CLINMED - Feeding/Eating, Somatoform/
Chronic Pain, Neurocognitive, Sleep-
Wake Disorders
Patients restrict food intake but do not regularly engage in binge eating or purging behavior; some
patients exercise excessively - ANS Restricting type Anorexia Nervosa
Patients regularly binge eat and then induce vomiting and/or misuse laxatives, diuretics, or enemas. -
ANS Binge-eating/purging type Anorexia Nervosa
Anorexia nervosa can be distinguished from bulimia nervosa by BMI of what? - ANS < 17
Fear of gaining weight and patient weighs less than 85% of normal? - ANS Anorexia nervosa
Which eating disorder is commonly associated with mitral valve prolapse, pericardial effusion, and
myocardial atrophy? - ANS Anorexia nervosa
What condition do you suspect in a patient who refuses to eat due to fear of being overweight? - ANS
Anorexia nervosa
If body weight is < what of expected body weight when should a pt be hospitalized - ANS if weight is <
75%
Tx for Anorexia nervosa - ANS Restore nutritional state
Intense fear of obesity despite slenderness - ANS Anorexia nervosa
What CV effects may occur in pts with Anorexia nervosa - ANS Supraventricular long QT syndrome
,Patient will present as → a 19-year-old female who has lost 40 pounds over the last 6 months. Her body
mass index is 16. When asked about her most recent meal, the patient reports that she ate an apple the
previous morning. - ANS Restricting type Anorexia Nervosa
Frequent binge eating with or without purging - ANS Bulimia nervosa
Purging commonly performed by self-induced vomiting resulting in metabolic alkalosis - ANS Bulimia
nervosa
May abuse laxatives/diuretics or exercise excessively
Patients are disturbed by their behavior - ANS Bulimia nervosa
Binging and compensatory behaviors occur at least once a week for 3 months - ANS Bulimia nervosa
scars on knuckles, swollen parotid glands + dental erosions + normal weight +hypokalemia - ANS Bulimia
nervosa
Tx for Bulimia nervosa - ANS Restore Nutritional state
Fluoxetine 60mg PO
Self induced vomiting
Laxative and/or diuretic abuse
, Prolonged fasting
Excessive exercise
Teeth enamel destruction - ANS Bulimia nervosa
What condition is the bipolar of eating disorders - ANS Bulimia nervosa
Extreme caloric restriction between episodes occurs in what condition - ANS Bulimia nervosa
A 20-year-old college student presents to her dentist. Her vital signs are normal, and her weight is 120
lb. On examination, extensive upper dental erosion is noted. The most likely diagnosis is - ANS Bulimia
nervosa
Which of the following electrolyte abnormalities is associated with bulimic patients? - ANS Metabolic
alkalosis
Patient will present as → a 14-year-old is female who is brought to your clinic by her mother who claims
to hear the child vomiting after dinner in the evenings. The patient reportedly denies vomiting and feels
fine. On physical exam, you notice petechial hemorrhages of the soft palate and conjunctiva. Further
exam reveals scars on her knuckles, swollen parotid glands, dental erosions. Her weight is normal. Lab
tests reveal hypochloremia and hypokalemia. - ANS Bulimia nervosa
Recurrent binge eating at least once per week for 3 months - ANS Binge Eating Disorder
Eating, in a discrete period of time, an amount of food that is definitely larger than what most people
would eat - ANS Binge Eating Disorder
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