Module Test 1 Set 1

Front 1

Types of eating disorders (5)

Back 1

1)anorexia
2)bulimia
3)eating disorder not otherwise specified
4)binge eating
5)obesity

Front 2

Epidemiology of Anorexia (3)

Back 2

1)90% of cases female
2)presents in late adolescence
3)average age is 17 with some cases in 40s

Front 3

Epidemiology of Bulimia (2)

Back 3

1)90% of cases female
2)onset in adolescence or early adulthood

Front 4

Epidemiology of Eating Disorder Not Otherwise Specified (4)

Back 4

1)Do not meet criteria for a specific eating disorder
2)classified by DSM-IV
3)occurs in 5% of population
4)50% of patients recieving inpatient care for an eating disorder

Front 5

Epidemiology of Binge Eating (2)

Back 5

1)One-fourth of patients are male
2)usually occurs in adults (40yrs)

Front 6

Non-endocrine consequences of eating disorders (5)

Back 6

1)metabolic/electrolyte disturbances via dehydration from laxative/diuretic abuse
2)cardiac abnormailities/arrythmias
3)sudden death
4)dental problems
5)brain atrophy via chronic starvation

Front 7

Endocrine consequences of eating disorders (5)

Back 7

1)decr thyroid fxn
2)decr adrenal fxn
3)decr growth hormone
4)osteoporosis
5)infertility

Front 8

AN General info (4)

Back 8

1)refusal to maintain normal body weight (atleast 80% of normal)
2)distorted body image
3)psychiatric coborbidity common (75%)
4)SE is depression and depression can cause AN

Front 9

Symptoms of AN (4)

Back 9

1)obsession and fear about eating and gaining weight
2)complaints of feeling full
3)denial of symptoms
4)low self-esteem

Front 10

Signs of AN (4 of many)

Back 10

1)amenorrhea
2)ekg changes
3)elevated cholesterol
4)bradycardia/hypotension

Front 11

BN general info (5)

Back 11

1)concerned about body image but do NOT have drive to lose weight
2)binge eating followed by self-induced vomiting
3)weight fluctuation common
4)depression common (80%)
5)binge/purge atleast 2x weekly for 3months

Front 12

Symptoms of BN (5)

Back 12

1)do not eat regular meals
2)do not feel full @ end of meals
3)laxative abuse
4)feelings of guilt and depression after binging
5)social isolation, troubled relationships, substance abuse

Front 13

Physiological Signs of BN (4)

Back 13

1)salivary gland inflammation
2)erosion of dental enamel
3)callus on dorsum of hand
4)over exercise

Front 14

signs/symptoms eating disorder not otherwise specified (4)

Back 14

1)meet criteria for AN but have regular menses
2)maintain a normal wt
3)binge eating w/ purging
4)occur less than 2x weekly or for less than 3 months

Front 15

signs/symptoms of binge eating (3)

Back 15

1)binging w/o purging
2)overweight
3)binging episodes 2x weekly for long periods of time

Front 16

Goals of therapy of eating disorders (5)

Back 16

1)improved distorted body image
2)re-establish and maintain healthy body wt
3)restore normal eating patterns
4)improve psychological and physical issues
5)prevent relapse

Front 17

Non-pharmacological treatment is MOST beneficial w/...

Back 17

AN*****

Front 18

Non-pharmacological treatment best w/ BN?

Back 18

cognitive behavioral therapy***

Front 19

Other non-pharmacological treatments used (4)

Back 19

1)behavioral management
2)interpersonal psychotherapy
3)nutritional counseling
4)family therapy

Front 20

Antidepressant treatment of AN (4)

Back 20

1)NO role in acute AN
2)only used if depression, anxiety, OCD persists after normal wt maintained
3)use SSRI's (fluoxetine)
4)AVOID buproprion, MAOI, tricyclics

Front 21

Misc drugs used for AN (4)

Back 21

1)metoclopramide
2)benzo's
3)estrogen
4)calcium supplements

Front 22

____ is FDA approved for BN use

Back 22

fluoxetine

Front 23

Antidepressant use in BN (4)

Back 23

1)used for acute/maintenance in combo w/ nonpharmacologic treatments
2)SSRI's preferred
3)takes 4-6weeks to see effect
4)treat for 6-12months to prevent relapse

Front 24

Binge eating disorders and antidepressants (2)

Back 24

1)efficacy in acute illness
2)SSRI's are treatment of choice

Front 25

Types of exercise (4)

Back 25

1)aerobic
2)anaerobic
3)isometric
4)isotonic

Front 26

Aerobic exercise
a)2 characteristics
b)benefits (2)
c)examples (4)

Back 26

a1)requires oxygen to meet energy demands
a2)sustained activity done for a longer period of time
b1)improved blood sugar control
b2)improved CV fxn
c)walk, run, bike, skiing

Front 27

Anaerobic exercise
a)2 characteristics
b)3 benefits
c)4 examples

Back 27

a1)does NOT require sustained oxygen to meet energy demands
a2)performed in short bursts of 90seconds or less
b1)improved body composition
b2)improved glucose control
b3)incr strength
c)weight training, push/pull up, crunches, resistant exercises

Front 28

Isometric exercise increases... (4)

Back 28

1)muscle tension w/o significant change in fiber length
2)incr TPR
3)little increase in CO
4)muscle strength and bulk

Front 29

Isometric exercise
a)produces...
b)imposes...
c)examples (3)

Back 29

a)minimal CV conditioning
b)pressure load on heart
c)hold a weight, handgrip, push/pull against a fixed resistance

Front 30

Isotonic exercise
a)results in...(4)
b)imposes
c)examples (4)

Back 30

a1)shortening of muscle fibers w/ little incr in tension
a2)lowers TPR
a3)incr in CO and HR
a4)enhances endurance and produces adaptive CV changes
b)volume load on the heart
c)swim, bike, run, walk

Front 31

Physiologic effects depend on: (exercise Rx) (3)

Back 31

1)type of exercise
2)intensity of exercise
3)duration of exercise

Front 32

CV response to exercise (4)

Back 32

1)incr CO
2)redistribution of blood flow
3)incr capillary perfusion
4)incr respiration

Front 33

Isotonic exercise musculoskeletal response (3)

Back 33

1)incr muscle endurance
2)incr muscle mitochondria and oxidative capacity
3)greater O2 extraction capacity

Front 34

Isometric exercise musculoskeletal response (3)

Back 34

1)builds muscle mass
2)produces fiber hypertrophy/strength
3)does NOT alter enzyme content

Front 35

Weight-bearing exercise increases...(2)

Back 35

1)incr bone mineral density
2)incr tendon strength

Front 36

Metabolic Response to exercise (4)

Back 36

1)glucose/FAs released into blood from liver and fat
2)gluconeogenesis becomes primary source of glc over time
3)glc [] are kept constant
4)glycogenolysis

Front 37

Hormonal response to exercise (4)

Back 37

1)inhibition of insulin release
2)incr plasma glucagon levels
3)incr in E to make free FAs
4)incr NE to stimulate glycolysis and lipolysis

Front 38

Post exercise response (3)

Back 38

Glc stores replinished via:
1)continued glc uptake
2)incr insulin sensitivity

Front 39

Exercise benefits in weight management (3)

Back 39

1)weight loss
2)weight management
3)must have good diet too

Front 40

Psychological benefits of exercise (3)

Back 40

1)improve mood/self-esteem
2)incr endorphins, monoamines, enkephalins
3)treats depression as adjuvant therapy

Front 41

Improved immune fxn of exercise via..(2)

Back 41

1)incr leukocytes and lymphocytes
2)incr tumor necrosis factor

Front 42

Diabetes disease improvement b/c of exercise via... (5)

Back 42

1)treats pre-diabetes
2)reduce progression to type 2 diabetes
3)improve insulin sensitivity
4)improve glc tolerance
5)beneficial body composition changes

Front 43

Osteoporosis improvement b/c of exercise via...(3)

Back 43

1)stimulate bone formation
2)decr bone turnover
3)promotes stability/flexibility

Front 44

Global recommendations for exercise

Back 44

30-60minutes, 5-7 days per week