 26

most individuals with BN achieve full recovery at some point, but rates of relapse are high

Answer 26

bulimia

Question 27

menstruation absent in this disorder

Answer 27

anorexia

Question 28

obese in this disorder

Answer 28

binge eating disorder