, CASE STUDY 145 ANOREXIA CASE STUDY 9
ANSWERS) 100% ALL CORRECT – LATEST
SPRING 2020\2021
Case Study 145 Anorexia Case Study (Winningham’s) Answer Key
1. Using Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria, how is the
diagnosis of anorexia nervosa determined?
• Restriction of energy intake relative to requirements leading to a significantly low body weight in the
context of age, sex, developmental trajectory, and physical health
• Intense fear of gaining weight or becoming fat, even though underweight
• Disturbance in the way in which one's body weight or shape is experienced, undue influence of body
weight or shape on self-evaluation, or denial of the seriousness of the current low body weight
2. Identify eight clinical signs or symptoms of anorexia nervosa. Place a star or asterisk next to those that J.M.
has.
• Emaciated and malnourished appearance*
• Hypotension (She has been blacking out, which can indicate hypotension. No vital signs were provided,
but students might star this item.)
• Dysrhythmias, bradycardia
• Pale conjunctivae and mucous membranes
• Poor skin turgor and muscle tone
• Peripheral edema
• Excessive hair loss and dryness*
• Cold extremities*
• Lanugo
• Yellow skin
• Amenorrhea
• Headaches, sore throat, vague physical complaints
• Chronic urinary tract infections
• Constipation
• Memory deficits
• Fatigue
• Insomnia
• Depressed immune system
• Obese or overweight person: electrolyte imbalance, hypothermia, weight loss
of more than 2 pounds per week, perception of being obese despite weight
ANSWERS) 100% ALL CORRECT – LATEST
SPRING 2020\2021
Case Study 145 Anorexia Case Study (Winningham’s) Answer Key
1. Using Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria, how is the
diagnosis of anorexia nervosa determined?
• Restriction of energy intake relative to requirements leading to a significantly low body weight in the
context of age, sex, developmental trajectory, and physical health
• Intense fear of gaining weight or becoming fat, even though underweight
• Disturbance in the way in which one's body weight or shape is experienced, undue influence of body
weight or shape on self-evaluation, or denial of the seriousness of the current low body weight
2. Identify eight clinical signs or symptoms of anorexia nervosa. Place a star or asterisk next to those that J.M.
has.
• Emaciated and malnourished appearance*
• Hypotension (She has been blacking out, which can indicate hypotension. No vital signs were provided,
but students might star this item.)
• Dysrhythmias, bradycardia
• Pale conjunctivae and mucous membranes
• Poor skin turgor and muscle tone
• Peripheral edema
• Excessive hair loss and dryness*
• Cold extremities*
• Lanugo
• Yellow skin
• Amenorrhea
• Headaches, sore throat, vague physical complaints
• Chronic urinary tract infections
• Constipation
• Memory deficits
• Fatigue
• Insomnia
• Depressed immune system
• Obese or overweight person: electrolyte imbalance, hypothermia, weight loss
of more than 2 pounds per week, perception of being obese despite weight
