Deck 11: Eating Disorders

Question 1

Criteria for diagnosing bulimia nervosa include all the following EXCEPT

A) overconcern with body shape and weight.
B) a sense of lack of control over eating behaviors.
C) uses compensatory behaviors like self-induced vomiting.
D) two binge-eating episodes per week for at least 3 months.

Answer 1

D

Question 2

The incidence of anorexia nervosa is highest in

A) adolescent males from middle and high socioeconomic classes.
B) adolescent females from middle and upper socioeconomic classes.
C) adolescent males from low-income classes.
D) preteen females from low-income classes.

Answer 2

B

Question 3

Anorexia nervosa sufferers

A) tend to be between 25 and 35 years of age.
B) tend to be adolescent and early adult girls.
C) usually acknowledge the existence of their disease.
D) see themselves as thin even though they are overweight.

Answer 3

B

Question 4

Anorexia nervosa is characterized by

A) hyperactivity.
B) compulsive eating.
C) purging, including laxatives and diuretics.
D) psychological denial of appetite.

Question 5

Which of the following is NOT an early warning sign of anorexia nervosa?

A) Withdrawing from family and friends
B) Cooking a large meal for others, but not eating it
C) Sleeping often and having no interest in exercise
D) Becoming irritable and hostile

Question 6

Which of the following is NOT typical of individuals who develop eating disorders?

A) From middle- and upper-class families
B) Highly competitive
C) Inappropriate coping strategies
D) Have high self-esteem

Question 7

A condition of self-induced severe weight loss, particularly common in adolescent girls, is called

A) malnutrition.
B) anorexia nervosa.
C) bulimia nervosa.
D) binge-eating disorder.

Question 8

Prevention of eating disorders might include any of the following EXCEPT

A) discourage dieting.
B) teach normal, healthy approach to eating and nutrition.
C) encourage eating in relation to hunger and satiety cues.
D) weighing often.

Question 9

Which of the following is characteristic of bulimics?

A) Binge eating
B) Have obvious symptoms
C) Tend to be very thin
D) Are almost never male

Question 10

All of the following are true of an anorexic person who falls below 75 percent of normal body weight EXCEPT

A) hospitalization is almost always necessary.
B) recovery becomes very difficult.
C) premature death is likely.
D) loss of menstrual period becomes irreversible.

Question 11

Night eating syndrome is characterized by evening hyperphagia, which is defined as

A) eating all of total daily calories after the evening meal.
B) eating one-half of total daily calories after the evening meal.
C) eating one-half of total daily calories at the evening meal.
D) eating more than one-third of total daily calories after the evening meal.

Question 12

At later stages in anorexia development, anorexics

A) do not feel hungry.
B) abstain from beverages and food.
C) eat 1,200 to 1,500 kilocalories per day.
D) eat 300 to 600 kilocalories per day.

Question 13

All of the following are true of anorexia nervosa EXCEPT

A) distorted body image.
B) decreased heart rate.
C) denial of appetite.
D) increased body temperature.

Question 14

What is the name of the condition characterized by disordered eating, lack of menstrual periods, and osteoporosis?

A) Female anorexia
B) Female bulimia
C) Female athlete triad
D) Binge-eating disorder

Question 15

Which of the following is NOT a sign or symptom of night eating syndrome?

A) Not feeling hungry in the morning and delaying the first meal until several hours after waking
B) Overeating in the evening with more than one-third of daily food intake after dinner
C) Difficulty staying awake and not feeling hungry before falling asleep at night
D) Feeling depressed, especially at night

Question 16

Which characteristic is more indicative of bulimia than anorexia nervosa?

A) Rigid, disciplined dieting
B) Feeling a sense of power because of strict discipline and self-denial
C) Fluctuating weight
D) Lack of menstruation

Question 17

All of the following can trigger anorexia nervosa EXCEPT

A) comments from significant others about being too fat.
B) a job or profession that demands maintaining a certain weight.
C) feeling too thin in one's clothes.
D) leaving home and family for college.

Question 18

The slower basal metabolism that accompanies anorexia nervosa is caused by

A) decreased synthesis of growth hormone.
B) decreased synthesis of thyroid hormone.
C) low intake of iron.
D) hypoglycemia.

Question 19

The semistarvation of anorexia nervosa results in all the following physiological changes EXCEPT

A) dry, scaly, cold skin.
B) lanugo hair.
C) increased heart rate.
D) iron-deficiency anemia.

Question 20

Characteristics of anorexia nervosa include all the following EXCEPT

A) body weight 15 percent below expected.
B) intense fear of becoming too thin.
C) feels fat even when emaciated.
D) amenorrhea.

Question 21

A common characteristic of both bulimics and anorexics is that they

A) are male.
B) were born underweight for height.
C) lack appropriate coping strategies.
D) are able to recognize their behavior as abnormal.

Question 22

Joni uses ipecac syrup to promote vomiting after her binges. All of the following are negative effects of vomiting EXCEPT

A) tooth decay.
B) swelling of salivary glands.
C) stomach ulcers.
D) high blood potassium levels, which disturb heart rhythm.

Question 23

All of the following are associated with bulimia EXCEPT

A) sexual modesty.
B) compulsive lying.
C) drug abuse.
D) shoplifting.

Question 24

One of the best ways to get anorexics into treatment is to

A) threaten them.
B) deny the disorder.
C) keep offering them food.
D) stage an intervention.

Question 25

An effective nutritional counseling approach to bulimia involves all the following EXCEPT

A) a daily meal plan.
B) keeping a daily food diary.
C) helping the person correct misconceptions about food.
D) providing strict food rules to control eating.

Question 26

The first goal in nutrition therapy for anorexia nervosa is

A) to increase weight to return the basal metabolic rate to normal.
B) to stop further weight loss.
C) hospitalization and forced feeding.
D) to decrease the total amount of food consumed during a binge.

Question 27

A disorder in which frequent bingeing is followed by compensatory behaviors to rid the body of excess kilocalories is called

A) hypoglycemia.
B) bulimia nervosa.
C) anorexia nervosa.
D) compulsive overeating.

Question 28

Which of the following is true about the bingeing behavior of the bulimic?

A) Violation of rigid food rules can initiate a binge.
B) Binges most often occur during the morning.
C) Binges usually last 15 to 30 minutes.
D) Accomplishing a personal goal usually initiates a binge.

Question 29

All of the following are useful approaches to the recovery of the anorexic person EXCEPT

A) separation from the family.
B) using antidepressant medications.
C) joining a self-help group.
D) cognitive behavioral therapy.

Question 30

The typical characteristics for binge-eating disorder include binge-eating episodes

A) not accompanied by compensatory behaviors.
B) that do not cause distress.
C) no more than once per week.
D) that can be controlled or stopped at will.

Question 31

Loss of menstrual periods associated with anorexia nervosa is caused by

A) low body fat content.
B) loss of lean body mass.
C) low thyroid hormone synthesis.
D) lanugo.

Question 32

All of the following are true about bulimia EXCEPT

A) the disordered behavior is secretive.
B) an abnormally large quantity of food is consumed within a short time period.
C) it most commonly occurs in adolescent and college-age individuals.
D) body weight is below 85% of what would be expected.

Question 33

One characteristic of an anorexic person that significantly inhibits successful treatment is

A) suppression of feelings.
B) denial of the problem.
C) rationalization of the problem.
D) high self-esteem.

Question 34

All of the following are goals for an anorexic person EXCEPT

A) gain 2 to 3 pounds per week.
B) restore BMI to 20 or more.
C) learn to respond to internal hunger and satiety cues.
D) keep activity at a high level.

Question 35

In anorexia nervosa, low blood potassium levels are associated with all of the following EXCEPT

A) poor nutrient intake.
B) diuretic use.
C) heart rhythm disturbances.
D) low protein intake.

Question 36

Successful treatment for bulimia nervosa usually lasts at least

A) 4 weeks.
B) 8 weeks.
C) 16 weeks.
D) 32 weeks.

Question 37

A food typically chosen for a bulimic binge is

A) chicken.
B) milk.
C) donuts.
D) pizza.

Question 38

Most of the health problems in bulimia arise from

A) binge eating.
B) vomiting.
C) using laxatives.
D) eating sweets.

Question 39

The most long-term success in anorexia nervosa treatment has been with

A) hospitalization and feeding via a tube.
B) a multidisciplinary team of health care providers.
C) scare tactics.
D) outpatient treatment.

Question 40

Which of the following is true about purging behavior related to bulimia?

A) There are no medical risks to purging.
B) After many months of purging, it gets harder and harder to do.
C) After vomiting, many kilocalories from the food eaten are still absorbed.
D) Few kilocalories are absorbed when laxatives are used as a purging technique.

Question 41

Which of the following is NOT one of the three components of the female athlete triad?

A) lack of menstrual periods.
B) clinical depression.
C) disordered eating behaviors.
D) low bone mineral density.

Question 42

Current research suggests that most eating disorders are caused by

A) genetics.
B) dysfunctional family relationships.
C) traumatic life events.
D) poverty and homelessness.

Question 43

If you suspect a friend has an eating disorder, you should

A) ignore the behavior.
B) encourage your friend to seek professional help.
C) direct your friend to pro-Ana or pro-Mia websites.
D) provide your friend with a calorie-controlled diet plan.

Question 44

Which of the following is the best treatment approach for binge-eating disorder?

A) A diet that lists foods to be eaten and others to be avoided
B) A structured eating plan that the person eats without regard to his or her hunger signals
C) Encouraging a person to nurture others rather than focus on his or her own needs.
D) Teaching a person to eat in response to internal hunger cues

Question 45

Which of the following accurately describes the relationship between anorexia nervosa and bulimia nervosa?

A) Individuals diagnosed with anorexia nervosa may exhibit behaviors of bulimia nervosa.
B) Anorexia nervosa is essentially a very severe case of bulimia nervosa.
C) Anorexia nervosa and bulimia nervosa are two distinct conditions that do not overlap.
D) People with anorexia nervosa fear becoming fat, whereas people with bulimia nervosa are not concerned with body weight.

Question 46

Understanding the abnormality of their behavior is more common among people with

A) anorexia nervosa.
B) bulimia nervosa.

Question 47

Slowly increasing body weight to achieve a BMI of 20 or more is a goal in the treatment of

A) bulimia nervosa.
B) night eating syndrome.
C) anorexia nervosa.
D) binge-eating disorder.

Question 48

Which of the following behaviors is NOT typical among people with binge-eating disorder?

A) Eating until uncomfortably full
B) Eating alone
C) Feelings of guilt or self-disgust
D) Use of laxatives to purge excess kilocalories.

Question 49

Patients with ____________ may present with clinical signs of semistarvation, such as decreased metabolic rate.

A) anorexia nervosa
B) bulimia nervosa
C) binge-eating disorder
D) night eating syndrome

Question 50

Downy hair that grows on the body to counteract the heat loss associated with a lack of insulating subcutaneous fat is/are called

A) hypothyroidism.
B) amenorrhea.
C) lanugo.
D) endorphins.

Question 51

The hormonal changes associated with cessation of menstruation increase the risk of ____________ among women with eating disorders.

A) hyperglycemia
B) hypertension
C) anemia
D) osteoporosis

Question 52

Coping with stress by eating is a characteristic of

A) anorexia nervosa.
B) bulimia nervosa.
C) female athlete triad.

Question 53

Cessation of menstruation is most likely associated with

A) night eating syndrome.
B) binge-eating disorder.
C) anorexia nervosa.
D) bulimia nervosa.

Question 54

Coping with stress by not eating is a characteristic of

A) anorexia nervosa.
B) bulimia nervosa.
C) binge-eating disorder.
D) night eating syndrome.

Question 55

Studies have shown that night eating syndrome symptoms, including nocturnal ingestion of food and evening hyperphagia, are significantly improved with use of

A) an antibiotic.
B) an antidepressant.
C) a sleeping pill.
D) amphetamines.

Question 56

A disorder characterized by frequent secretive bingeing, often followed by purging is

A) female athlete triad.
B) bulimia nervosa.
C) binge-eating disorder.
D) anorexia nervosa.

Question 57

The most important predictor of an eating disorder is

A) extreme dieting.
B) perfectionism.
C) a history of sexual abuse.
D) binge drinking.

Question 58

A disorder characterized by extreme weight loss, poor and distorted body image, and an extreme fear of obesity and weight gain is

A) bulimia nervosa.
B) binge-eating disorder.
C) anorexia nervosa.
D) night eating syndrome.

Question 59

For one to be diagnosed as bulimic, he or she must average _______ binge(s) per week for at least three months.

A) 1
B) 2
C) 3
D) 4

Question 60

Food diaries and a regular meal plan are commonly part of the treatment for

A) female athlete triad.
B) night eating syndrome.
C) bulimia nervosa.
D) anorexia nervosa.

Question 61

Low blood levels of ______ can lead to disturbances in heart rhythm, a leading cause of death among people with eating disorders.

A) potassium
B) glucose
C) chloride
D) sodium

Question 62

The slower basal metabolism that occurs as a consequence of anorexia nervosa is caused by

A) decreased insulin sensitivity.
B) low levels of physical activity.
C) decreased thyroid hormone synthesis.
D) increased growth hormone synthesis.

Question 63

Participants in which of the following sports are most likely to engage in disordered eating behaviors?

A) wrestling
B) cross-country
C) baseball
D) ice hockey

Question 64

The only drug approved by FDA for treatment of bulimia nervosa is

A) fluoxetine (Prozac).
B) duloxetine (Cymbalta).
C) topiramate (Topamax).
D) lorcaserin (Belviq).

Question 65

The practice of eating nonfood substances is called

A) purging disorder.
B) lanugo.
C) bingeing.
D) pica.

Question 66

A(n) ____________ often consists of high-carbohydrate, convenience foods and may be triggered by stress, boredom, loneliness, or depression.

A) enema
B) purge
C) binge
D) compensatory behavior

Question 67

Individuals who induce vomiting to rid the body of calories even in the absence of a binge may be diagnosed with

A) purging disorder.
B) binge-eating disorder.
C) bulimia nervosa.
D) anorexia nervosa.

Question 68

______ is the term used to describe a condition in which the desire to consume healthy foods becomes an obsession and begins to interfere with daily living.

A) Orthorexia
B) Atypical anorexia nervosa
C) Diabulimia
D) Reverse anorexia

Question 69

Which of the following is NOT an example of a compensatory behavior used by people with eating disorders?

A) Bingeing on high-energy snack foods
B) Misuse of laxatives
C) Excessive exercise
D) Self-induced vomiting

Question 70

A person who severely restricts food intake, has a distorted body image, fears weight gain, and has a BMI of 19 may be diagnosed with

A) bulimia nervosa of limited duration.
B) bulimia nervosa of low frequency.
C) purging disorder.
D) atypical anorexia nervosa.

Question 71

Individuals who perceive themselves as being too thin and who engage in disordered eating behaviors to achieve weight gain may have

A) muscle dysmorphia.
B) anorexia nervosa.
C) orthorexia.
D) reverse bulimia.

Question 72

Many of the health problems associated with bulimia (e.g., tooth decay, stomach ulcers, and esophageal tears) arise as a result of

A) low blood potassium levels.
B) laxative abuse.
C) vomiting to purge excess calories.
D) low blood calcium levels.

Question 73

Which of the following is a likely long-term consequence of binge-eating disorder?

A) low blood possium
B) osteoporosis
C) enlarged salivary glands
D) type 2 diabetes

Question 74

Adolescent girls with diabetes may engage in a pattern of disordered eating commonly called diabulimia. This involves

A) overdosing on insulin to induce weight loss.
B) intentionally skipping insulin doses to avoid weight gain.
C) severely restricting carbohydrate intake to avoid weight gain.
D) purging excess calories by self-induced vomiting.