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EOR: Behavioral Health > Feeding/Eating Disorders > Flashcards

Feeding/Eating Disorders Flashcards

1
Q

pt who refuses to eat due to fear of being overweight

A

anorexia nervosa

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2
Q

anorexia is associated w. weight < _ % of IBW

A

85

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3
Q

how is anorexia distinguished from bulimia nervosa in terms of anthopometrics (2)

A

anorexia:
BMI < 17
OR
weight < 85% IBW

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4
Q

what disorder has the highest suicide rate of eating disorders

A

anorexia nervosa

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5
Q

what are the 2 types of anorexia nervosa

A

binging/purging
restricting

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6
Q

2 behaviors associated w. binging/purging anorexia nervosa

A

laxative/diuretic abuse
excessive exercise

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7
Q

2 behaviors associated w. restrictive anorexia nervosa

A

eating very little
excessive exercising

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8
Q

tx for anorexia nervosa

A

-restore nutritional state
-hospitalization
-CBT
-SSRI’s

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9
Q

weight indication for hospitaization in anorexia nervosa

A

weight < 75% IBW

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10
Q

t/f: SSRIs are proven effective for anorexia nervosa

A

f!

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11
Q

added s.e benefit of SSRI’s for anorexia nervosa

A

weight gain

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12
Q

episodes of mass eating followed by self-induced vomiting or intense exercise

A

bulimia nervosa

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13
Q

4 PE findings of bulimia nervosa

A

-petechial hemorrhages on soft palate and conjunctiva
-knuckle scars
-swollen parotids
-dental erosions
-hyopotn
-tachycardia

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14
Q

mc weight finding of bulimia nervosa

A

normal weight

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15
Q

2 lab findings suggestive of bulimia nervosa

A

hypochloremia
hypokalemia

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16
Q

purging results in what metabolic condition

A

metabolic alkalosis

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17
Q

2 behaviors bulimia nervosa may share w. anorexia nervosa

A

laxative/diuretic abuse
excessive exercise

18
Q

t/f: bulimia nervosa patients are disturbed by their behavior

A

t!

19
Q

diagnostic criteria for bulimia nervosa

A

binging and compensatory behaviors at least once a week for 3 months

20
Q

tx for bulimia nervosa (3)

A

-restore nutritional status
-SSRI
-behavioral/family/group therapy

21
Q

-what SSRI is recommended for bulimia nervosa
-what is the starting dose

A

fluoxetine
60 mg po qd

higher starting dose than for dpn

22
Q

t/f: fluoxetine alone often reduces frequency of binge eating and vomiting

A

t!

23
Q

2 second line meds for bulimia nervosa

A

TCAs
MAOIs

24
Q

in pt’s w. anorexia, menstruation usually resumes when pt’s return to _ % IBW

A

90%

25
Q

personality characteristics of anorexia nervosa (4)

A

intelligent
meticulous
high achievers
compulsive

26
Q

PE findings of anorexia (10)

A

cachexia
amenorrhea
loss of libido
hypothermia
cold intolerance
bradycardia
dental erosions
hypotn
edema
hirsutism

27
Q

possible lab findings of anorexia

A

-lyte disorders (ex hypokalemia)
-metabolic alkalosis
-increased BUN
-thrombocytopenia
-leukopenia
-low ESR

28
Q

ekg finding of anorexia

A

prolonged QT

29
Q

comorbidity commonly associated w. anorexia

A

depression

30
Q

t/f: medication alone is effective tx for anorexia

A

f!

31
Q

what age group is at highest risk for anorexia

A

adolescents-early 20’s

32
Q

2 sports highly associated w. anorexia

A

ballet
wrestling

33
Q

what 2 male populations are esp at risk for anorexia

A

homosexual
wrestlers

34
Q

median age of onset for bulimia

A

20

35
Q

5 consequences of severe bulimia nervosa

A

gastric dilation
esophagitis
electrolyte abnl
aspiration
pancreatitis

36
Q

4 symptoms of bulimia nervosa

A

reflux esophagitis
abdominal cramps
diarrhea
rectal bleeding

37
Q

2 PE findings of extreme purging

A

metabolic alkalosis
lyte abnormalities

38
Q

t/f: bulimia pt’s have normal labs until very late stages of the dz

A

t!

39
Q

5 FDA approved uses of fluoxetine

A

dpn
OCD
premenstrual dysphoric disorder
panic disorder
bulimia nervosa

40
Q

therapeutic effect of SSRI’s may take up to _ weeks

A

4

41
Q

side effect of high initial doses of fluoxetine (20 mg or higher)

A

panic attack -> high discontinuation rate

42
Q

s.e of fluoxetine

A

HA
anxiety
nervousness
sweating
insomnia
anorexia
wt loss
nausea
diarrhea
rash

EOR: Behavioral Health (13 decks)

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