Deck 11: Disordered Eating Anorexia Nervosa Bulimia and Pica

Question 1

A majority of people with bulimia nervosa use laxatives and diuretics to prevent weight gain.

Answer 1

False

Question 2

Pica exists because of nutrient deficiencies.

Answer 2

False

Question 3

People with bulimia nervosa tend to be underweight.

Answer 3

False

Question 4

Services related to eating disorders are best delivered by health care teams that specialize in the treatment of mental illness.

Question 5

Exposure to high levels of lead can cause profound mental retardation and death in young children.

Question 6

Laundry starch and cornstarch have the same number of calories per gram as do other carbohydrates.

Question 7

The female athlete triad is most common in athletes engaged in swimming, volleyball, and soccer.

Question 8

Men with anorexia nervosa generally have an intense fear of gaining weight.

Question 9

Half of the people with anorexia turn to binge eating and purging in their efforts to lose weight.

Question 10

Treating people with anorexia nervosa becomes difficult because they deny that problems exist and postpone treatment for years.

Question 11

Scans of brain activity among individuals with anorexia nervosa have identified a lack of the expected pleasure response to fat.

Question 12

Research indicates that the main cause of bulimia nervosa is low physical activity.

Question 13

The brain does not respond to foods like sugar and fat as it does to addictive drugs.

Question 14

Binge-eating disorder affects an equal number of males and females.

Question 15

Exposure to low levels of lead can lead to hearing problems.

Question 16

Consumption of one or more trays of ice cubes in a day is indicative of iron deficiency in the body.

Question 17

The habitual use of laxatives causes "laxative dependency."

Question 18

Food addiction qualifies as a distinct eating disorder.

Question 19

Geophagia can cause intestinal blockage as well as parasitic and bacterial infections.

Question 20

Anorexia nervosa mostly affects people between the ages of 16 and 25.

Question 21

The consumption of clay or dirt is called _____.

A) geophagia
B) pagophagia
C) plumbism
D) amylophagia
E) orthorexia nervosa

Question 22

Which group of people is most likely to engage in pica?

A) elderly
B) young children
C) men
D) women
E) adolescents

Question 23

Certain groups of people are at greater risk of developing anorexia nervosa including _____.

A) competitive athletes and ballet dancers
B) people with type 2 diabetes
C) nurse practitioners
D) pharmacists
E) the elderly

Question 24

Bulimia nervosa  _____.

A) has little effect on a person's metabolism
B) may lead to heart muscle damage
C) may lead to osteoporosis
D) prevents weight gain
E) has genetic origin

Question 25

What is thought to be a primary force underlying the development of eating disorders?

A) lack of will power
B) pressure to conform to society's standard of beauty and acceptability
C) a desire to eat healthy foods
D) hormone imbalance
E) pressure from family

Question 26

How does binge-eating disorder differ from bulimia nervosa?

A) There is no purging after a binge.
B) Large quantities of food are consumed in a short period of time.
C) Depression often occurs after the binge.
D) There is a feeling of a lack of control over the binge.
E) Distress often occurs after the binge.

Question 27

Geophagia _____.

A) may cause growth retardation in young children
B) is associated with iron deficiency and sickle-cell anemia in some individuals
C) occurs most often at night
D) has no known adverse side effects
E) is motivated by the need for minerals

Question 28

Children may develop lead poisoning if they eat _____.

A) paste
B) paint chips
C) ice cubes
D) cornstarch
E) crayons

Question 29

Anorexia nervosa _____.

A) may cause significant bone loss and impaired fertility
B) is easily treated if treatment begins before the age of 16
C) may cause an unusually fast heart rate and high blood pressure
D) is generally identified later in females than in males
E) is increasingly seen in people with type 2 diabetes

Question 30

Plumbism is the consumption of substances containing _____.

A) lead
B) clay
C) chalk
D) ice
E) cornstarch

Question 31

Exposure to low levels of lead can cause _____ in young children.

A) reduced intelligence
B) rapid growth of the long bones
C) improved school performance
D) improved reading skills
E) iron deficiency

Question 32

The treatment of binge-eating disorder focuses on _____.

A) increasing body weight to normal
B) treating calcium deficiency
C) relieving nausea
D) the  underlying psychological issues
E) treating iron deficiency

Question 33

The goal of bulimia treatment is to _____.

A) break the feast and famine cycles via nutrition and psychological counseling
B) normalize exercise behaviors
C) increase physical health and stabilize body weight
D) identify eating triggers
E) reduce depression

Question 34

Amylophagia _____.

A) commonly occurs in children
B) commonly occurs in men
C) commonly occurs during pregnancy
D) causes extremely low body weight
E) causes irregular heartbeat

Question 35

Which eating disorder is closely associated with an iron-deficient state and usually stops when the iron deficiency is treated?

A) orthorexia nervosa
B) pagophagia
C) plumbism
D) amylophagia
E) compulsive overeating

Question 36

In most cases, bulimia nervosa starts _____.

A) with an intense fear of gaining weight
B) because of a comment made by a parent, coach, or friend about the person's weight
C) with voluntary dieting to lose weight
D) because of low self-esteem
E) because of low estrogen levels

Question 37

Which of the following eating disorders is associated with the uncontrolled ingestion of large amounts of food?

A) nighttime eating syndrome
B) compulsive overeating
C) purging disorder
D) restrained eating
E) orthorexia nervosa

Question 38

Treatment is successful in 85% of women treated for _____.

A) pica
B) food addiction
C) bulimia nervosa
D) anorexia nervosa
E) binge-eating disorder

Question 39

Which of the following disorders is classified as an EDNOS?

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

Question 40

What is a common feature of anorexia nervosa?

A) increased sexual drive
B) heat intolerance
C) muscular body
D) acne
E) increased susceptibility to infections

Question 41

Which EDNOS appears to be increasing and may lead to undernutrition?

A) nighttime eating syndrome
B) bulimia nervosa
C) selective eating disorder
D) compulsive overeating
E) orthorexia nervosa

Question 42

Brittany and Richard have noticed that their friend Mandy has lost a significant amount of weight over the course of the spring semester. People are starting to comment on how thin she looks. Brittany has noticed that Mandy eats an orange for breakfast, a small bowl of salad with no salad dressing and a small piece of grilled chicken for lunch, and a cup of plain yogurt for dinner. Richard has been going to the gym with Mandy most days of the week. He enjoys lifting free weights, and Mandy usually runs on the treadmill for 45 minutes and then does 15 minutes of core exercises.
In addition, Mandy has shared with Brittany that she has not had her period in four months. Mandy has also expressed that she is frustrated because people are making comments about how thin she looks and consequently has not gone to as many parties or social gatherings because she feels so uncomfortable.
Mandy is most likely struggling with _____.

A) compulsive overeating
B) purging disorder
C) anorexia nervosa
D) bulimia nervosa
E) binge-eating disorder

Question 43

What is a common feature of binge-eating disorder?

A) decreased testosterone levels in males
B) increased susceptibility to infections
C) decreased fertility in females
D) purging, fasting, or excessive exercise
E) increased estrogen levels in females

Question 44

Brittany and Richard have noticed that their friend Mandy has lost a significant amount of weight over the course of the spring semester. People are starting to comment on how thin she looks. Brittany has noticed that Mandy eats an orange for breakfast, a small bowl of salad with no salad dressing and a small piece of grilled chicken for lunch, and a cup of plain yogurt for dinner. Richard has been going to the gym with Mandy most days of the week. He enjoys lifting free weights, and Mandy usually runs on the treadmill for 45 minutes and then does 15 minutes of core exercises.
In addition, Mandy has shared with Brittany that she has not had her period in four months. Mandy has also expressed that she is frustrated because people are making comments about how thin she looks and consequently has not gone to as many parties or social gatherings because she feels so uncomfortable.
Last week Mandy hurt her leg while running. The doctor said that Mandy has a stress fracture. Why might Mandy be prone to stress fractures?

A) She is most likely in an iron-deficient state.
B) She most likely has decreased bone mineral density.
C) She most likely developed lead poisoning.
D) She exercised too much.
E) She has low body fat.

Question 45

Brittany and Richard have noticed that their friend Mandy has lost a significant amount of weight over the course of the spring semester. People are starting to comment on how thin she looks. Brittany has noticed that Mandy eats an orange for breakfast, a small bowl of salad with no salad dressing and a small piece of grilled chicken for lunch, and a cup of plain yogurt for dinner. Richard has been going to the gym with Mandy most days of the week. He enjoys lifting free weights, and Mandy usually runs on the treadmill for 45 minutes and then does 15 minutes of core exercises.
In addition, Mandy has shared with Brittany that she has not had her period in four months. Mandy has also expressed that she is frustrated because people are making comments about how thin she looks and consequently has not gone to as many parties or social gatherings because she feels so uncomfortable.
What should Brittany and Richard do to help Mandy?

A) gather information about services for people with eating disorders to share with Mandy
B) ignore the fact that Mandy is struggling with weight issues
C) give Mandy compliments about her body to try to improve her self-esteem
D) discourage Mandy from working out too much
E) make an appointment for Mandy with a dietitian

Question 46

Brittany and Richard have noticed that their friend Mandy has lost a significant amount of weight over the course of the spring semester. People are starting to comment on how thin she looks. Brittany has noticed that Mandy eats an orange for breakfast, a small bowl of salad with no salad dressing and a small piece of grilled chicken for lunch, and a cup of plain yogurt for dinner. Richard has been going to the gym with Mandy most days of the week. He enjoys lifting free weights, and Mandy usually runs on the treadmill for 45 minutes and then does 15 minutes of core exercises.
In addition, Mandy has shared with Brittany that she has not had her period in four months. Mandy has also expressed that she is frustrated because people are making comments about how thin she looks and consequently has not gone to as many parties or social gatherings because she feels so uncomfortable.
When Mandy finally does decide to seek treatment, what type of care should she receive?

A) physical therapy
B) medications that increase her appetite
C) group therapy
D) patient-centered and individualized
E) antidepressants

Question 48

People must experience eating binges once a week or more on average over a period of _____ to be diagnosed with binge-eating disorder.

A) 1 week
B) 3 weeks
C) 1 month
D) 3 months
E) 6 months

Question 49

Brittany and Richard have noticed that their friend Mandy has lost a significant amount of weight over the course of the spring semester. People are starting to comment on how thin she looks. Brittany has noticed that Mandy eats an orange for breakfast, a small bowl of salad with no salad dressing and a small piece of grilled chicken for lunch, and a cup of plain yogurt for dinner. Richard has been going to the gym with Mandy most days of the week. He enjoys lifting free weights, and Mandy usually runs on the treadmill for 45 minutes and then does 15 minutes of core exercises.
In addition, Mandy has shared with Brittany that she has not had her period in four months. Mandy has also expressed that she is frustrated because people are making comments about how thin she looks and consequently has not gone to as many parties or social gatherings because she feels so uncomfortable.
When would be the best time for Mandy to seek treatment?

A) after she graduates from college
B) at the end of the spring semester
C) at the beginning of the fall semester
D) when it is convenient
E) as soon as possible

Question 50

How should you express your concerns to a friend who is struggling with an eating disorder?

A) Make negative comments about your body to help your friend feel better about his or her body.
B) Avoid talking about the eating disorder, and let your friend resolve the problem on his or her own.
C) Talk with your friend privately when there is enough time to discuss the issue fully.
D) Confront your friend and try to make him or her eat a healthy diet.
E) If necessary, make him or her go for treatment.

Question 51

Bulimia nervosa is more common among _____.

A) dietitians
B) wrestlers
C) health care professionals
D) sprinters
E) adults

Question 52

Treatment of anorexia nervosa generally focuses on _____.

A) slowing down the pace of eating
B) breaking the feast and famine cycles
C) the prompt restoration of nutritional health and body weight
D) mindful eating
E) reducing anxiety

Question 53

Lead poisoning in children leads to _____.

A) increased dropout rates
B) long-term memory loss
C) blindness
D) loss of motor skills
E) lowered blood pressure

Question 54

Brittany and Richard have noticed that their friend Mandy has lost a significant amount of weight over the course of the spring semester. People are starting to comment on how thin she looks. Brittany has noticed that Mandy eats an orange for breakfast, a small bowl of salad with no salad dressing and a small piece of grilled chicken for lunch, and a cup of plain yogurt for dinner. Richard has been going to the gym with Mandy most days of the week. He enjoys lifting free weights, and Mandy usually runs on the treadmill for 45 minutes and then does 15 minutes of core exercises.
In addition, Mandy has shared with Brittany that she has not had her period in four months. Mandy has also expressed that she is frustrated because people are making comments about how thin she looks and consequently has not gone to as many parties or social gatherings because she feels so uncomfortable.
Richard and Brittany talked to Mandy about their concerns, but Mandy believes she does not have an eating disorder. What should Brittany and Richard do next?

A) try to force Mandy to eat more food
B) encourage Mandy to gain weight and stop exercising
C) continue to be supportive and encourage Mandy to seek professional help
D) call her parents and insist that she has a problem that needs to be treated
E) seek emergency medical help