ACTUAL QUESTIONS WITH DETAILED ANSWERS WITH STUDY GUIDE
What is Anorexia? - (Answer) -intense fear of gaining weight
distorted body image
Wt is less than normal
What is the DSM 5 for anorexia? - (Answer) -Restricted calories w/low BMI <17.5
Level of severity:
-Mild: >17
-Moderate: 16 - 16.99
-Severe: 15 - 15.99
-Extreme: <15
What are the types of Anorexia? - (Answer) -Restricting: no consistent bulimic features
Binge-eating/purging: primary restriction w/some bulimic behaviors
What are the comorbidities for anorexia? - (Answer) -GI diseases
Heredity
Drug additcion
Alcoholism
Depression
PTSD
BPD
Anxiety disorder
What are s/s of anorexia nervosa? - (Answer) -dizziness/fainting
fast/gradual wt loss
,constant cold feeling
induced vomiting after eating
no menstruation
sleep disorders
hair loss
heart problems
infertility
stomach ulcer
muscle fiber breakdown
What are the abnormal lab values for Anorexia Nervosa? - (Answer) -Hypokalemia: <3.5 mEq/L
(from starvation)
Low triiodothyronine, thyroxine levels
low BMI
Anemia
Decreased bone density
What is the criteria for hospitalization for anorexia nervosa? - (Answer) -<10% body fat
HR <50
Systolic BP <90
Temperatire <96
Lab values to remember - (Answer) -Glucose: 70 - 110mg/dL
Sodium: 135 - 145
Potassium: 3.5 - 5
Creatine
, -male: 0.6 - 1.2 mg/dL
-female: 0.5 - 1.1 mg/dL
-child: 0.3 - 0.7 mg/dL
What is bulimia> - (Answer) -repeated episodes of binge eating that are followed by
compensatory behaviors (self-induced vomiting, misuse of laxatives, diuretics)
uncontrollable bingeing
significant disturbance in perception of body shape and wt
What is the DSM 5 for bulimia? - (Answer) -Level of severity:
-mild: 1-3 episodes/wk
-moderate: 4-7 episodes/wk
-severe: 8-13 episodes/wk
-extreme: >14 episodes/wk
Does not occur during episode of anorexia
recurrent inappropriate compensatory behaviors
occurs at least 1x/wk for 3m
What are comorbidities for bulimia? - (Answer) -MDD
anxiety disorder
BPD
alcohol/substance use disorder
PTSD