Eating DO

Question 1

Characterized by failure to maintain a normal body weight, fear and preoccupation
with gaining weight and unrealistic self-evaluation as overweight

Answer 1

ANOREXIA NERVOSA

Question 2

Subtypes of ANOREXIA NERVOSA

Answer 2

Subtypes are restricting (no

binge-eating or purging) and binge-eating/purging (regularly engaged in binge-eating/purging).

Question 3

Biological RF for ANOREXIA NERVOSA

Answer 3

Biologic factors are suggested by higher concordance for illness in
monozygotic twins and the fact that amenorrhea may precede abnormal eating behavior

Question 4

Psychological RF for for ANOREXIA NERVOSA

Answer 4

Psychologic risk factors include emotional conflicts concerning family control and sexuality. A
cultural risk factor may be an emphasis on thinness

Question 5

T or F

Answer 5

Very late–onset anorexia nervosa has a poorer prognosis.

Question 6

SSx of anorexia

Answer 6

Denial of emaciated conditions

• With binge-eating/purging: Self-induced vomiting; laxative and diuretic abuse

Question 7

Associated Sx of anorexia

Answer 7

Excessive interest in food-related activities (other than eating),
obsessive-compulsive symptoms, depressive symptoms

Question 8

Outcomes of pts with anorexia

Answer 8

Long-term mortality rate of individuals hospitalized for anorexia nervosa is 10%,
resulting from the effects of starvation and purging or suicide

Question 9

Signs of purging in anorexia

Answer 9

metabolic alkalosis, hypochloremia, and hypokalemia caused by
emesis; metabolic acidosis caused by laxative abuse

Question 10

Behavioral Tx for anorexia

Answer 10

Behavioral therapy should be initiated, with
rewards or punishments based on absolute weight, not on eating behaviors.

Family therapy designed to reduce conflicts about control by parents is often helpful.

Question 11

Characterized by frequent binge-eating and a self-image that is unduly influenced
by weight.

Answer 11

BULIMIA NERVOSA AND BINGE EATING DISORDER

Question 12

_______ binge-eating and purging behavior

Answer 12

Bulimia nervosa:

Question 13

________binge-eating but no purging behavior

Answer 13

Binge-eating disorder:

Question 14

RF for Bulimia

Answer 14

Psychologic conflict regarding guilt, helplessness, self-control, and body
image may predispose. Biologic factors are suggested by frequent association with mood disorders.

Question 15

Outcomes of pts with Bulimia

Answer 15

70% of cases have remitted after 10 years. Co-occurring substance abuse is associated
with a poorer prognosis

Question 16

Associated problems of Bulimia

Answer 16

Depressive symptoms, substance abuse, and impulsivity (e.g., kleptomania

Question 17

Comorbids of bulimia

Answer 17

Borderline personality disorder present in about 50%

Question 18

Tx of Bulimia

Answer 18

Cognitive and behavioral therapy are major treatment. Psychodynamic
psychotherapies are useful for accompanying borderline personality traits

Question 19

Medical Tx of Bulimia

Answer 19

Antidepressant

medications, particularly SSRIs, are usually employed.