Family Med EOR Psych/Behavioral Medicine Practice Exam Questions Solved Correctly.
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Family Medicine EOR
A 19 year old female who has lost 40 pounds over the last 6 months presents to the office. Her BMI is 16. When asked about her most recent meal, the pt reports that she ate an apple the previous morning. What is her probable diagnosis? - Answer anorexia nervosa
Define the characteristics of a...
Family Med EOR Psych/Behavioral
Medicine Practice Exam Questions
Solved Correctly.
A 19 year old female who has lost 40 pounds over the last 6 months presents to the office. Her BMI is 16.
When asked about her most recent meal, the pt reports that she ate an apple the previous morning.
What is her probable diagnosis? - Answer anorexia nervosa
Define the characteristics of anorexia nervosa. - Answer -intense fear of becoming fat, even though the
pt is underweight
-pt does frequent weight checks and denies their emaciated state
**HIGHEST suicide rate of eating disorders
How can anorexia be distinguished from bulimia? - Answer **through BMI!!
-anorexia BMI is <17 OR bodyweight <85% of ideal
Define and describe the two different types of anorexia - Answer 1) Binging/Purging =
laxatives/diuretics abuse; excessive exercise
2) Restricting = eating very little; exercise to excess
Treatment options for pts with anorexia nervosa - Answer 1) restore nutritional state
2) psychotherapy (behavioral)
3) SSRIs -- have added benefit bc of weight gain; no proven benefit in anorexia, but could help the
underlying issue; has some benefit in bulimia
Indication for when to hospitalize a patient with anorexia - Answer if weight is <75% of ideal
, A 35 year old female presents to the clinic with the complaint of worry which she cannot control for the
last year. She tells you that her symptoms are daily, and consist of sleep disturbances, difficulty
concentrating, and irritability. She reports her symptoms started around age 17 but have worsened.
What is her probable diagnosis? - Answer Generalized Anxiety Disorder (GAD)
Diagnosis criteria for GAD - Answer = excessive anxiety and worry occurring more days than not for at
least 6 months, about a number of events or activities
- NOT attributable to the physiological effects of a substance or another medical condition
-disturbance is NOT better explained by another mental disorder
The anxiety (GAD dx criteria) is associated with three or more of the following 6 symptoms - Answer 1)
restlessness or feeling keyed up or on edge
2)being easily fatigued
3) difficulty concentrating or mind going blank
4) irritability
5) muscle tension
6) sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep)
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