Exam 4 - Lec 63 Eating Disorders Ott Flashcards
two diagnostic criteria for anorexia nervosa
-restriction of energy intake leading to a significantly low body weight
-intense fear of gaining weight or becoming fat
________, OCD, and suicidal ideation are common in individuals with anorexia nervosa
depression
two types of anorexia nervosa
-restricting type
-binge-eating/purging type
what is the difference between purging anorexia nervosa and bulimia nervosa disorders?
low body weight for AN
for the “restricting type” anorexia nervosa, how is weight loss primarily accomplished?
through dieting, fasting, and/or excessive exercise
what is the lowest BMI that is still considered normal?
18.5
what are the BMI value ranges for mild, moderate, severe, and extreme anorexia nervosa?
mild: > 17
moderate: 16-16.99
severe: 15-15.99
extreme: < 15
look at the health consequences of anorexia nervosa (slide 7)
sure
treatment focus on inpatient hospitalization for anorexia nervosa
tx of acute risks (suicidality, psychosis, electrolyte abnormalities, cardiac irregularities)
treatment focus for outpatient hospitalization of anorexia nervosa
tx of chronic sx and relapse prevention (psychotherapy, group therapy, nutritional counseling, family systems work)
re-feeding results in shift from _____ metabolism to _____ metabolism
fat; glucose
consequences of re-feeding syndrome (4 of them bolded)
hypokalemia, water retention, and severe edema; ultimately leads to multiple organ failure
T or F: for anorexia nervosa tx, calories should be inc slowly (as low as 300-700 calories/day)
T
what type of therapy has the best outcomes for anorexia nervosa?
CBT
what drug is CI for anorexia nervosa tx?
bupropion
what drugs are FDA-approved for anorexia nervosa tx?
there are none
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
c. is associated with recurrent use of inappropriate compensatory behavior (NOT associated)
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)
mild: 1-3 per week
moderate: 4-7 per week
severe: 8-13 per week
extreme: 14 or more per week
FDA-approved drug for binge-eating disorder
a. Vyvanse
b. Sertraline
c. Fluoxetine
d. Bupropion
a. Vyvanse (lisdexamfetamine).
____ + medication provides the best outcomes for binge-eating disorder and bulimia nervosa
CBT
what is bulimia nervosa?
recurrent episodes of binge eating followed by recurrent inappropriate compensatory behaviors (such as purging or taking laxatives)
T or F: for bulimia nervosa to be diagnosed, it must occur at least once a month for 3 months
F (once a week for 3 months)
5 methods of purging for bulimia nervosa
-vomiting
-laxatives
-diuretics
-excessive exercise
-“diabulimia” -> type 1 diabetes pt giving themselves less/no insulin
FDA approved drug for bulimia nervosa
a. Vyvanse
b. Sertraline
c. Fluoxetine
d. Bupropion
c. Fluoxetine (60 mg/day)
what are Russell’s signs?
calluses on back of hands due to repeated vomiting
what are Mallory-Weiss tears?
esophageal tear caused by forceful vomiting
