Eating disorders

Question 1

Three requirements for anorexia diagnosis

Answer 1

1. restriction of energy intake leading to signif low body weight (in context of age, sex, developmental)
2. intense fear of becoming fat or gaining weight - persistent restricting or purging
3. disturbance of way you perceive your body

Question 2

occurrence of inappropriate compensatory behaviours to be considered bulimia

Answer 2

once a week for 3 months

Question 3

SCOFF questionnaire

Answer 3

1. make yourself sick
2. worry you’ve lost control
3. lost over 1 stone (14 lbs) in a 3 month period
4. believe you’re fat when others say you’re thin
5. does food dominate your life

Question 4

first line treatment of anorexia nervosa

Answer 4

family based therapy

Question 5

features of refeeding syndrome

signs of refeeding syndrome

Answer 5

low phosphate 
low Mg
low K 
gastric dilation
congestive HF 
severe oedema 
confusion 
coma 
death 

signs: 
bradycardia 
hypotension 
low phosphate
delirium
oedema
cardiac arrythmia

Question 6

gold standard treatment for bulimia

Answer 6

cognitive behavioural therapy