Exam 4 - Lec 63 Eating Disorders Ott

Question 1

two diagnostic criteria for anorexia nervosa

Answer 1

-restriction of energy intake leading to a significantly low body weight
-intense fear of gaining weight or becoming fat

Question 2

________, OCD, and suicidal ideation are common in individuals with anorexia nervosa

Answer 2

depression

Question 3

two types of anorexia nervosa

Answer 3

-restricting type
-binge-eating/purging type

Question 4

what is the difference between purging anorexia nervosa and bulimia nervosa disorders?

Answer 4

low body weight for AN

Question 5

for the “restricting type” anorexia nervosa, how is weight loss primarily accomplished?

Answer 5

through dieting, fasting, and/or excessive exercise

Question 6

what is the lowest BMI that is still considered normal?

Answer 6

18.5

Question 7

what are the BMI value ranges for mild, moderate, severe, and extreme anorexia nervosa?

Answer 7

mild: > 17
moderate: 16-16.99
severe: 15-15.99
extreme: < 15

Question 8

look at the health consequences of anorexia nervosa (slide 7)

Answer 8

sure

Question 9

treatment focus on inpatient hospitalization for anorexia nervosa

Answer 9

tx of acute risks (suicidality, psychosis, electrolyte abnormalities, cardiac irregularities)

Question 10

treatment focus for outpatient hospitalization of anorexia nervosa

Answer 10

tx of chronic sx and relapse prevention (psychotherapy, group therapy, nutritional counseling, family systems work)

Question 11

re-feeding results in shift from _____ metabolism to _____ metabolism

Answer 11

fat; glucose

Question 12

consequences of re-feeding syndrome (4 of them bolded)

Answer 12

hypokalemia, water retention, and severe edema; ultimately leads to multiple organ failure

Question 13

T or F: for anorexia nervosa tx, calories should be inc slowly (as low as 300-700 calories/day)

Answer 13

T

Question 14

what type of therapy has the best outcomes for anorexia nervosa?

Answer 14

CBT

Question 15

what drug is CI for anorexia nervosa tx?

Answer 15

bupropion

Question 16

what drugs are FDA-approved for anorexia nervosa tx?

Answer 16

there are none

Question 17

which of the following is FALSE about binge-eating disorder?

a. involves recurrent episodes of binge eating
b. occurs at least once a week for 3 months
c. is associated with recurrent use of inappropriate compensatory behavior

Answer 17

c. is associated with recurrent use of inappropriate compensatory behavior (NOT associated)

Question 18

how many episodes per week are in mild, moderate, severe, and extreme binge-eating disorder and bulimia nervosa? (I don’t think we actually need to memorize this)

Answer 18

mild: 1-3 per week
moderate: 4-7 per week
severe: 8-13 per week
extreme: 14 or more per week

Question 19

FDA-approved drug for binge-eating disorder

a. Vyvanse
b. Sertraline
c. Fluoxetine
d. Bupropion

Answer 19

a. Vyvanse (lisdexamfetamine).

Question 20

____ + medication provides the best outcomes for binge-eating disorder and bulimia nervosa

Answer 20

CBT

Question 21

what is bulimia nervosa?

Answer 21

recurrent episodes of binge eating followed by recurrent inappropriate compensatory behaviors (such as purging or taking laxatives)

Question 22

T or F: for bulimia nervosa to be diagnosed, it must occur at least once a month for 3 months

Answer 22

F (once a week for 3 months)

Question 23

5 methods of purging for bulimia nervosa

Answer 23

-vomiting
-laxatives
-diuretics
-excessive exercise
-“diabulimia” -> type 1 diabetes pt giving themselves less/no insulin

Question 24

FDA approved drug for bulimia nervosa

a. Vyvanse
b. Sertraline
c. Fluoxetine
d. Bupropion

Answer 24

c. Fluoxetine (60 mg/day)

Question 25

what are Russell’s signs?

Answer 25

calluses on back of hands due to repeated vomiting

Question 26

what are Mallory-Weiss tears?

Answer 26

esophageal tear caused by forceful vomiting