Deck 15: Eating Disorders

Question 1

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.

Answer 1

B

Question 2

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

Answer 2

D

Question 3

The low blood potassium levels seen among people with eating disorders may cause

A)lack of appetite.
B)dehydration.
C)heart rhythm disturbances.
D)swelling of the salivary glands.

Answer 3

C

Question 4

Which of the following is not an appropriate measure to prevent eating disorders?

A)Discourage restrictive dieting and meal skipping.
B)Correct misconceptions about nutrition and healthy body weight.
C)Provide opportunities for fun and social physical activity in school and at home.
D)Encourage daily measurements of body weight.

Question 5

For a person with anorexia nervosa,when is total hospitalization necessary?

A)Self-mutilation or threats of suicide
B)Missing one or more menstrual periods (for women)
C)Body weight falls below 85% of expected weight
D)Growth of lanugo

Question 6

Which of the following is a sign or symptom of night eating syndrome?

A)For women,missing three or more menstrual periods in a row
B)Consuming more than 25% of daily food intake after dinner
C)Lack of appetite in the evening
D)Repeated use of unsafe methods to prevent weight gain (e.g.,self-induced vomiting)

Question 7

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 8

Anorexia nervosa is characterized by

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

Question 9

Which of the following statements describes a person with bulimia nervosa?

A)Engages in binge eating
B)Has obvious physical and mental symptoms
C)Tends to be very thin and emaciated
D)Usually male

Question 10

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 11

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.

Question 12

Which of the following is not a trigger for anorexia?

A)Comments from significant others about being too fat
B)A job or profession that demands maintaining a certain weight or body size
C)Feeling too thin in one's clothes
D)Leaving home for college or independent living

Question 13

Which of the following is not among the criteria for diagnosing anorexia nervosa?

A)Overwhelming distress about weight gain (or avoidance of behaviors that may lead to weight gain)despite having a low body weight
B)Persistent pattern of binge eating and purging lasting more than 3 months
C)Extreme dietary restriction that leads to significantly low body weight
D)Disturbed perception of one's own body weight or shape,overemphasis on body weight or shape in determining self-worth,or failure to recognize the dangers of extremely low body weight

Question 14

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 15

Which of the following is among the criteria for diagnosing bulimia nervosa?

A)Repeated use of unsafe means to prevent weight gain (e.g.,self-induced vomiting)
B)Restriction of energy intake that leads to significantly low body weight
C)Binge-compensate cycles that occur at least one time per week for one month or longer
D)Waking at least once during the night with a need to eat to be able to fall asleep again

Question 16

Which of the following is a physiological change often associated with anorexia nervosa?

A)Excessive sweating
B)Swollen salivary glands
C)Decreased heart rate
D)High blood pressure

Question 17

At later stages in anorexia development,anorexics

A)never feel hungry.
B)abstain from all beverages and food.
C)eat 1,200 to 1,500 kilocalories per day.
D)eat 300 to 600 kilocalories per day.

Question 18

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 fat.

Question 19

Which of the following is not a characteristic of anorexia?

A)Distorted body image
B)Decreased heart rate
C)Denial of appetite
D)Increased body temperature

Question 20

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 21

A difference between anorexia and bulimia 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)anorexia is more common among women,whereas bulimia is more common among men.
D)bulimics tend to be methodical,whereas anorexics tend to be impulsive.

Question 22

What is a serious,long-term health consequence of absent or irregular menstrual periods among women of childbearing age?

A)Bone loss
B)Muscle tears
C)Esophageal bleeding
D)Dehydration

Question 23

Successful treatment for bulimia nervosa usually lasts at least

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

Question 24

Which of the following is a useful approach in the nutritional therapy of a person with bulimia nervosa?

A)Alternate-day fasting
B)Keeping a daily food diary
C)Eating alone
D)Providing strict food rules to control eating

Question 25

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)both recognize their behavior as abnormal.

Question 26

Which of the following is a goal for a person with anorexia nervosa?

A)Restore BMI to 25 or higher.
B)Gain enough weight to raise the metabolic rate to normal.
C)Stick to a regimented dietary plan.
D)Maintain a high level of physical activity.

Question 27

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

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

Question 28

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 29

Joni uses ipecac syrup to promote vomiting after her binges.Which of the following is not a negative effect of vomiting?

A)Tooth decay
B)Swelling of salivary glands
C)Stomach ulcers
D)High blood potassium levels

Question 30

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 31

Which of the following is true about the bingeing behavior of a person with bulimia nervosa?

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 32

Which of the following is not true about bulimia?

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 often below 85% of normal weight.

Question 33

Most of the health problems in bulimia arise from

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

Question 34

Which of the following traits is common among people with bulimia nervosa?

A)Sexual modesty
B)Perfectionism
C)Rigidity
D)Impulsiveness

Question 35

A food typically chosen for a binge is

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

Question 36

Which of the following is not a useful approach for the recovery of the anorexic person?

A)Separation from the family
B)Using antidepressant medications
C)Joining a support group
D)Cognitive behavioral therapy

Question 37

A disorder in which frequent binging 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 38

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

A)that are not accompanied by compensatory behaviors.
B)that do not cause distress or shame.
C)at holidays or during social occasions.
D)that occur at least once per month for three months in a row.

Question 39

One feature of anorexia nervosa that significantly reduces treatment success is

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

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 more difficult to purge.
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 behaviors is not typical among people with binge-eating disorder?

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

Question 42

Cessation of menstruation is most likely associated with

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

Question 43

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

A)bulimia nervosa.
B)anorexia nervosa.

Question 44

Individuals 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 45

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

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

Question 46

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 47

Current research suggests that most eating disorders are caused by

A)genetic predispositions.
B)failing grades.
C)anxiety disorders.
D)poverty and homelessness.

Question 48

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)endorphins.
C)amenorrhea.
D)lanugo.

Question 49

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

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

Question 50

Coping with stress by eating is a characteristic of

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

Question 51

Studies have shown that behaviors of night eating syndrome are significantly improved with use of

A)antibiotics.
B)antidepressants.
C)sleeping pills.
D)amphetamines.

Question 52

The most important predictor of an eating disorder is

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

Question 53

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

Question 54

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

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

Question 55

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

A)Lack of menstrual periods
B)Disordered eating behaviorss
C)Clinical depression
D)Low bone mineral density

Question 56

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 57

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

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

Question 58

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

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

Question 59

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 60

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

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

Question 61

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

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

Question 62

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

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

Question 63

The practice of eating nonfood substances is called

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

Question 64

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

Question 65

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

A)Type 2 diabetes
B)Osteoporosis
C)Enlarged salivary glands
D)Low blood potassium

Question 66

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

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

Question 67

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

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

Question 68

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

Question 69

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

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

Question 70

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 71

The first drug that has been approved by FDA for treatment of binge-eating disorder is

A)fluoxetine (Prozac^®).
B)lisdexamfetamine dimesylate (Vyvanse®)
C)topiramate (Topamax^®).
D)lorcaserin (Belviq^®).

Question 72

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

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

Question 73

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

A)Cross-country
B)Baseball
C)Ice hockey
D)Wrestling

Question 74

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

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

Question 75

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

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