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Psychiatry pro +1700 > Eating disorders > Flashcards

Flashcards in Eating disorders Deck (50):
1

When do eating disorders usually present?

Adolescence

2

OCD patients are more or less prone to eating disorders?

More

3

True or false: athletes less commonly have eating disorders?

False--more common

4

True or false: there is usually a critical sensitizing event with eating disorders

True

5

The average american woman is how tall and weighs how much?

5' 4"
140

6

The average american model is how tall and weighs how much?

5' 11''
117

7

What are the diagnostic criteria for anorexia? (4)

-Intense fear of gaining weight or becoming fat, even at a low weight
-Disturbance in the perception of shape or size
-Restriction of energy intake
-Disturbance or undue influence of weight or shape

8

What are the BMI definitions of mild, moderate, severe, and extreme anorexia?

Mild less than [17-18
Moderate [16, 17)
Severe less than 16
Extreme = less than 15

9

What is the progression of symptoms with anorexia?

Dieting progressing to more and more reductions in intake, switching to only fruits and vegetables, and an increase in physical activity

10

True or false: objective hypothermia can occur with anorexia

True

11

What is the deadliest of all psychiatric disorders?

Anorexia

12

What are the diagnostic criteria for bulimia? (3)

-Recurrent episodes of binge eating
-Inappropriate compensatory behaviors to prevent weight change
-Self-eval based largely on image
-Greater than 18.5 BMI

13

How often do episodes of binge eating occur with bulimia?

At least once a week for 3 months

14

What are the drugs that are abused with bulimics?

Laxatives and diuretics

15

What are the two subtypes of bulimia?

Purging and nonpurging

16

What are the diagnostic criteria for binge eating disorders? (4)

-Frequent episodes of large quantities of food in short periods
-Feeling out of control
-Feeling ashamed or disgusted by the behavior
-Eating when not hungry or in secret

17

What is the difference between BED and bulimia?

BED have significantly lower level of dietary restraints

18

True or false: men more often have BED

True

19

What is the pharmacotherapy treatment for BED?

Prozac (fluoxetine)

20

Callouses on the back of the hand may suggest what?

Bulimia

21

What causes the chipmunk cheeks with bulimia?

Increase salivary secretions

22

True or false: cardiac impairment is a risk factor for anorexia

True

23

True or false: there is a loss of brain tissue with anorexia

True

24

What happens to bone density with anorexia?

Decreased density

25

What mental illness has the highest mortality rate?

Anorexia

26

What lab abnormality may occur with anorexia / bulimia?

Hypokalemia

27

What are the medical complications of BED?

-HTN
-Hypercholesterolemia
-DM II
-Gallbladder disease

28

What are the EKG findings that can be seen with anorexia?

QT prolongation

29

What are the CBC abnormality with anorexia?

Leukopenia

30

What happens to hormone levels with anorexia?

Lower

31

What metabolic disorders can be seen with bulimia? (3)

Hypokalemia
Metabolic alkalosis
Increased LFTs

32

True or false: there is a lowered threshold for depression with anorexia

True

33

What happens when starving to psych stuff?

-Depression
-Asexual
-Psych s/sx

34

What are the comorbidities with eating disorders? (5)

-Depression
-Anxiety
-OCD
-Substance abuse
-Personality disorders

35

What are the drugs that take away appetite? (2)

Opioids
Stimulants

36

What is the treatment for eating disorders?

-Observed refeeding
-Eliminate purging
-Exercise management

37

What is the multidisciplinary approach to anorexic patients? (4)

-Physician refers
-Therapist
-Dietician
-Psychiatrist

38

What are the two medications that may assist with weight gain and mood management?

-Atypical antipsychotics
-TCAs

39

What do most eating disorders start off as?

A diet

40

What personality types are predisposed to anorexia?

Perfectionists

41

Which category of men have a higher incidence of eating disorders?

homosexual

42

True or false: most pts with an eating disorder do not believe they are thin

False--most do, but fear of a loss of control if they eat

43

What is the restricting type of anorexia?

Past 3 months individual has not engaged in recurrent episodes of binge eating or purging behavior

44

What is the binge-eating/purging type of anorexia?

Past 3 months individual has engaged in recurrent episodes of "binge" (e.g 1 banana) eating or purging behavior

45

Is amenorrhea a diagnostic criteria for anorexia?

Not anymore--not reliable

46

What is the temperamental risk factor for anorexia?

Anxiety or obsessional

47

True or false: having a biological relative with an eating disorder is a risk factor to developing an eating disorder

True

48

What is the nonpurging type of bulimia?

Not purging, but doing other things to get rid of the calories quickly (e.g intensive exercise, etc)

49

What were the results of the Maudsley approach to the treatment of anorexia?

50% of anorexia pts and 30% of bulimia pts showed improvement

50

What are the meds that have been shown to reduce binge eating?

SSRIs