Mehl. bullet eating disorders 04-06 (1) Flashcards

1
Q

M. Serum abnormalities seen in bulimic patient? acid base?

A

increased serum amylase + hypokalemic, hypochloremic metabolic alkalosis.

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2
Q

M. 18F + repeated purging + BMI 17; Dx?

A

anorexia, not bulimia à if BMI low, answer is anorexia.

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3
Q

M. 18F + anorexia; what electrolyte disturbance is most likely?

A

hypokalemia

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4
Q

M. 18F + anorexia + BMI of 14 + reintroduced to foods; what electrolyte must we notably look out for?

A

hypophosphatemia (refeeding syndrome).

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5
Q

M. 26M + lost in the woods for three weeks + BMI 27 + reintroduced to foods; what electrolyte must we
notably look out for?

A

hypophosphatemia (refeeding syndrome).

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6
Q

M. Amenorrhea in patient with anorexia; why?

A

decreased GnRH pulsation -> decreased LH + FSH; Q
wants “ decr. FHS, decr. estrogen” as the answer;

in contrast, premature ovarian failure, Turner syndrome,
and menopause have “­ incr. FHS, decr.estrogen” as the answer.

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7
Q

M. Anorexia in patient with edema; mechanism for edema?

A

decreased serum albumin (yes, this is straight from the Psych NBME, no idea why).

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8
Q

M.

A
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