Deck 11: Eating Disders: Anexia Nervosa, Bulimia Nervosa, and Other Conditions

Question 1

Some common methods of ____________ include vomiting, laxatives, diuretics, and excessive exercise.

Answer 1

purging

Question 2

The slower basal metabolism that occurs as a consequence of anexia nervosa is caused by decreased synthesis of _______________ hmone.

Answer 2

thyroid

Question 3

One leading cause of death in anexics is a disturbance in heart rhythm resulting from low blood _______________ because of po nutrient intake and vomiting.

Answer 3

potassium OR K OR K+

Question 4

Anexics and bulimics often come from dysfunctional families. Individuals with ____________ tend to come from disengaged, loosely ganized families.

Question 5

A disder characterized by frequent secretive bingeing, often followed by purging is _______________.

Question 6

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

Question 7

Anexics and bulimics often come from dysfunctional families. Individuals with ____________ tend to come from families that are overprotective and rigid.

Question 8

The hmonal changes associated with cessation of menstruation increase the risk of ____________ among women with eating disders.

Question 9

Anexia nervosa and bulimia overlap in some ways. In fact, studies suggest that approximately _______________ percent of women diagnosed as having anexia nervosa eventually develop bulimic symptoms.

Question 10

As anexia nervosa progresses, _______________ appears, which is the development of downy hairs on the body.

Question 11

The most imptant predict of an eating disder is _______________.

Question 12

Those with anexia nervosa bulimia need to seek _______________ help. Friends and family members should avoid trying to diagnose an eating disder.

Question 13

_______________ is a condition characterized by disdered eating, lack of menstrual periods, and osteoposis.

Question 14

As metabolism slows, _______________ decreases, leading to fatigue, fainting, and an overwhelming need f sleep.

Question 15

F one to be diagnosed as bulimic, he she must average _______________ binges per week f at least three months.

Question 16

A disder characterized by extreme weight loss, po and distted body image, and an extreme fear of obesity and weight gain is _______________.

Question 17

The first goal of nutritional therapy f the anexic person is to increase _______________ intake.

Question 18

One of the biggest barriers to the treatment of anexia is _______________ of the problem by the anexic person and the family. With this lack of insight, it is hard to get them into treatment.

Question 19

Many signs and symptoms of anexia nervosa, such as cold intolerance and decreased metabolic rate, are the result of ____________.

Question 20

_______________ facts appear to play a role in anexia nervosa, as can be seen from identical twin studies.

Question 21

Some psychotherapists will prescribe _______________ medications to deal with the mood disder associated with bulimia.

Question 22

A person with anexia nervosa is likely to

A) come from a low socioeconomic class.
B) come from a loose, flexible home.
C) grow up in a perfectionistic home with very high expectations.
D) have a mother with a healthy view of the body and food habits.

Question 23

Most health problems in bulimia (e.g., tooth decay, stomach ulcers, and esophageal tears) arise as a result of _______________ to purge excess calies.

Question 24

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 25

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 26

Criteria f diagnosing bulimia nervosa includes all the following except

A) overconcern with body shape and weight.
B) purposely eats large quantities of food and feels tremendous control in doing it.
C) uses purging techniques like self-induced vomiting.
D) two binge-eating episodes per week for at least 3 months.

Question 27

Which characteristic is me indicative of bulimia than anexia 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 28

Consuming me than one-third of one's daily calic intake after the evening meal is characteristic of _______________.

Question 29

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 30

Anexia nervosa is defined as

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

Question 31

What is the name of the condition characterized by disdered eating, lack of menstrual periods, and osteoposis?

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

Question 32

All of the following are true of anexia nervosa except

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

Question 33

Criteria f diagnosing anexia 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 34

Prevention of eating disders 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 35

Anexia nervosa sufferers

A) tend to be between 25 and 35 years of age.
B) tend to be adolescent and early adult girls.
C) lack denial of their disease.
D) see themselves as thin even though they are fat.

Question 36

All of the following can initiate the problem of anexia nervosa except

A) comments from significant others about being too fat.
B) a job or profession that demands maintaining a certain weight.
C) coming from a supportive family.
D) leaving home and family for college.

Question 37

The family of a bulimic tends to

A) have a great deal of conflict.
B) have an overbearing father and mother.
C) be overprotective.
D) be rigid, with members over-involved with one another.

Question 38

_______________ is a practice in which excessive amounts of food are eaten in response to emotions such as anxiety and anger. Therefe, eating is used as an emotional outlet.

Question 39

Which of the following is not a sign 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 40

All of the following are true of an anexic person who falls below 75 percent of nmal body weight except

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

Question 41

The semistarvation of anexia 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 42

The incidence of anexia 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.

Question 43

Which of the following is not characteristic of individuals who develop eating disders?

A) From middle- and upper-class families
B) Highly competitive
C) From families with unrealistic expectations
D) Have high self-esteem

Question 44

The most long-term success in anexia 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 45

A maj characteristic of an anexic 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 46

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

A) threaten them.
B) deny the disorder.
C) keep offering them food.
D) have a group intervention of friends and family to confront them with the problem.

Question 47

All of the following are true about bulimia except

A) the disordered behavior is secretive.
B) frequent bingeing and purging occurs.
C) it most commonly occurs in adolescent and college-age individuals.
D) the result is low body weight.

Question 48

A difference between anexics and bulimics is that

A) anorexics turn away from food during a crisis, whereas bulimics turn toward food.
B) bulimics exhibit denial of the disorder, whereas anorexics know their behavior is abnormal.
C) anorexics come from loosely organized families, whereas bulimics come from overly-organized families.
D) bulimics tend to be methodical, whereas anorexics tend to be impulsive.

Question 49

A disder in which frequent bingeing and possibly purging occurs is called

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

Question 50

In anexia 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 51

The typical characteristics f binge-eating disder include binge-eating episodes

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

Question 52

All of the following are goals f an anexic person except

A) gain 2-3 pounds per week.
B) a slow rate of weight gain.
C) for weight to exceed 90 percent of pre-illness weight.
D) keep activity at a high level.

Question 53

Loss of menstrual periods associated with anexia nervosa is caused by

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

Question 54

At later stages in anexia development, anexics

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 55

A common characteristic of both bulimics and anexics is that they are

A) male.
B) born underweight for height.
C) perfectionists.
D) able to recognize their behavior as abnormal.

Question 56

Which of the following is true about the bingeing behavi 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 57

All of the following are helpful f the recovery of the anexic person except

A) separation from the family.
B) using antidepressant medications.
C) joining a self-help group.
D) establishing a strong relationship with a supportive person.

Question 58

Which of the following is not an early warning sign of anexia nervosa?

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

Question 59

The slower basal metabolism that accompanies anexia nervosa is caused by

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

Question 60

The first goal in nutrition therapy f anexia 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) rapid weight gain to reverse physical symptoms.

Question 61

Coping with stress by eating is a characteristic of

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

Question 62

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

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

Question 63

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) suggesting that the person follow strict food rules to control eating.

Question 64

Treatment f bulimia should last at least how many weeks?

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

Question 65

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 66

Which of the following is the best treatment approach f binge-eating disder?

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) Teaching them not to be selfish and work at nurturing others.
D) An eating plan that does not restrict particular foods, in which the person eats in response to hunger signals.

Question 67

Jane is a binge eater. Which of the following is probably not true about her?

A) There is a high probability that she comes from an alcoholic family and may have been sexually abused.
B) She uses food to numb herself in response to disruptive emotions such as anger and hurt.
C) She binges on large quantities of food and purges.
D) She most likely does not have the persistent preoccupation with body shape, weight, and thinness that anorexics and bulimics have.

Question 68

Which of the following is true about purging behavi 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 69

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 70

The most significant fact promoting eating disders in Nth American culture is

A) food availability.
B) the current focus on physical fitness.
C) societal emphasis on being thin and the link between thinness and social value.
D) the fatty foods emphasized in our culture.

Question 71

Approximately half of the people with ____________ also suffer from chronic depression.

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

Question 72

Understanding the abnmality of the behavi is most common among people with

A) anorexia nervosa.
B) bulimia nervosa.

Question 73

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

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

Question 74

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 75

Cessation of menstruation is most likely associated with

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

Question 76

A food typically chosen f a bulimic binge is

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

Question 77

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

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

Question 78

All of the following are associated with bulimia except

A) less sexual activity than the general population.
B) compulsive lying.
C) drug abuse.
D) shoplifting.

Question 79

Most of the health problems in bulimia arise from

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

Question 80

Coping with stress by not eating is a characteristic of

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