Psychiatric Disease

Question 1

Define anorexia nervosa

Answer 1

Abnormal fear of becoming fat, leading to excessive dieting

Question 2

Which 4 factors are required to diagnose anorexia nervosa?

Answer 2

Significant WEIGHT LOSS/failure to grow in children
SELF-INDUCED weight loss
Overvalued idea that OBESITY REPRESENTS FAILURE
Widespread ENDOCRINE ABNORMALITIES

Question 3

BMI of less than 17.5 is the standard for diagnosis of anorexia nervosa. True/False?

Answer 3

True

Question 4

What is Russell’s sign?

Answer 4

Calluses formed on fingers as a result of an individual trying to induce vomiting on themselves

Question 5

What is the core psychopathology behind anorexia nervosa?

Answer 5

That obesity represents failure + slimness represents control and success

Question 6

Restrictive type of anorexia nervosa shows no evidence of binge-eating or purging. True/False?

Answer 6

True

Question 7

How is bulimia nervosa different to anorexia nervosa?

Answer 7

Involves periods of binge-eating that the individual cannot control, where excessive calories are consumed

Question 8

Men suffer from anorexia nervosa more than women. True/False?

Answer 8

False
10x lower risk in men

Question 9

What is the essential treatment for anorexia nervosa? Why is it difficult?

Answer 9

Weight gain
Can be difficult if patient doesn’t feel they need to, or to dissuade them from their method of control of their life

Question 10

What is meant by somatization?

Answer 10

Underlying psychological disturbance produces physical symptoms that cannot be attributed to an organic cause

Question 11

What is meant by factitious disorders?

Answer 11

Intentional faking/stimulation of an illness for no obvious external gain (other than attention/satisfaction of seeing people puzzled)

Question 12

What is meant by malingering?

Answer 12

Deliberate stimulation of illness for physical gain, e.g. money, benefits, avoidance of prosecution