L60-62 Eating Disorders Flashcards
im going to skip a lot of the bold and underlined stuff in here because it is incredibly obvious
okay
what 3 things are common in people with anorexia? (that arent not eating and shit)
depression*, OCD, suicidal ideation
During the last 3 months, the individual has NOT engaged in recurrent episodes of binge eating or purging behavior.
A. Restricting type AN
B. Binge-eating/purging type AN
A
Weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise
A. Restricting type AN
B. Binge-eating/purging type AN
A
During the last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behavior (i.e. self-induced vomiting or the misuse of laxatives, diuretics, or enemas)
A. Restricting type AN
B. Binge-eating/purging type AN
B
** The difference between purging subgroup of AN and bulimia nervosa disorder is _____________________
the low body weight for AN**
> 17kg/m2
A. Mild BMI
B. Moderate BMI
C. Severe BMI
D. Extreme BMI
A
16-16.99 kg/m2
A. Mild BMI
B. Moderate BMI
C. Severe BMI
D. Extreme BMI
B
15-15.99 kg/m2
A. Mild BMI
B. Moderate BMI
C. Severe BMI
D. Extreme BMI
C
<15 kg/m2
A. Mild BMI
B. Moderate BMI
C. Severe BMI
D. Extreme BMI
D
The CDC and WHO consider what BMI to be on the low end of normal? ***
18.5 kg/m2
T or F: decreased bone density is a health consequence of AN
True
T or F: Abnormally fast heart rate and a low blood pressure is a health consequence of AN
false, slow heart rate
T or F: Downy layer of hair (lanugo) all over body is a health consequence of AN
True, its the bodys attempt to keep warm (this seems niche)
Inpatient hospitalization
A. tx of acute risks
B. tx of chronic sxs and relapse prevention
A
Outpatient hospitalization
A. tx of acute risks
B. tx of chronic sxs and relapse prevention
B
Re-feeding results in shift from _____ metabolism to _______ metabolism
fat to glucose (bc in starvation energy is derived from fat)
which of the following is not caused by re-feeding syndrome?
A. Hyperkalemia
B. Water retention
C. Severe edema
A
T or F: Organ failure is not a risk in re-feeding syndrome
False, there is a lot of organ failure involved
AN TX:
Increasing calories regimen for inpatient re-feeding. ***
increase by 500 calories/day every 4 days up to 3500 calories a day
AN TX:
Increasing calories regimen for outpatient re-feeding. ***
Initial re-feeding 1200-1500 calories/day (increase weekly by 500 calories)
What AN tx has the best outcomes? *
Cognitive behavioral therapy
what drug is contraindicated in the tx of AN? (there’s probably a few but this one was bolded) **
bupropion bc its an appetite suppressant
How often does binge-eating have to occur for it to be considered a disorder?
at least once a week for 3 months
what is a compensatory behavior when talking about eating disorders? (not in the lecture but just for my benefit)
eating disordered behaviors designed to counteract the effects of eating in order to avoid weight gain or to alleviate guilt associated with eating.
Not associated with the recurrent use of inappropriate compensatory behavior
A. Anorexia
B. Binge eating disorder
C. Bulimia
B
specifiers for binge eating disorder: 3 episodes/week
A. Mild
B. Moderate
C. Severe
D. Extreme
A. Mild
specifiers for binge eating disorder: 4-7 episodes/week
A. Mild
B. Moderate
C. Severe
D. Extreme
B. Moderate
specifiers for binge eating disorder: 8-13 episodes/week
A. Mild
B. Moderate
C. Severe
D. Extreme
C. Severe
specifiers for binge eating disorder: >14 episodes per week
A. Mild
B. Moderate
C. Severe
D. Extreme
D. Extreme
The health consequences of binge eating are similar to what is observed in ______
obesity -> CAD, T2DM, hyperlipidemia, htn
what is the only FDA approved drug for the tx of binge eating disorder **
vyvanse
5 methods of purging in bulimia nervosa
vomiting
laxatives
diuretics
excessive exercise
“diabulimia” -> pts with T1DM give themselves less insulin or stop taking it
FDA approved medication for bulimia nervosa tx
fluoxetine (60mg/day) -> higher dose than for depression
