Deck 22: Nutrition in Eating Disorders

Question 1

Delayed gastric emptying and gastric distension are common in

A)binge eating disorder.
B)bulimia nervosa.
C)anorexia nervosa.
D)eating disorder not otherwise specified.

Answer 1

C
Complaints of gastric discomfort associated with distention 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

In which eating disorder might a person exercise excessively after an episode of binge eating?

A)Anorexia nervosa
B)Bulimia nervosa
C)Eating disorder not otherwise specified
D)Binge eating disorder

Answer 2

B
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 3

How do anorexia nervosa and bulimia nervosa commonly affect the patient's metabolic rate?

A)They increase the metabolic rate to higher than normal.
B)They decrease the metabolic rate to lower than normal.
C)They have no effect on metabolic rate, maintaining it at the normal level.
D)They promote an extreme increase in metabolic rate.

Answer 3

B
For patients who experience a loss of lean body tissue, a concurrent decrease in metabolic rate occurs.For patients with bulimia nervosa, this may be unpredictable; however, during times of dietary restraint between binge episodes, the patient with bulimia nervosa may experience a semistarvation state, which will result in a decrease in RMR.

Question 4

In which eating disorder might a person chew and spit out, but not swallow, large amounts of food?

A)Anorexia nervosa
B)Bulimia nervosa
C)Eating disorder not otherwise specified
D)Binge eating disorder

Question 5

How many calories should be provided in the diet of a patient with anorexia nervosa to initiate weight gain?

A)25 to 30 kcal/kg/day
B)30 to 40 kcal/kg/day
C)40 to 50 kcal/kg/day
D)70 to 100 kcal/kg/day

Question 6

Which is a typical personality characteristic of people with anorexia nervosa?

A)Extroverted
B)Introverted
C)Underachiever
D)Easygoing

Question 7

The treatment goal for a patient with bulimia nervosa who is mildly overweight should be

A)weight loss to ideal weight.
B)daily exercise to help decrease weight.
C)a structured exercise routine to help decrease weight.
D)weight maintenance.

Question 8

In which eating disorder might a person binge often but not try to compensate for this behavior?

A)Anorexia nervosa
B)Bulimia nervosa
C)Eating disorder not otherwise specified
D)Binge eating disorder

Question 9

How frequently should binge episodes occur for a binge eating disorder to be diagnosed?

A)At least 5 days/week for 3 months
B)At least 2 days/week for 3 months
C)At least 2 days/week for 6 months
D)At least 6 days/week for 2 months

Question 10

In conjunction with anorexia nervosa, cardiovascular complications may include

A)amenorrhea.
B)bradycardia.
C)edema.
D)ventricular enlargement.

Question 11

Low T₃ syndrome is a

A)low metabolic state associated with anorexia nervosa.
B)reduction in thyroxine associated with anorexia nervosa.
C)decrease in triiodothyronine associated with bulimia nervosa.
D)decrease in reduced triiodothyronine associated with anorexia nervosa.

Question 12

During the acute stage of anorexia nervosa, what is the focus of psychologic management in treatment?

A)Understanding and changing dysfunctional attitudes related to eating
B)Addressing psychopathology that reinforces eating-disordered behaviors
C)Improving interpersonal and social functioning
D)Positive behavioral reinforcement of weight gain

Question 13

Lanugo is soft, downy hair growth associated with

A)anorexia nervosa.
B)binge eating disorder.
C)bulimia nervosa.
D)eating disorder not otherwise specified.

Question 14

In which eating disorder might a person have an intense fear of becoming overweight even though she is underweight?

A)Anorexia nervosa
B)Bulimia nervosa
C)Eating disorder not otherwise specified
D)Binge eating disorder

Question 15

Which of the following is often exhibited in patients with anorexia nervosa?

A)Enamel wasting
B)Esophagitis
C)Muscle wasting
D)Russell sign

Question 16

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

Question 17

For the diet therapy in individuals with anorexia nervosa, what percentages of protein, carbohydrate, and fat are recommended, respectively?

A)20%, 50%, and 30%
B)10%, 50%, and 40%
C)30%, 40%, and 30%
D)25%, 40%, and 35%

Question 18

Which of the following is a characteristic of bulimia nervosa?

A)The patient is of normal or near normal weight.
B)The patient binges but does not purge.
C)The patient does not have a body image problem.
D)A typical binge lasts all day.

Question 19

Urine specific gravity should be checked when patients being treated for eating disorders are weighed to

A)monitor for muscle wasting.
B)check for dehydration or fluid loading.
C)check for presence of ketones.
D)identify use of medications to suppress appetite or promote purging.

Question 20

After a binge episode, how much of the energy intake can be eliminated through purging?

A)100%
B)75%
C)50%
D)None