SGH knowledge stuff

Question 1

AN diagnostic citeria

Answer 1

DSM:
three
1) restriction of energy intake to decrease body weight
2) intense fear of losing weight, despite being underweight
3) distorted perception of body weigh tand shape -denial of medical consequences of one’s body weight

restriction or binge and purge type, depending on the past 3 month activity where if there is any binging or purging behavior

Question 2

medical complication of AN (6)

Answer 2

myocardial atrophy, mitral valve prolapse, pericardial effusion, bradycardia, functional hypothalamic amenorrhea, antenatal and postpartum problems, osteoporosis, gastroparesis, and constipation

Question 3

avoidant/restrictive food intake disorder diagnostic citeria

Answer 3

●Avoiding or restricting food intake, which may be based upon lack of interest in food, the sensory characteristics of food, or a conditioned negative response associated with food intake following an aversive experience (eg, choking). The eating behavior leads to a persistent failure to meet nutritional and/or energy needs, manifested by at least one of the following:

• Clinically significant weight loss, or in children, poor growth or failure to achieve expected weight gain
• Nutritional deficiency
• Supplementary enteral feeding or oral nutritional supplements are required to provide adequate intake
• Impaired psychosocial functioning

●The eating or feeding disturbance is not due to lack of available food or associated with a culturally sanctioned practice.

●The disturbance does not occur solely in the course of anorexia nervosa or bulimia nervosa, and body weight and shape are not distorted.

●The disturbance is not due to a general medical condition (eg, gastrointestinal disease, food allergies, or occult malignancy) or another mental disorder. When avoidant/restrictive food intake disorder occurs in the context of another illness, the eating disturbance is both out of proportion to what is expected for the other illness and warrants additional clinical attention.

Question 4

AN mean year of onset

Answer 4

18

Question 5

binge eating disroder mean year of onset

Answer 5

23

Question 6

binge eating disorder diagnostic criteria

Answer 6

Episodes of binge eating, defined as consuming an amount of food in a discrete period of time (eg, two hours) that is definitely larger than what most people would eat in a similar amount of time under similar circumstances. During episodes, patients feel they lack control over eating (eg, patients feel they cannot stop eating or control the amount or what they are eating).

●Binge eating episodes are marked by at least three of the following:

• Eating more rapidly than normal
• Eating until feeling uncomfortably full
• Eating large amounts of food when not feeling physically hungry
• Eating alone because of embarrassment by the amount of food consumed
• Feeling disgusted with oneself, depressed, or guilty after overeating

●Episodes occur, on average, at least once a week for three months.

●No regular use of inappropriate compensatory behaviors (eg, purging, fasting, or excessive exercise) as are seen in bulimia nervosa.

●Binge eating does not occur solely during the course of bulimia nervosa or anorexia nervosa.

The current level of severity is based upon the number of binge eating episodes per week:

●Mild – 1 to 3

●Moderate – 4 to 7

●Severe – 8 to 13

●Extreme – 14 or more

Question 7

mean age of bulimia nervosa

Answer 7

18

Question 8

diagnostic citeria of bulimia nervosa

Answer 8

A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
1) Eating, in a discrete period of time (eg, within any two-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.
2) A sense of lack of control over eating during the episode (eg, a feeling that one cannot stop eating or control what or how much one is eating).
B. Recurrent inappropriate compensatory behavior to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise.
C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for three months.
D. Self-evaluation is unduly influenced by body shape and weight.
E. The disturbance does not occur exclusively during episodes of anorexia nervosa.

Question 9

severity of AN

Answer 9

by BMI
Mild – BMI 17 to 18.49 kg/m2

●Moderate – BMI 16 to 16.99 kg/m2

●Severe – BMI 15 to 15.99 kg/m2

●Extreme – BMI <15 kg/m2