Nutrition disorders Flashcards
What is the name of the disorder characterised by regular consumption of non-nutritive substances?
a) Anorexia nervosa
b) Crohns disease
c) Bulimia
d) Pica
d) Pica
Which of the following is NOT an example of a malabsorption disorder? (1 Mark)
* Anorexia
* Oesophagitis
* Coeliac disease
* Diverticulitis
- Anorexia
Lack of desire to eat, associated with nausea, diarrhoea, abdominal pain; and often a result of medication side effects, organ disease and psychological distress; but with the normal physiological stimuli to produce hunger; is known as: (1 Mark)
* Anorexia
* Anorexia nervosa
* Refeeding syndrome
* Coeliac disease
- Anorexia
Which of the following is responsible for motion sickness?
a) Pharyngeal Input
b) Chemoreceptor Trigger Zone (CTZ)
c) Gastrointestinal Tract
d) Labyrinthine Input
d) Labyrinthine Input
A patient with Coeliac Disease may have diarrhoea as a result of water retention in the intestines as a result of a build-up of non-absorbable water-soluble substances. Which type of diarrhoea?
* Motility
* Secretory
* Osmotic
* Overflow
Osmotic
Which of the following is likely to cause constipation?
* High fibre diet
* Adequate hydration
* Food poisoning
* Sedentary lifestyle
Sedentary lifestyle
A lesion that erodes the skin or mucosa is termed:
* A fistula
* An exudate
* Annuler
* An abscess
- A fistula
A patient with irritable bowel syndrome will have a decreased transit time of faeces through the bowel resulting in less fluid absorption, producing diarrhoea. Which type of diarrhoea?
* Motility
* Secretory
* Osmotic
* Overflow
- Motility
How many episodes of ‘loose or liquid’ stool are required in one day in order to meet the definition for diarrhoea?
a) One episode
b) Three episodes
c) Four episodes
d) Six episodes
b) Three episodes
Vomiting caused by the side effects of medication occurs due to which afferent pathway input:
(1 Mark)
* Pharyngeal Input
* Chemoreceptor Trigger Zone (CTZ)
* Gastrointestinal tract
* Labyrinthine Input
Chemoreceptor Trigger Zone (CTZ)
How many episodes of ‘loose or liquid’ stool are required in one day in order to meet the definition for diarrhoea?
3 or/ More
Refeeding syndrome is a constellation of biochemical abnormalities which occurs when normal intake is resumed after a period of starvation.
a) List the four electrolytes which are particularly low in patients with refeeding syndrome
- Potassium
- Phosphate
- magnesium
- sodium
Refeeding syndrome is a constellation of biochemical abnormalities which occurs when normal intake is resumed after a period of starvation.
List four possible complications of the refeeding syndrome
o irregular heart rhythm (cardiac arrhythmias)
o Heart failure
o muscle weakness
o seizures
Name some of the potential complications of refeeding syndrome. (6 marks)
- Electrolyte imbalance
- Heart failure
- Liver failure
- Muscle weakness
- Hypotension
- Seizure
- Irregular heart rate
Describe the physical health checks that are required for a patient with dangerously low body weight, for example, because of anorexia nervosa (6 Marks)
- Cardiac function (BP, ECG)
Sitting and standing BP
height and weight
BMI check
complete Blood tests - electrolyte and protein blood test
- liver, kidney and thyroid function
also to rule out a physiological cause
Psycological evaluation
Muscle strength test
Suggest some physical health checks and some mental health assessments that may be required for a patient with dangerously low body weight, for example, because of anorexia nervosa
(6 Marks)
Physical Mental
* Body weight (BMI)
* Electrolytes – Na and K
* Liver function
* Muscle strength
* Cardiac function (BP, ECG)
Mental
* MARSIPAN
* Mental state exam
* CAHMS
Name one type of diarrhoea – other than osmotic – and describe how it occurs. (2 Marks)
Motility – increased rate of transportation eg. irritable bowel syndrome causes less water to be reabsorbed
What is Anorexia and its causes?
Loss of appetite/ can’t eat – surgery, illness, chemo
what is Anorexia Nervosa?
Eating disorder
Very low BMI
Restricts self from eating
No purging
Control mechanism/ body image
What is Avoidant restrictive food intake disorder?
Avoiding certain food types
What is Bulimia Nervosa? S&S?
Binge eating followed by purging
1. Normal weight
2. Teeth erosion
3. Bad breath
What eating disorder is this?…
Binge eating not followed by purging
11. Overweight
Binge eating disorder
What eating disorder is this?…
Eating substances that are not food eg. dirt
PICA
What are the human starvation effects?
Slow heat beat
Faintness
Organ failure
Poor bone growth
Dizziness
Low BP
Dehydration
Weakness
Electrolyte imbalance
Heart attack