Exam 3 Eating disorders

Question 1

Anorexia criteria? (4)

Answer 1

A) Refusal to maintain normal body weight
B) Intense fear of being fat
C) Disturbed by weight/shape, undue influence on self-eval, or denial of low body weight
D) Amenorrhea (3+ cycles)

Question 2

Anorexia types? (2)

Answer 2

Restricting

Binge/Purge

Question 3

Bulimia criteria? (5)

Answer 3

A) Binge eating including both:

• Eating amount larger than most people
• Feel lack of control over what or how much eating

B) Inappropriate behavior to prevent weight gain:

• Vomiting
• Laxatives, diuretics, enemas
• Fasting
• Excessive exercise

C) Binge/Purge 2+ times/wk for 3 months

D) Self eval overly influenced by body

E) Not exclusively during episodes of anorexia

Question 4

Bulimia types? (2)

Answer 4

Purging

Non-purging

Question 5

Binge Eating Criteria? (5)

Answer 5

A) Binge eating including both:

• Eating amount larger than most people
• Feel lack of control over what or how much eating

B) Episodes a/w 3+:
  1-Eat more rapidly
  2-Eat until uncomfortably full
  3-Eat large amounts when not hungry
  4-Eat alone from embarrassment
  5-Disgusted w/ self, depressed or guilty post binge

C) Distress over eating

D) Binging once/wk x 3 mo

E) NOT a/w inappropriate compensatory behaviors, and NOT exclusively during Bulimia or Anorexia

Question 6

Rumination disorder is?

Avoidant/Restrictive Intake disorder is?

Answer 6

Regurge food -> reswallow or spit out

Refusing to eat but not a/w body image dis

Question 7

Signs of eating disorder? (8)

Answer 7

Swollen parotid glands
Scarred fingers
Cold hands/feet
Persistent cough/sore throat
Enamel erosion/discolor
Esophageal inflamm/damage
Dry/brittle hair, nails, skin
Lanugo on face/arms

Question 8

Eating disorder tx?

Answer 8

Meds + psychtherapy

SSRI (Prozac, Lexapro)
SNRI (Effexor, Pristiq)
Atypical antipsych (Abilify, Risperdal, Seroquel)
BZs (Xanax)
ADHD meds
Anticonvul (Topomax, Lamictal)

Question 9

Hospitalize when?

Answer 9

Medically unstab;e
Refuse/unable to follow outpt tx
Needs/wants break from stressors

Question 10

Outpt tx team should include at a minimum?

Answer 10

PCP
Clinical therapist
Registered dietitian