Question 1

Delayed gastric emptying and gastric distension are common in&#10;A)binge-eating disorder.&#10;B)bulimia nervosa.&#10;C)anorexia nervosa.&#10;D)eating disorder not otherwise specified.

Accepted Answer

Complaints of gastric discomfort associated with distention and are common in anorexia nervosa because of delayed gastric emptying.The complaints generally occur as the calorie prescription is increased and between-meal snacks become necessary.

Question 2

Which is a typical personality characteristic of people with anorexia nervosa?&#10;A)Extroverted&#10;B)Introverted&#10;C)Underachiever&#10;D)Easygoing

Accepted Answer

Psychological features of a person with anorexia nervosa include perfectionism, harm avoidance, overly restrained emotional expression, and limited social spontaneity.People with bulimia nervosa tend to be more extroverted and easygoing and are more likely to engage in risk-taking behaviors.

Question 3

The treatment goal be for a patient with bulimia nervosa who is mildly overweight should be&#10;A)weight loss to ideal weight.&#10;B)daily exercise to help decrease weight.&#10;C)a structured exercise routine to help decrease weight.&#10;D)weight maintenance.

Accepted Answer

The actions pursued by the person with bulimia nervosa are aimed at weight loss; however, the immediate goals for treatment should focus on interrupting the binge-purge cycle, restoring normal eating behaviors, and stabilizing body weight.Exercise may be used later to help with weight loss, but this is secondary to helping the patient with bulimia nervosa understand and avoid patterns of binge eating and purging.

Question 4

In conjunction with anorexia nervosa, the definition of amenorrhea is the absence of _____ menstrual cycle(s) in postmenarchal women.&#10;A)12 consecutive&#10;B)three consecutive&#10;C)at least one&#10;D)six consecutive

Accepted Answer

The DSM-IV-TR defines amenorrhea as the absence of three consecutive menstrual cycles in postmenarchal women.This definition may not be adequate because some patients continue to menstruate at very low body weight.

Question 5

During the acute stage of anorexia nervosa, what is the focus of psychological management in treatment?&#10;A)Understanding and changing dysfunctional attitudes related to eating&#10;B)Addressing psychopathology that reinforces eating-disordered behaviors&#10;C)Improving interpersonal and social functioning&#10;D)Positive behavioral reinforcement of weight gain

Accepted Answer

The immediate, short-term goal in treatment of anorexia nervosa is to initiate weight gain.From a psychological management point of view, this entails the positive encouragement of actions taken by the patient to initiate weight gain.Such actions include praise, reassurance, coaching, and encouragement.Long-term goals of psychological management are more focused on understanding and changing attitudes and psychological conflicts that promote disordered eating, as well as improving the patient's interpersonal and social functioning.

Question 6

Which of the following is a characteristic of bulimia nervosa?&#10;A)The patient is of normal or near normal weight.&#10;B)The patient binges but does not purge.&#10;C)The patient does not have a body image problem.&#10;D)A typical binge lasts all day.

Accepted Answer

A person with bulimia nervosa is commonly within the normal weight range, although some may be slightly under- or overweight.A person with bulimia nervosa is very concerned about body shape and size.Binge eating, which involves short periods (usually 2 hours or less) of intake of large amounts of food, and purging behaviors are commonly used by a person with bulimia nervosa.

Question 7

Urine specific gravity should be checked when patients being treated for eating disorders are weighed to&#10;A)monitor for muscle wasting.&#10;B)check for dehydration or fluid loading.&#10;C)check for presence of ketones.&#10;D)identify use of medications to suppress appetite or promote purging.

Accepted Answer

To obtain a reliable weight of a patient with an eating disorder, the patient should be weighed daily on the same scale, wearing only a gown, and before eating and after voiding.The urine is checked for urine specific gravity to determine its density.Concentrated urine reflects dehydration.A patient with an eating disorder may consume water to simulate weight gain, and a diluted urine specific gravity will reflect this.Other measures of the urine may be used to determine muscle wasting and ketosis.

Question 8

For the diet therapy in individuals with anorexia nervosa, what percentages of protein, carbohydrate, and fat are recommended, respectively?&#10;A)20%, 50%, and 30%&#10;B)10%, 50%, and 40%&#10;C)30%, 40%, and 30%&#10;D)25%, 40%, and 35%

Accepted Answer

Distribution of the calories is necessary as many people with anorexia nervosa try to avoid fat.A dietary fat range of 25% to 30% of calories is recommended to ensure overall caloric intake, which needs to increase for the person with anorexia nervosa to gain weight.Protein should provide 15% to 20% of total calories.This should be protein of high biologic value.Patients with anorexia nervosa often ask for vegetarian diets, but these should be discouraged.Carbohydrates should provide from 50% to 55% of total calories.

Question 9

During the treatment of patients with eating disorders, which of the following is an additional feature that should be monitored in the food records of patients with bulimia nervosa as opposed to anorexia nervosa?

A)Eating behaviors
B)Exercise
C)Emotions and feelings when eating
D)Use of alternative sweeteners

Accepted Answer

Because of bingeing, purging, and restrictive eating, the patient with bulimia nervosa often has impaired hunger and satiety cues.By recording emotions and feelings whenever she eats, the patient with bulimia nervosa can learn to recognize these cues.Additionally, patients with bulimia nervosa are more receptive to nutrition counseling than patients with anorexia nervosa, and discussion of the recorded feelings can be used in the counseling to help promote behavioral changes.

Question 10

In which eating disorder might a person exercise excessively after an episode of binge eating?&#10;A)Anorexia nervosa&#10;B)Bulimia nervosa&#10;C)Eating disorder not otherwise specified&#10;D)Binge-eating disorder

Accepted Answer

People with bulimia nervosa of the nonpurging type engage in compensatory activities such as exercise or fasting to make up for the intake of a binge episode.People with eating disorder not otherwise specified may use inappropriate compensatory activities less frequently than people with bulimia nervosa or may do so after eating small amounts of food.

Question 11

Low T&#8323; syndrome is a&#10;A)low metabolic state associated with anorexia nervosa.&#10;B)reduction in thyroxine associated with anorexia nervosa.&#10;C)decrease in triiodothyronine associated with bulimia nervosa.&#10;D)decrease in reduced triiodothyronine associated with anorexia nervosa.

Accepted Answer

The answer of Low T&#8323; syndrome is a&#10;A)low metabolic state...

Question 12

In which eating disorder might a person binge often but not try to compensate for this behavior?&#10;A)Anorexia nervosa&#10;B)Bulimia nervosa&#10;C)Eating disorder not otherwise specified&#10;D)Binge-eating disorder

Accepted Answer

The answer of In which eating disorder might a person...

Question 13

How frequently should binge episodes occur for a binge-eating disorder to be diagnosed?&#10;A)At least 5 days per week for 3 months&#10;B)At least 2 days per week for 3 months&#10;C)At least 2 days per week for 6 months&#10;D)At least 6 days per week for 2 months

Accepted Answer

The answer of How frequently should binge episodes occur for...

Question 14

How many calories should be provided in the diet of a patient with anorexia nervosa to initiate weight gain?&#10;A)25 to 30 kcal/kg/day&#10;B)30 to 40 kcal/kg/day&#10;C)40 to 50 kcal/kg/day&#10;D)70 to 100 kcal/kg/day

Accepted Answer

The answer of How many calories should be provided in...

Question 15

How do anorexia nervosa and bulimia nervosa commonly affect the patient's metabolic rate?&#10;A)They increase the metabolic rate higher than normal.&#10;B)They decrease the metabolic rate lower than normal.&#10;C)They have no effect on metabolic rate, maintaining it at the normal level.&#10;D)They promote an extreme increase in metabolic rate.

Accepted Answer

The answer of How do anorexia nervosa and bulimia nervosa...

Question 16

Which of the following is often exhibited in patients with anorexia nervosa?&#10;A)Enamel wasting&#10;B)Esophagitis&#10;C)Muscle wasting&#10;D)Russell's sign

Accepted Answer

The answer of Which of the following is often exhibited...

Question 17

In which eating disorder might a person chew and spit out, but not swallow, large amounts of food?&#10;A)Anorexia nervosa&#10;B)Bulimia nervosa&#10;C)Eating disorder not otherwise specified&#10;D)Binge-eating disorder

Accepted Answer

The answer of In which eating disorder might a person...

Question 18

After a binge episode, how much of the energy intake can be eliminated through purging?&#10;A)100%&#10;B)75%&#10;C)50%&#10;D)None

Accepted Answer

The answer of After a binge episode, how much of...

Question 19

Lanugo is soft, downy hair growth associated with&#10;A)anorexia nervosa.&#10;B)binge-eating disorder.&#10;C)bulimia nervosa.&#10;D)eating disorder not otherwise specified.

Accepted Answer

The answer of Lanugo is soft, downy hair growth associated...

Question 20

In which eating disorder might a person have an intense fear of becoming overweight even though she is underweight?&#10;A)Anorexia nervosa&#10;B)Bulimia nervosa&#10;C)Eating disorder not otherwise specified&#10;D)Binge-eating disorder

Accepted Answer

The answer of In which eating disorder might a person...

Deck 23: Nutrition in Eating Disorders