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Behavioral Medicine > Feeding / Eating Disorders > Flashcards

Feeding / Eating Disorders Flashcards

1
Q

______ (feeding/eating) disorders are more present in infants and children

A

Feeding Disorders = Infants/Children

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2
Q

______ (feeding/eating) disorders are more present in adults.

A

Eating Disorders = Adults

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3
Q

T/F: Feeding/Eating Disorders can be present at any age

A

True

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4
Q

The following are all examples of ______ (feeding/Eating) Disorders…..

Pica Disorder
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder

A

Feeding Disorders

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5
Q

____ disorder occurs when an individual consumes a non-nutritional substances on a persistent basis for at least 1 month

A

Pica Disorder

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6
Q

What age must a patient be to be diagnosed with Pica Disorder?

A

> 2 y.o.

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7
Q

T/F: A child mouthing a non-food object is considered Pica Disorder

A

False

it is not

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8
Q

T/F: Iron deficiency may be an underlying cause of pica disorder

A

True

it is also seen in pregnant women and patients with developmental delays

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9
Q

What are some GI manifestations of Pica?

A

Obstruction
Constipation
Ulcerations
Perforations

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10
Q

What is the most effective management of Pica?

A

Behavioral strategies and therapy…..

  • Discriminate between edible and non-edible
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11
Q

Should you refer patients with Pica to a dentist?

A

Yes because there are many dental manifestations and complication of pica

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12
Q

________ disorder is defined as a repeated regurgitation of food WITHOUT nausea, heartburn, abdominal pain, or retching for at least 1 month.

(The regurgitation is effortless)

A

Rumination Disorder

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13
Q

T/F: You must rule out GERD and other GI disorders before a patient can be diagnosed with rumination disorder

A

True

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14
Q

What is the most effective management of rumination disorder?

A

Behavioral Therapy and Strategies

ie; rewarding non-rumination behaviors - also remember this is common in children with developmental delays

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15
Q

__________ disorder can be defined by the three following types….

Little Interest in Eating
Avoiding food based on sensory characteristics
Rejecting food due to adverse experiences

These all must result in a failure to meet basic nutritional needs (weight loss, mal-nutrition)

A

Avoidant/Restrictive Food Intake Disorder

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16
Q

T/F: Patients with Avoidant/Restrictive Food Intake Disorder may progress to the point of needing nutritional supplements or even feeding tubes

A

True

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17
Q

Is Avoidant/Restrictive Food Intake Disorder associated with anorexia nervosa or bulimia?

A

No

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18
Q

When is Avoidant/Restrictive Food Intake Disorder most common?

A) Adulthood
B) Infancy
C) Children
D) Both B and C 
E) Neither, its equally prevalent
A

D) Both B and C

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19
Q

T/F: Children who are picky eaters can be considered to have Avoidant/Restrictive Food Intake Disorder

A

False

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20
Q

What is the most beneficial treatment for Avoidant/Restrictive Food Intake Disorder?

A

Behavioral Therapy (Exposure)

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21
Q

The following are all examples of ______ (feeding/Eating) Disorders…..

Anorexia Nervosa
Bulimia Disorder
Binge-Eating Disorder

A

Eating Disorders

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22
Q

Up to __% of female teens diet regularly

A

60%

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23
Q

About __% of female teenagers smoke cigarettes to control weight

A

45%

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24
Q

T/F: Most female teens are preoccupied with their food intake

A

True

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25
Q

Rank the following eating disorders from most prevalent to least prevalent….

Bulimia
Anorexia Nervosa
Binge-Eating Disorder

A

Binge Eating Disorder (Most Prevalent)
Bulimia
Anorexia Nervosa (Least Prevalent)

26
Q

Are eating disorders more prevalent in males or females?

A

Females

27
Q

What is the most common ‘time’ for eating disorders to onset?

A) Infancy
B) Adolescence
C) Late Adulthood

A

B) Adolescence

28
Q

T/F: Eating disorders are more common in African American populations

A

False

29
Q

Anorexia Nervosa is more common in patients with a ________ personality

A

Perfectionistic

30
Q

Which is more common during transitional times (ie: going to college, break-ups)….

Anorexia -OR- Bulimia

A

Bulimia

31
Q

Which is more common during times of stress (ie: abuse, leaving home)…..

Anorexia -OR- Bulimia

A

Anorexia

32
Q

_______ is defined as restriction of energy intake which produces a significantly low body weight, the intense fear of gaining weight, and a disturbance in one’s perception of self.

A

Anorexia nervosa

33
Q

What is the ‘key’ to diagnosing anorexia nervosa?

A

discrepancy between a patient’s actual weight and their perceived weight

34
Q

What are the two “sub-types” of anorexia nervosa?

A

Restricting Type

Binge-Eating/Purging Type

35
Q

What are examples of “eating” behaviors seen in patients with anorexia nervosa that promote weight loss?

A

Extreme Diets
Developing Unusual Diets
Refusal to eat with family

36
Q

T/F: Patients with anorexia nervosa my stat to abuse laxatives, diuretics, and stimulants

A

True

37
Q

Would you expect a patient with anorexia nervosa to be……

Bradycardic -OR- Tachycardic

Hypertensive -OR- Hypotensive

Diarrhea -OR- Constipation

Low Sex Hormone levels -OR- High Sex Hormone levels

A

Bradycardic
Hypotensive
Constipation
Low Sex Hormone Levels

38
Q

______ is described as an episode of binge-eating (typically to relieve tension/stress) followed by weight gain prevention behaviors such as self-induced vomiting (due to guilt/disgust).

These behaviors are typically done in private

A

Bulimia Nervosa

39
Q

What are some unique physical examination findings in a patient with bulimia nervosa?

A 
Calluses on the dorsum of the hands
Dental Erosions/Carries
Esophageal Erosions
Hypocalcemia
Hypokalemia
Alkalosis
40
Q

__________ disorder is described as eating in a discrete period of an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances, and feeling a lack of control during the episode…..

Also including THREE or more of the following….

Eating much more rapidly than normal
Eating until feeling completely full
Eating large amounts of food when not feeling physically hungry
Eating alone because of feelings of embarrassment
Feeling disgusted with oneself, depressed, or very guilty afterwards

A

Binge Eating Disorder

41
Q

T/F: Weight and body shape concerns are required for a diagnosis of binge-eating disorder

A

False

They are not required

42
Q

What physical examination ‘sign’ is described as calluses on the knuckles as a result of self-induced vomiting?

A

Russell Sign

43
Q

Why may patients with eating disorders get lower extremity edema?

A

Lack of protein intake

44
Q

Would patients with eating disorders progress normally through puberty?

A

No, it may be delayed or interrupted

45
Q

What is a common ‘co-morbidity’ of eating disorders?

HINT: Its not a ‘medical condition’

A

Body Dysmorphia

46
Q

At the time of 30-year follow up for anorexia nervosa….

It has the ______ (highest/lowest) mortality rate in psychiatric disorders

A

Highest Mortality

47
Q

__-__% of patients with eating disorders have a good psychological outcome

A

25-40%

48
Q

What THREE things would indicate a poorer prognosis in an eating disorder?

A

Longer Duration
Prior Hospitalizations
Comorbid Personality Disorders

49
Q

Which has a better prognosis….

Anorexia -OR- Bulimia

A

Bulimia

rule of 1/3 –> 1/3 doing well, 1/3 still affected, 1/3 doing poorly

50
Q

Onset of anorexia prior to the age of 12 has a ____ (good/poor) prognosis

A

Poor Prognosis

51
Q

Anorexia nervosa with bulimic/purging symptoms has a _____ (good/poor) prognosis

A

Poor Prognosis

52
Q

What are the THREE main goals for treating eating disorders?

A
  1. Restore Nutritional Status
  2. Modify maladaptive behavior
  3. Help changes the patient’s negative views of food/body image
53
Q

In the United States….

What percent of anorexia nervosa patients that seek treatment end up hospitalized?

A

50%

54
Q

T/F: There are life-threatening risks to refeeding

A

True

55
Q

When treating eating disorders…..

Patients need to restore their weight to ___% of their ideal weight

A

85%

56
Q

How much weight should a patient with an eating disorder gain per week during therapy?

A

0.25-1 kg/week

57
Q

What is the ‘goal’ amount of nutritional intake a day for a patient undergoing treatment of an eating disorder?

A

2000-3000 kcal/day

58
Q

T/F: CBT is NOT useful in adults with bulimia or binge-eating disorder

A

False

It is useful

59
Q

Are there FDA approved medications for anorexia nervosa?

A

No

60
Q

What medication was FDA approved in 2015 for binge-eating disorder?

A

Vyvanse

Behavioral Medicine (16 decks)

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