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36 Cards in this Set
- Front
- Back
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T or F: anorexia and bulimia are more prevalent in industrialized societies where there is an overabundance of food
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TRUE
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Body mass index less than what number represents anorexia nervosa
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<17.5
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What % of anorexics are female
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More than 90%
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How do anorexics accomplish weight loss
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-Reduction in total food intake
-exclusion of highly caloric foods -extremely restricted diet -purging via vomiting or laxatives and diuretics -excessive exercise |
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T or F: as weight continues to decline, anorexic pts' fear of becoming fat may increase, as do feelings of being overweight
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TRUE
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Self-esteem in pts with anorexia nervosa is overly dependent on what factors
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body shape and weight
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T or F: most pts with anorexia have food related obsessions and frequently hoard food
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TRUE
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What clinical signs account for anorexia
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-Emaciation
-sig hypotension, esp orthostatic -bradycardia -hypothermia -skin dryness -lanugo -peripheral edema -salivary gland hypertrophy esp parotid gland -dental enamel erosion |
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T or F: amenorrhea may precede the onset of diminished weight and menarche may be delayed
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TRUE
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Does induced vomiting cause metabolic acidosis or alkalosis
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Metabolic alkalosis
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Does Laxative abuse cause metabolic acidosis or alkalosis
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Metabolic acidosis
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What medical conditions cause serious weight loss, but do not produce distorted body image
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-IBS
-Hyperthyroidism -Malignancies -AIDS |
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T or F: Anorexic individuals seldom seek professional assistance on their own
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TRUE
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When anorexics do complain, what do they complain about
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Somatic or psychological distress such as cold intolerance, muscle weakness, or loss of stamina, constipation, abd pain, and mental depression
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T or F: it is advisable for clinicians to obtain info from family members of the anorexic inds
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TRUE
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Pts with this disease may require acute intensive medical intervention to correct fluid and electrolyte imbalances, cardiac problems, and organ failure
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Anorexia nervosa
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What should be a central goal in treating anorexia nervosa
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Weight restoration
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How are inpatients encouraged to consume more calories
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By earning specific privileges such as increased activity, decreased supervision, visits from relatives
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Outside of a structured behaviorally oriented program, is there a drug that can induce an anorexic pt to eat and gain weight
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No
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This eating disorder is associated with the habit of binge eating
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Bulimia
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T or F: enormous overlap exists be/ anorexia and bulimia
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TRUE
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Does a previous hx or concurrent dx of anorexia exclude the dx of bulimia?
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No
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Purging one's food is a required criterion of this disorder
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Bulimia
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This drug has demonstrated efficacy in this disorder by making more serotonin available at the synapse
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Fluoxetine
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Of the people who suffer from bulimia, how many of them are female
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98-100%
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In bulimia, what is by far the most widely used compensatory behavior to control weight
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Vomiting
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Are laxative, enemas and diuretics used more or less frequently than vomiting to control weight
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Less
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T or F: bulimics plan binges around important daily activities such as work and school
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TRUE
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Purging may produce what type of enzymatic/electrolyte abnormalities
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-Hypocholeremia
-Hypokalemia -Increased serum amylase -Hypomagnesemia |
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What is considered a superior form of tx for bulimia
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Group psychotherapy
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What type of antidepressants are used for tx bulimia
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Every class - TCAs, MAOIs, SSRIs
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GI bleeding
dental caries loss of dental enamel from lingual surfaces of incisors muscle fatigue general malaise cardiac tachyarrhythmias are complications of this disease |
Bulimia
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In bulimics, frequently noted physical sign is the chipmunk appearance of the face, caused by marked hypertrophy of ___
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Salivary glands
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Abrasions, calluses, or scars on the back of the hand used to manually induce vomiting is known as ____ sign
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Russell's
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T or F: medical complications are more common in pts with the purging type of bulimia
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TRUE
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What disorders are most frequently associated with binge-eating disorder
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-Major depression
-panic disorder -bulimia -borderline personality disorder |
