Feeding and Eating Disorders

Description

Test I: 74, 110, 134 Test II: none Test III: none Test IV: 27, 29 Test V: none Test VI: 23, 93, 98 Vignette 9
Eleanor garvey
Quiz by Eleanor garvey, updated more than 1 year ago
Eleanor garvey
Created by Eleanor garvey over 4 years ago
135
1

Resource summary

Question 1

Question
Test 1 Question 74. A 20-year-old patient comes into the emergency room while you are on call. She is 5 feet (152cm) tall and has difficulty maintaining her body weight above 67 pounds (30kg). She has lost weight in the past by dieting and was encouraged by her progress. She continued to decrease food intake and increase exercising until her weight dropped below 63 pounds (28kg). At this time she is no longer having her menstrual periods. She comes to the emergency room with symptoms of peptic ulcer disease. Which one of the following would be considered the most important and urgent part of her initial medical workup?
Answer
  • Bone scan
  • Head CT scan
  • Gastric emptying study
  • Cholesterol level
  • Serum potassium level

Question 2

Question
Test 1 Question 110. A young girl is brought to the pediatrician because she is not eating well. She has a lack of interest in food. She has had significant weight loss and is not growing properly. She is not getting enough nutrition and is missing days of school because she feels physically ill. She has no disturbances in the way her weight or body is experienced. Which one of the following is the most appropriate diagnosis?
Answer
  • Avoidant/restrictive food intake disorder
  • Anorexia nervosa
  • Bulimia nervosa
  • Binge eating disorder
  • Atypical anorexia nervosa

Question 3

Question
Test 1 Question 134. A 20-year-old woman comes to the emergency room with hypokalemic alkalosis, enlarged parotids, hypotension, and Russell’s sign. What diagnosis do you suspect?
Answer
  • Psychosis
  • Major depressive disorder
  • Bulimia
  • Inhalant-induced euphoria
  • HIV

Question 4

Question
Test 4 Question 27. Which one of the following is not a medical complication of weight loss in eating disorders?
Answer
  • Cachexia
  • Loss of cardiac muscle
  • Delayed gastric emptying
  • Lanugo
  • Increased bone density

Question 5

Question
Test 4 Question 29. Which one of the following is not a medical complication of purging seen in eating disorders?
Answer
  • Electrolyte abnormalities
  • Salivary gland inflammation
  • Erosion of dental enamel
  • Hyperkalemia
  • Seizures

Question 6

Question
Test 6 Question 23. A bulimic patient admits to you that she has been using large quantities of ipecac on a daily basis. Which of the following medical issues should you be most concerned with?
Answer
  • Cardiomyopathy
  • Shortening of QTc interval
  • Leukocytosis
  • Increased serum amylase
  • Infection

Question 7

Question
Test 6 Question 93. Which of the following categories of disorders classically has a female-to-male ratio of about 10 to 1?
Answer
  • Substance abuse disorders
  • Sexual disorders
  • Eating disorders
  • Dissociative disorders
  • Personality disorders

Question 8

Question
Test 6 Question 98. The main factor differentiating binge eating disorder from bulimia nervosa is:
Answer
  • Lack of control over eating
  • Must occur once per week for 3 months
  • Consuming a large amount of food in a 2-hour period
  • Feelings of embarrassment
  • Absence of inappropriate compensatory behaviors

Question 9

Question
Vignette 9 Question 1. Which of the following factors would you consider essential to make a diagnosis of anorexia nervosa? (Choose three of four)
Answer
  • Body weight less than minimally normal for height and age
  • A disturbance in how body weight is experienced
  • Amenorrhea
  • Binge eating and purging behavior

Question 10

Question
Vignette 9 Question 2. Based on diagnostic criteria you determine that Judy has anorexia. Which of the following medical complications are likely to be associated with the diagnosis? (Choose five of six)
Answer
  • Bradycardia
  • Pancytopenia
  • Lanugo
  • Osteopenia
  • Metabolic encephalopathy
  • Ulcerative colitis

Question 11

Question
Vignette 9 Question 3. Which of the following would be considered indications that Judy should be admitted to a hospital? (Choose three of four)
Answer
  • Significant hypokalemia
  • Body mass index (BMI) less than 15 kg/m^2
  • Growth arrest
  • Osteopenia

Question 12

Question
Vignette 9 Question 4. As part of your evaluation of Judy you wish to calculate her BMI. How do you do that?
Answer
  • 100lb for the first 5 feet in height +5lb/inch over 5 feet ± 10%
  • Height (m2)/weight (kg)
  • (Age [years]×0.375+height [m])×0.093/0.09 (daily caloric intake [kcal])
  • Weight (kg)/height (m)

Question 13

Question
Vignette 9 Question 5. You consider treatment options for Judy. Which of the following have proven efficacy in patients with anorexia? (Choose four of five)
Answer
  • Cognitive behavioral therapy
  • Family therapy
  • Fluoxetine
  • Olanzapine
  • Bupropion

Question 14

Question
Vignette 9 Question 6. Which of the following are possible complications of self-induced vomiting? (Choose three of four)
Answer
  • Russell’s sign
  • Mallory–Weiss syndrome
  • Spontaneous abortion
  • Atonic colon

Question 15

Question
Vignette 9 Question 7. Which of the following are possible complications of ipecac abuse? (Choose three of four)
Answer
  • Skeletal muscle atrophy
  • Rectal prolapse
  • Cardiomyopathy
  • Prolonged QTc interval

Question 16

Question
Vignette 9 Question 8. Which of the following statements are correct concerning anorexia? (Choose two of four)
Answer
  • Risk of anorexia increases when family members have anorexia
  • Patients with anorexia often demonstrate traits of paranoid personality disorder
  • Patients with anorexia are characterized by emotional flexibility
  • Adolescence is a time of increased risk for anorexia

Question 17

Question
Vignette 9 Question 9. Which of the following should be included in the differential diagnosis for anorexia? (Choose four of five)
Answer
  • Major depressive disorder
  • Anxiety disorders
  • Bulimia nervosa
  • Substance abuse
  • Brief psychotic disorder

Question 18

Question
10. Medical treatment for anorexia should include which of the following? (Choose three of four)
Answer
  • Combination estrogen and progesterone
  • Dental follow-up
  • Electrocardiogram
  • Correction of hypokalemia
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