Weight Loss Flashcards

1
Q

Any loss of more than________ of normal body weight is

significant

A

5%

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2
Q

The most common cause in adults of recent weight

loss is _________

A

stress and anxiety

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3
Q

Two conditions commonly associated with
weight loss are ______ and ______; they must be
excluded

A

anaemia and fever

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4
Q

Red flag pointers for weight loss

A

• Weight loss per se is a big red flag
• Rapid weight loss with malaise
• Acid dental erosion on surfaces of upper teeth:
think bulimia
• Weakness and malaise in young females: consider
eating disorder and hypokalaemia
• Evidence of abuse in a child

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5
Q

_________ is quite common and is almost
entirely confined to females between the ages of
12 and 20 years

A

Anorexia nervosa

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6
Q

Weight loss in children can be considered as:
1
2

A
  1. failure to thrive (FTT): the child up to 2 years
    below 3rd percentile (
  2. weight loss in a child after normal development
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7
Q
In common with the younger child who
fails to thrive, the older child may be suffering from
1
2
3
A

malabsorption syndrome, chronic infection of the
urinary tract or a rare chromosomal or metabolic
disorder.

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8
Q

Traits associated with people who have eating DO

A

They tend to be perfectionists with

obsessive–compulsive traits

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9
Q

Hx associated with eating DO

A

A history of childhood

sexual abuse may be relevant.

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10
Q

_________ is a syndrome characterised by
the obsessive pursuit of thinness through dieting with
extreme weight loss and disturbance of body image

A

Anorexia nervosa

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11
Q

Onset of anorexia nervosa

A

Bimodal age of onset: 13–14 and 17–18 years

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12
Q

Anorexia Nervosa DSM Criteria

A Restriction of energy intake relative to
requirements leading to significantly low body
weight in context of age, sex and physical
health. That weight is less than minimally normal
or expected
B Intense fear __________
C Disturbance of_________

A

of gaining weight or becoming fat, despite current underweight status

body image (body size or shape) or persistent lack of recognition of seriousness of low body weight

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13
Q

Types of anorexia

A

restricting type—no binge eating or purging binge eating/purging type

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14
Q

__________ is episodic secretive binge eating followed by self-induced vomiting, fasting or the use of laxatives
or diuretics.

A

Bulimia

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15
Q

Bulimia nervosa

This binge–purge syndrome is also referred to as _______

A

bulimarexia.

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16
Q

Types of bulimia

A

There are two types—the purging type and the nonpurging type

17
Q

Type pf bulimia where fasting or excessive exercise are the compensatory behaviours

A

non-purging type

18
Q

Bulimia

The_________ is the most life-threatening behaviour because of the danger of hypokalaemia.

A

purging type

19
Q

True of menses of pts with bulimia

A

Menstrual history usually normal but periods may be irregular—amenorrhoea rare

20
Q

Cx of bulimia

A

Physical complications of frequent vomiting (e.g.

dental decay, effects of hypokalaemia)

21
Q

Other associations of bulimia

A

• Impulse control disorders (e.g. gambling,
substance abuse)
• Depressed mood with guilt after a binge

22
Q

defined as recurrent episodes of binge eating in the absence of regular use of inappropriate compensatory behaviours characteristic of bulimia nervosa.

A

‘binge eating disorder’

23
Q

_______ is the preferred agent for bulimia

A

Fluoxetine

24
Q

_____________ is the most common
reversible cause of weight loss in elderly people,
occurring in up to 30% of all medical outpatients
presenting with undernutrition

A

Depression

25
Q

Weight loss of more than 5% body weight in 6 months is significant and suggests ___________

A

undernutrition.