CMN 574 Ch. 6 & 8; Eating Disorders & Child Abuse Exam Questions and Answers

CMN 574 Ch. 6 & 8; Eating Disorders & Child Abuse Exam Questions and Answers What class of drug will equilibrate satiety regulation? - Ans:-SSRIs What are some factors that might predispose a child to an eating disorder? (4) - Ans:--Season of birth (Mar-June) -Enmeshment of mother with daughter to the point that daughter cannot develop her own identity -Father-daughter distancing -fear or dislike over their changing bodies Children involved in certain sports are at higher risk for AN than children in sports that do not emphasize body image. What are the at risk sports? (3) - Ans:-Gymnastics figure skating ballet What is a sign that a child may be anorexic? - Ans:-Sudden change in dietary habits, like becoming a vegetarian. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/11 What is the typical bulimic more likely to be like? (2) - Ans:-impulsive engages in risk taking behavior What are the 2 forms of AN? - Ans:-restricting type-patients do not regularly engage in binge eating or purging binge-purge type-AN combined with binge eating or purging behavior or both What are the s/s of AN? (5) - Ans:-- reduce dietary fat *- intense concern with body image even before weight loss or amenorrhea -Weight loss form baseline of normal body weight -secondary amenorrhea with wgt. loss* -decreased body temp -bradycardia -dizziness/syncope -prolonged QT -peripheral cyanosis *-Hair thin ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/11 -lanugo* -cannot take in normal quantities of food -decreased cognition What is essential to determining the diagnosis of AN? - Ans:-assessing body image What is the most accurate way to assess weight in eating disorders? - Ans:-gown only weight after urination What is the BMI % that indicates risk for malnutrition and significant malnutrition? - Ans:-BMI 25th% risk for BMI 5% significant At what point should a bone density test be done on a patient that has an eating disorder? - Ans:-6 months What are the short term complications of AN? (4) - Ans:-Early satiety Superior mesenteric artery syndrome-compression of the duodenum causing obstruction and vomiting. Constipation Pericardial effusion ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/11 What are the long term complications of AN? (3) - Ans:-Osteoporosis Brain changes infants born to moms with AN have feeding difficulties What are the drugs used to treat AN? (3) - Ans:-Risperidone [Risperadal] (atypical antipsychotic) olanzapine [Zyprexia] (atypical antipsychotic) quetiapine [Seroquel] (atypical antipsychotic) Describe BN (Bulimia Nervosa). - Ans:-eating excessive amounts or having a meal that lasts longer than usual then purging What are the questions you need to ask a potential BN patient to determine if they have BN? - Ans:- Have they binged, feel out of control, or cannot stop eating and then purge. What are the s/s of BN? (8) - Ans:-Abdominal pain GERD Difficulty sleeping depression