MCQ Ch - 11 Eating Disorders Flashcards
Which of the following is NOT part of the DSM-5 criteria for Anorexia Nervosa?
A. Intense fear of gaining weight
B. Binge eating episodes followed by purging
C. Restriction of energy intake leading to significantly low body weight
D. Disturbance in the way one’s body weight or shape is experienced
b
According to the DSM-5, how often must binge eating and compensatory behaviors occur for a diagnosis of bulimia nervosa?
A. Daily for 1 month
B. Once a week for 3 months
C. Twice a week for 1 month
D. Every other day for 6 weeks
b
Which eating disorder is most commonly associated with being overweight or obese?
A. Bulimia nervosa
B. Anorexia nervosa
C. Binge Eating Disorder (BED)
D. Avoidant/Restrictive Food Intake Disorder (ARFID)
c
Which of the following neurotransmitters is most commonly associated with eating disorders, particularly in regulating appetite and mood?
A. Dopamine
B. GABA
C. Serotonin
D. Acetylcholine
C
Which eating disorder is most likely to go unnoticed by others due to normal or above-average body weight?
A. Anorexia Nervosa
B. Bulimia Nervosa
C. Binge-Eating Disorder
D. Avoidant/Restrictive Food Intake Disorder (ARFID)
B. Bulimia Nervosa
Why?
Bulimia Nervosa is often hidden because individuals:
Maintain normal or slightly above normal weight
Engage in binge-eating, followed by compensatory behaviors like vomiting, laxatives, or excessive exercise
Often hide behaviors due to shame, making it hard to detect even by family or friends
Which of the following is most associated with loss of control during eating episodes?
A. Orthorexia
B. Anorexia Nervosa
C. Binge-Eating Disorder
D. ARFID
C. Binge-Eating Disorder
Explanation:
Binge-Eating Disorder (BED) is defined by recurrent episodes of binge-eating, where the individual:
Eats an excessive amount of food in a short time (often within 2 hours)
Feels a loss of control during the eating episode
Does not engage in compensatory behaviors (like purging or excessive exercise), which distinguishes it from bulimia nervosa
Let’s look at the other options:
A. Orthorexia – Involves an obsession with eating healthy foods, not binge-eating or loss of control
B. Anorexia Nervosa – While it involves severe food restriction, the fear of weight gain is more central than loss of control during eating
D. ARFID – Is characterized by disinterest in food or avoidance due to sensory issues, rather than binge-eating with a loss of control
Which of the following is NOT a typical treatment for Anorexia Nervosa?
A. Refeeding therapy in a hospital setting
B. Cognitive-behavioral therapy (CBT)
C. Interpersonal psychotherapy (IPT)
D. Antidepressant medications (SSRIs) as first-line treatment
D. Antidepressant medications (SSRIs) as first-line treatment.
Explanation:
While SSRIs (selective serotonin reuptake inhibitors) are sometimes used to treat co-occurring depression or anxiety disorders in individuals with anorexia nervosa, they are not considered first-line treatment for anorexia itself. The primary treatment focuses on restoring weight, addressing behavioral patterns related to food intake, and psychotherapy.
Let’s break down the other options:
A. Refeeding therapy: This is crucial for treating severe anorexia to restore body weight and prevent medical complications. It’s done in a hospital setting under careful supervision.
B. Cognitive-behavioral therapy (CBT): CBT is one of the most effective treatments for anorexia nervosa, especially in helping individuals address the distorted thoughts about food, weight, and body image.
C. Interpersonal psychotherapy (IPT): While IPT is more often associated with bulimia nervosa, it can still be used in anorexia nervosa to help improve social relationships and emotional well-being, addressing factors like interpersonal conflict that may contribute to the disorder.
Which of the following is NOT a key emotional factor contributing to the development of eating disorders?
A. Desire for control over emotions
B. Negative emotional states linked to binge-eating episodes
C. Perfectionism and overconcern about making mistakes
D. Family conflict around independence
D. Family conflict around independence is not a key emotional factor — it’s more of a family systems/social factor rather than an internal emotional one.
🔍 Let’s break them all down:
A. Desire for control over emotions – People with eating disorders often use food control as a way to manage emotional distress or feel a sense of power/control.
B. Negative emotional states linked to binge-eating episodes – Binge eating is often triggered by feelings like sadness, loneliness, boredom, or anxiety.
C. Perfectionism and overconcern about making mistakes – High levels of perfectionism are commonly seen in those with anorexia nervosa and bulimia nervosa.
D. Family conflict around independence – While this may contribute to the development or maintenance of the disorder, it’s classified more under family dynamics or sociocultural influences, not internal emotional factors.
Which of the following is most accurate regarding the prevalence of eating disorders?
A. Anorexia nervosa is more common than bulimia nervosa.
B. Binge-eating disorder is the most common eating disorder in the United States.
C. Eating disorders are rare in men and mostly affect only teenage girls.
D. The lifetime prevalence of bulimia nervosa is higher than that of binge-eating disorder.
B. Binge-eating disorder is the most common eating disorder in the United States is the right answer.
🔍 Explanation:
Binge-eating disorder (BED) affects more people than both anorexia and bulimia. It’s characterized by recurring episodes of eating large amounts of food with a sense of loss of control, without the compensatory behaviors seen in bulimia. It affects both men and women and can occur across a wide range of ages.
Which of the following treatments is considered the most effective for bulimia nervosa?
A. Cognitive-behavioral therapy (CBT)
B. Psychoanalysis
C. Medication such as antidepressants alone
D. Family therapy
A. Cognitive-behavioral therapy (CBT)
CBT is considered the most effective treatment for bulimia nervosa. It helps individuals address negative thought patterns, emotional triggers, and unhealthy behaviors like bingeing and purging. CBT works by teaching patients healthier coping mechanisms and ways to manage their emotions and eating habits.
In the context of eating disorders, “black-and-white thinking” is most commonly seen in:
A. Anorexia nervosa
B. Bulimia nervosa
C. Binge-eating disorder
D. Muscle dysmorphia
B. Bulimia nervosa.
Black-and-white thinking (also called dichotomous thinking) is a cognitive distortion commonly seen in bulimia nervosa. Individuals with bulimia tend to view situations, including their eating habits, in extremes, such as “all good” or “all bad,” and struggle with balanced thinking. This pattern can contribute to behaviors like bingeing and purging.
Which of the following is a common emotional factor linked to eating disorders?
A. High levels of self-esteem and body satisfaction
B. A history of childhood trauma
C. An excessive desire for independence
D. Emotional distress is unrelated to eating behaviors
B. A history of childhood trauma.
Emotional distress, including a history of childhood trauma, often plays a significant role in the development and maintenance of eating disorders. Many individuals with eating disorders, such as anorexia or bulimia, may use food-related behaviors as a way to cope with emotional pain, stress, or unresolved trauma.
Which of the following is a biological factor contributing to eating disorders?
A. Overactive appetite regulation in the brain
B. Higher levels of serotonin, which can impact mood and appetite
C. Low levels of dopamine linked to cravings for fatty foods
D. A genetic predisposition to obesity
B. Higher levels of serotonin, which can impact mood and appetite
Serotonin plays a key role in regulating mood and appetite. Imbalances in serotonin are often found in individuals with eating disorders, such as anorexia and bulimia. For example, antidepressants like Prozac, which increase serotonin activity, have been shown to decrease binge-eating episodes in people with bulimia.
Which of the following is a psychological treatment commonly used for bulimia nervosa?
A. Psychoanalysis
B. Cognitive-behavioral therapy (CBT)
C. Family therapy
D. Electroconvulsive therapy (ECT)
B. Cognitive-behavioral therapy (CBT)
Cognitive-behavioral therapy (CBT) is recognized as the most effective treatment for bulimia nervosa. It focuses on identifying and changing dysfunctional thought patterns and behaviors related to food, weight, and body image. CBT helps individuals with bulimia develop healthier coping mechanisms and more realistic self-perceptions.
In anorexia nervosa, body dissatisfaction and a distorted perception of body size are key symptoms. Which of the following is true about body perception in individuals with eating disorders?
A. They have a sensory deficit that causes them to perceive their body as larger than it is
B. They overestimate their body size, but it’s not due to a sensory deficit
C. They underestimate their body size and feel thinner than they actually are
D. They have no issues with body perception or body image
B. They overestimate their body size, but it’s not due to a sensory deficit
Individuals with eating disorders, particularly anorexia nervosa, often overestimate their body size, perceiving themselves as larger than they are. This distorted body image is not due to a sensory deficit but rather a psychological and cognitive distortion.
Which of the following emotional factors is often associated with anorexia nervosa?
A. Individuals restrict food intake to relieve emotional distress and gain control over their body
B. People with anorexia nervosa typically experience heightened feelings of euphoria
C. Anorexia nervosa is not linked to emotional distress or mood regulation
D. Individuals use food intake to amplify negative emotions or distress
A. Individuals restrict food intake to relieve emotional distress and gain control over their body
People with anorexia nervosa often restrict their food intake as a way to cope with emotional distress. It can be an attempt to gain a sense of control over their body and emotions.
