HBM 05b: Obesity and ED

Question 1

DSM-5 states that cut-off for anorexia is BMI of:

Answer 1

17.0

Question 2

T/F: Amenorrhea must be present to diagnose anorexia.

Answer 2

False

Question 3

T/F: Anorexia patients can also have binge eating disorders.

Answer 3

True

Question 4

Leading cause of death in U.S. is (X) and this has (increased/decreased/not changed) recently.

Answer 4

X = smoking

Decreased

Question 5

Overweight/obese population has (increased/decreased/not changed) recently. What percent of adult population is overweight/obese?

Answer 5

Increased (by 10%);

66% ow/obese

Question 6

BMI equation (in lbs and inches).

Answer 6

BW (lbs)*705/height(in)^2

Question 7

Normal BMI range:

Answer 7

20-24.9

Question 8

Overweight BMI range:

Answer 8

25-30

Question 9

Obese BMI range:

Answer 9

Greater than 30

Question 10

At least (X)% of adults are obese

Answer 10

X = 25

Question 11

Women have (less/greater/equal) rate of obesity compared to men. By what factor?

Answer 11

Greater; Double the rate

Question 12

(X)% of children, ages (Y), are markedly overweight or obese.

Answer 12

X = 17
Y = 2-19 yo

Question 13

Which region in the U.S. has the highest obesity rates?

Answer 13

South

Question 14

T/F: Not controlling your kid’s weight is not considered child abuse.

Answer 14

True

Question 15

Overweight individuals are at increased risk for:

Answer 15

1. Metabolic syndrome
2. Diabetes
3. Heart disease
4. Some cancers
5. Asthma
6. Obstructive sleep apnea

Question 16

T/F: Being overweight puts you at higher risk for all cancers.

Answer 16

False - only some

Question 17

T/F: Being overweight puts you at increased risk for certain social/emotional problems.

Answer 17

True

Question 18

How does obesity affect liver health?

Answer 18

Higher risk for cirrhosis, liver failure, liver cancer

Question 19

A(n) (early/later/normal) onset of puberty is seen in some obese girls.

Answer 19

Early (7-8 y.o.)

Question 20

T/F: Almost 50% of 8-yo black, obese girls have hit puberty.

Answer 20

True

Question 21

Early maturation in girls can lead to which problem(s)?

Answer 21

1. Lower self esteem
2. Less favorable body image
3. Early sexual intercourse
4. Higher depression/suicide rates
5. Greater risk of ED

Question 22

Obese/overweight adults lost the most weight successfully through (X). Why?

Answer 22

X = weight watchers

Community, support network

Question 23

T/F: A severely obese patient will undergo more successful treatment than mildly overweight patient due to higher motivation.

Answer 23

False - mildly overweight more successful (early intervention!)

Question 24

Describe Gastric Bypass surgery

Answer 24

Food rerouted past part of stomach and small intestine

Question 25

Describe Bariatric surgery

Answer 25

Size of stomach is effectively reduced

Question 26

T/F: The surgical interventions are most effective in long term for weight management/loss.

Answer 26

False - initially successful, but little value in long term

Question 27

What are some behavioral modifications that can assist overweight/obese patients?

Answer 27

1. Self-monitor (when/why do you eat?) 2. Stimulus control (modify environment) 3. Response control (eat properly; huger/satiety cues) 4. Contingency management (reward/punishment)

Question 28

Mean weight loss, from baseline, 10 years after bariatric surgery was (X)%.

Answer 28

X = 16

Question 29

List some long term complications that can arise from bariatric surgery.

Answer 29

1. Stomal stenosis 2. Anastomotic ulcers 3. Nutritional deficiency 4. Bowel obstruction

Question 30

T/F: When raising a child, it is important to label food as "good" and "bad" when he's growing up, so he is aware what choices in food to make.

Answer 30

False - don't label food as "bad" (makes them more appealing; leads to disorders)

Question 31

Obesity is common in (X) age group. EDs are common in (Y) age group.

Answer 31

``` X = all Y = teens/young adults ```

Question 32

Obesity is frequent in (men/women).

Answer 32

Both

Question 33

Obesity has higher prevalence among (rich/poor). EDs more common in (rich/poor).

Answer 33

Poor; rich

Question 34

T/F: EDs, unlike obesity, are much more common in USA.

Answer 34

True

Question 35

Compensatory behaviors are seen in which ED?

Answer 35

Anorexia and bulimia; (not binge-eating disorder)

Question 36

Marked distress over eating is found in which ED?

Answer 36

Binge-eating disorder

Question 37

Distress by condition is found in which ED?

Answer 37

Bulimia

Question 38

Anorexia causes (increase/decrease) in bone density and (X) gland.

Answer 38

Decrease; | X = thyroid

Question 39

Anorexia causes increase in (X) enzymes.

Answer 39

X = liver

Question 40

Which EDs show anemia and hypokalemia?

Answer 40

Anorexia and (to a milder degree) bulimia

Question 41

CV problems, such as (X), in bulimia arise from:

Answer 41

X = arrhythmias | Malnutrition/electrolyte imbalance from purging

Question 42

For an individual to be diagnosed with bulimia, (X) must occur at what frequency?

Answer 42

X = binge/purge cycle Twice a week for 3 months

Question 43

Mild bulimia is defined by:

Answer 43

1-3 binge/purge cycles per week

Question 44

Moderate bulimia is defined by:

Answer 44

4-7 binge/purge cycles per week

Question 45

Severe bulimia is defined by:

Answer 45

8-13 binge/purge cycles per week

Question 46

Extreme bulimia is defined by:

Answer 46

14 or more binge/purge cycles per week

Question 47

About how many calories are consumed per binge episode in bulimia?

Answer 47

2000-5000 calories

Question 48

Patients with bulimia are typically (normal/over/under) weight.

Answer 48

Normal or overweight

Question 49

Impulse problems in sexual promiscuity, impulsive spending, and self-mutilation can be indicative of which EDs?

Answer 49

Bulimia nervosa

Question 50

(X)% of bulimia patients report sexual abuse.

Answer 50

X = 20-5-

Question 51

Bulimia is found in (X)% of college women

Answer 51

X = 8

Question 52

Rectal prolapse is found in which ED?

Answer 52

Bulimia

Question 53

Most effective treatment for bulimia includes:

Answer 53

Combo of: 1. Cognitive and behavioral therapies (individual therapy) 2. Antidepressants (SSRIs)

Question 54

Anorexia mortality rate is (X)%.

Answer 54

X = 18

Question 55

T/F: Anorexia patients have normal appetite.

Answer 55

True

Question 56

T/F: Anorexia patients aren't as preoccupied with becoming fat as other EDs.

Answer 56

False - intense fear of becoming fat

Question 57

Which macromolecules are especially avoided in anorexia?

Answer 57

CHO and fats

Question 58

T/F: Anorexia patients are fairly vocal about weight control efforts.

Answer 58

False - usually secretive

Question 59

T/F: Anorexia patients usually deny the seriousness of the illness.

Answer 59

True

Question 60

Typical age of onset for anorexia.

Answer 60

12 - 25 y.o.

Question 61

(X)% of anorexia patients also have bulimia diagnosis at times in their life.

Answer 61

X = 50

Question 62

(X)% of anorexia patients also have depression diagnosed at times in their life.

Answer 62

X = 50-75

Question 63

(X)% of anorexia patients also have OCD diagnosed at times in their life.

Answer 63

X = 10

Question 64

T/F: Unlike anorexia patients, bulimic patients will report their depression.

Answer 64

True

Question 65

(X) therapy is nearly always indicated for anorexia nervosa patients.

Answer 65

X = family

Question 66

Death in anorexia patients usually due to:

Answer 66

Cardiac arrhythmias (due to metabolic abnormalities like hypokalemia)