Q2 Eating Disorders

Question 1

criteria for anorexia nervosa

Answer 1

• restriction of energy intake
• fear of gaining weight
• disturbance of body image OR
• influence of body image on self evaluation OR
• lack of insight on seriousness of low body weight

Question 2

subtypes of anorexia nervosa

Answer 2

• restricting type

- binge-eating/purging type

Question 3

body mass index scales for anorexia nervosa

• mild
• moderate
• severe
• extreme

Answer 3

> 17
16-16.99
15.15.99
<15

Question 4

what is normal BMI

Answer 4

• 18.5-24.99

Question 5

what else besides BMI can you look at in anorexia nervosa

how does anorexia fit on this scale

Answer 5

• ideal body weight

<80 IBW

Question 6

which gender is more likely to have anorexia nervosa

• what’s the ratio

Answer 6

• female

10: 1

Question 7

which race is more likely to have anorexia nervosa

Answer 7

• caucasian

Question 8

which age is more likely to have anorexia nervosa

Answer 8

• adolescence

Question 9

medical issues with anorexia nervosa

Answer 9

• arrhythmias
• lack of periods
• dental caries
• low electrolyte levels

Question 10

treatment for anorexia nervosa

Answer 10

• medical stabilization

- psychiatric treatment

Question 11

what can low electrolyte levels cause in anorexia nervosa

Answer 11

• arrhythmias

Question 12

acute phase treatment of anorexia nervosa

Answer 12

• re-feeding for slow and gradual weight gain

- constantly monitor labs

Question 13

what is refeeding syndrome

Answer 13

• body is used to surviving with less
• with food there is now an increase demand for electrolytes that the patient doesn’t have
• can lead to arrhythmias

Question 14

what is the classic hallmark of refeeding syndrome

Answer 14

• hypophosphatema

Question 15

maintenance phase of anorexia nervosa treatment

Answer 15

• psychotherapy
• CBT
• family therapy

Question 16

medications for anorexia nervosa

Answer 16

• not really

- consider olanzapine for weight gain

Question 17

bulimia nervosa criteria

Answer 17

• binge eating
• compensatory behavior
• undue influence of body image on self evaluation

Question 18

examples of compensatory behavior in bulimia nervosa

Answer 18

• vomiting
• laxatives
• exercise

Question 19

bulimia nervosa symptoms must occur at least _____ a week for ____

Answer 19

• once a week

- 3 months

Question 20

gender more likely to get bulimia nervosa

ratio

Answer 20

• females

- 10:1

Question 21

weight of someone with bulimia nervosa

Answer 21

• normal weight

- overweight

Question 22

signs of compensation in bulimia nervosa

Answer 22

• acid reflux
• ruptured esophagus
• loss of enamel

Question 23

medications for bulimia nervosa

Answer 23

• fluoxetine

- other SSRIs

Question 24

meds to avoid with bulimia nervosa

why

Answer 24

• bupropion

- risk of seizures

Question 25

criteria for binge-eating disorder

Answer 25

• recurrent binge eating
• three symptoms
  
  • eating quicker than normal
  • until uncomfortably full
  • large amounts when not hungry
  • eating alone
  • disgusted, depressed, or guilty after eating

Question 26

binge-eating disorder criteria means you must binge at least ____ a week for _____

Answer 26

• once a week

- 3 months

Question 27

gender most likely to have binge-eating disorder

ratio

Answer 27

• females

- 2:1

Question 28

treatment for binge-eating disorder

Answer 28

• therapy

- medications

Question 29

medications for binge-eating disorder

Answer 29

• vyvanse
• sertraline
• topiramate

Question 30

criteria for avoidant restrictive food intake disorder

an example

Answer 30

• failure to meet nutritional needs
• not due to lack of food/cultural practice, disturbance in body imagine, etc
• someone who choked on solid food once and now won’t eat solid food again

Question 31

what is rumination disorder

Answer 31

• repeatedly regurgitating food for at least 1 month