Exam 3 -- Psych III -- Eating Disorders & Substance-Related Disorders

Question 1

Pica is the eating of non-nutritive, non-food substances over a period of at least 1 month. At what age does it most commonly onset, and what comorbidities accompany it?

Answer 1

Onset during childhood; comorbid with autism spectrum disorder or intellectual disability.

Question 2

Fill in the blank: _____________ is the repeated involuntary regurgitation of food over a period of at least 1 month that is not attributed to a GI or other medical issue.

Answer 2

Rumination disorder

Question 3

Avoidant/restrictive food intake disorder is manifested by persistent failure to meet appropriate nutritional and/or energy needs, associated with at least one of the following: significant weight loss, significant nutritional deficiency, dependence on enteral feeding or oral nutritional supplements, marked interference with psychosocial functioning. It is comorbid with anxiety disorders, OCD, autism spectrum disorders, and ADHD.

Answer 3

Free card.

Question 4

Avoidant/restrictive food intake disorder contrasts with anorexia nervosa and bulimia nervosa in that _____________ is not a factor in avoidant/restrictive food intake disorder.

Answer 4

Self-image

Question 5

In terms of classifying weight severity in anorexia, what BMI is considered mild?

Answer 5

> 17 kg/m2

Question 6

In terms of classifying weight severity in anorexia, what BMI is considered moderate?

Answer 6

16-16.99 kg/m2

Question 7

In terms of classifying weight severity in anorexia, what BMI is considered severe?

Answer 7

15-15.99 kg/m2

Question 8

In terms of classifying weight severity in anorexia, what BMI is considered extreme?

Answer 8

Below 15 kg/m2

Question 9

What are some of the long term effects of anorexia?

Answer 9

Leukopenia, low bone mineral density, dehydration, dry/yellowish skin, severe constipation, brittle hair/nails, brain damage, internal body temperature drop, infertility.

Question 10

How long must the binge eating of bulimia have been going on to meet the diagnostic criteria?

Answer 10

3 months (of binge eating at least once a week)

Question 11

In terms of classifying the severity of bulimia, how many episodes per week is considered mild?

Answer 11

One to three

Question 12

In terms of classifying the severity of bulimia, how many episodes per week is considered moderate?

Answer 12

Four to seven

Question 13

In terms of classifying the severity of bulimia, how many episodes per week is considered severe?

Answer 13

Eight to thirteen

Question 14

In terms of classifying the severity of bulimia, how many episodes per week is considered extreme?

Answer 14

Fourteen or more

Question 15

What are some of the long term effects of bulimia?

Answer 15

Tooth decay, osteoporosis, electrolyte imbalance, swollen salivary glands, hypotension, low body temperature.

Question 16

True or false: bulimia tends to be more chronic and resistant to treatment compared to anorexia.

Answer 16

False; anorexia is more chronic and resistant to treatment compared to bulimia.

Question 17

Binge-eating differs from bulimia in that binge-eating involves no ____________.

Answer 17

Compensatory actions (to reduce weight gain)

Question 18

What are the 4 Cs of addiction?

Answer 18

Loss of Control (over drug use)
Craving and Compulsive use of drug
Use of drug despite adverse Consequences

Question 19

The DEA has established drug schedules to classify drugs according to the acceptable medical uses and the drug’s abuse or dependency potential. The schedule runs from I to V. Which schedule has the highest potential for abuse, and which has the lowest?

Answer 19

Schedule I = highest potential for abuse. Schedule V = lowest potential for abuse.

Question 20

Stimulants increase alertness, attention, and energy. Which stimulants were asterisked in the presentation?

Answer 20

Methylphenidate, cocaine, and amphetamine derivatives.

Question 21

Hallucinogens create distortions in a person’s perception of their surroundings. Which hallucinogens were asterisked in the presentation?

Answer 21

Cannabis and LSD.

Question 22

Narcotics bind to pain receptors and reduce pain and induce euphoria. Which narcotics were asterisked in the presentation?

Answer 22

Morphine, heroin, codeine, and methadone.

Question 23

Tranquilizers cause euphoria and sluggishness. Which tranquilizers were asterisked in the presentation?

Answer 23

Benzodiazepines.

Question 24

What are the three most commonly abused drugs in the US?

Answer 24

Alcohol, tobacco, and marijuana.

Question 25

What system is activated by all addictive drugs?

Answer 25

Mesolimbic dopamine system.

Question 26

For men under the age of 65, what is the number of standard drinks that would indicate an increase in health risks?

Answer 26

14/week, or 4/day

Question 27

For women under 65 and adults over 65, what is the number of standard drinks that would indicate an increase in health risks?

Answer 27

7/week, or 3/day

Question 28

What is the name of the syndrome that can occur from vitamin B1 deficiency, often found in people with alcoholism?

Answer 28

Wernicke-Korsakoff Syndrome

Question 29

Name the features of Wernicke encephalopathy.

Answer 29

Permanent damage to memory areas of brain, loss of muscle coordination, confusion and loss of mental activity, alcohol withdrawal, nystagmus, ptosis.

Question 30

Name the features of Korsakoff syndrome.

Answer 30

Damage to thalamus and hypothalamus, inability to form new memories, memory loss, confabulation, hallucinations.

Question 31

Toxic optic neuropathy can occur if there is severe nutrient depletion (especially of B12 and folate), such as can occur with alcohol abuse. What findings are associated with toxic optic neuropathy?

Answer 31

Pale nerve, color vision reduction, central or cecocentral scotoma, and reduced VA.

Question 32

During alcohol withdrawal, many symptoms can occur (anxiety, irritability, insomnia, tremor, tachycardia, hypertension, hyperthermia, N&V, seizures, hallucinations, etc). What type of medication can reduce the tachycardia and hypertension?

Answer 32

Beta blocker.

Question 33

During alcohol withdrawal, many symptoms can occur (anxiety, irritability, insomnia, tremor, tachycardia, hypertension, hyperthermia, N&V, seizures, hallucinations, etc). What type of medication can reduce the tremors, seizures, hallucinations, anxiety?

Answer 33

Benzodiazepines.

Question 34

What supplements can be given for the malnutrition of alcoholism?

Answer 34

IV thiamine, folate, and multivitamin (banana bag)

Question 35

What substance causes the psychoactive properties of cannabis?

Answer 35

delta-9-tetrahydrocannabinol (THC)

Question 36

True or false: the most common symptoms of dependence in the use of cannabis are withdrawal, tolerance, continued use despite health problems, and lots of time spent obtaining or recovering from the effects of cannabis.

Answer 36

True.

Question 37

What are the ocular manifestations of cannabis use?

Answer 37

Conjunctival hyperemia, decreased IOP, decreased tear production, slightly dilated pupil.