Hill: Eating Disorders and Treatment Flashcards

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1
Q

What is the most important aspect of the evaluation for a patient being seen regularly for bulimia and anorexia nervosa?

A

Discuss suicidality

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2
Q

What is the criteria for restricting type vs. binge-eating/purging type of anorexia nervosa?

A
  • Restricting type: 3 months of no binging or purging, but excessive exercising, fasting, dieting
  • Binge/purge type: 3 months of binging and purging behaviors: self-induced vomiting, misuse of laxatives, diuretics, enemas
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3
Q

What are some of the cardiac complications associated with Anorexia Nervosa?

A

Bradycardia, HYPOtension, QT dispersion, Cardiac atrophy, and Mitral Valve Prolapse

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4
Q

Which type of anxiety disorder is most often seen in assoc. w/ anorexia nervosa?

A

Obsessive compulsive disorder

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5
Q

Which 2 drugs should be avoided in bulimia nervosa and anorexia nervosa (binge-purge subtype) and why?

A
  • Buproprion –> ↑ seizure risk w/ binging and purging
  • TCA’s –> Cardiotoxicity
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6
Q

What is the only adjunctive medication shown to help with weight gain in pt with Anorexia Nervosa?

A

Olanzapine

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7
Q

What is the tx of choice for Bulimia Nervosa?

A

CBT Psychotherapy

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8
Q

What is the first-line drug for treating Bulima Nervosa?

A

Fluoxetine (Prozac)

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9
Q

How many episodes and for what duration must they occur for diagnosis of Binge Eating Disorder?

A

Occur on average 1x/week for 3 months

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10
Q

What is the first line tx for Binge Eating Disorder and what is the only medication approved for tx?

A
  • Psychotherapy: CBT –> especially self-help forms and interpersonal therapy (IPT)
  • Vyvanse (Lisdexamfetamine dimesylate)
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