Deck 11: Eating Disorders

Question 1

Cathy stopped eating meals over two months ago.Now,she eats very little,and only when under some family pressure.She has lost over 22 pounds,and is now about 15% below normal body weight for her height.She probably has

A)anorexia,restricting type
B)anorexia,binge-eating-purging type
C)bulimia nervosa
D)binge eating disorder

Answer 1

anorexia,restricting type

Question 2

The DSM-5 categorizes eating disorders as:

A)Feeding and Eating Disorders
B)Addictive Disorders
C)Anxiety Disorders
D)Obsessive Disorders

Answer 2

Feeding and Eating Disorders

Question 3

The distorted body image that accompanies anorexia nervosa is frequently assessed using the:

A)Eating Disorders Inventory
B)Ecological Momentary Assessment
C)Feeding Distortion Inventory
D)none of the above

Answer 3

Eating Disorders Inventory

Question 4

Starting with the DSM-IV,eating disorders were listed as

A)disorders beginning in childhood or adolescence
B)somatization disorders
C)psychological factors affecting medical condition
D)a separate diagnostic category

Question 5

As compared to those with the restricting type,initial studies found that people with anorexia nervosa binge-eating-purging type typically have ____________ personality disorders,substance abuse,and suicide attempts

A)more
B)fewer
C)equal numbers of
D)none of the above

Question 6

Eating disorders carry a stigma.In a recent research study,participants read vignettes about a woman with an eating disorder or a woman with depression.Compared to the woman with depression,the woman with an eating disorder was viewed as:

A)more responsible for her condition
B)less fragile
C)less likely to be trying to get attention with her disorder
D)none of the above

Question 7

The three features that are required for the diagnosis of anorexia nervosa include all of the following EXCEPT:

A)restriction of behaviors that lead to very low body weight
B)intense fear of gaining weight and being fat
C)distorted body image
D)body weight is normal

Question 8

__________ refers to a loss of appetite,while __________ indicates that it is due to emotional reasons.

A)bulimia,anorexia
B)anorexia,nervosa
C)nervosa,anorexia
D)anorexia,bulimia

Question 9

People with binge-eating/purging subtype of anorexia nervosa exhibit all of the following EXCEPT:

A)impulsive behavior
B)stealing
C)social withdrawal
D)psychotic behavior

Question 10

In the opening case study,Lynne,the 24-year-old who weighted only 78 pounds,was admitted to the psychiatric ward of general hospital for the treatment of:

A)anorexia nervosa
B)bulimia nervosa
C)depression
D)anxiety

Question 11

When pointing to their ideal male body type,men with eating disorders chose body types that were:

A)larger than what the average male chose
B)smaller than what the average male chose
C)the same size as what the average male chose
D)they could not report what the difference was

Question 12

People with anorexia nervosa

A)stop eating because of an abnormal increase in blood sugar,which alters their perceptions of hunger
B)fear gaining weight so much that they stop eating
C)have lost their appetite,leading them to stop eating
D)stop eating but do not lose weight

Question 13

Most people with anorexia nervosa

A)lose their appetite
B)lose their interest in food
C)lose both their appetite and interest in food
D)do not lose their appetite or interest in food

Question 14

Review of the anorexia nervosa subtype literature for the preparation of the DSM-5 concluded that they had:

A)high reliability
B)high predictive validity
C)low predictive validity
D)low reliability

Question 15

The loss of menstrual period is known as:

A)amenorrhea
B)dysmenorrhea
C)premenstrual syndrome
D)fibrosis

Question 16

In the DSM-IV-TR,____________ was viewed as a condition requiring further study,but in the DSM-5 it has its own diagnostic category.

A)binge eating disorder
B)obsessive eating disorder
C)pica
D)rumination disorder

Question 17

Betsy is excessively concerned that she is becoming fat and restricts her eating to avoid such a consequence.She weighs approximately 20% less than normal body weight given her height.At times,she will sit down with her family and eat a full meal,but immediately afterwards takes several laxatives.Betsy most likely has

A)anorexia,restricting type
B)anorexia,binge-eating-purging type
C)bulimia nervosa
D)binge eating disorder

Question 18

Anorexia nervosa implies that those with the disorder become disinterested in food,while the reality is that:

A)they are preoccupied with food
B)they are repulsed by food
C)they like to watch other people eat food
D)they truly are not interested in food

Question 19

Many cultures,including the United States,are addicted to food.Evidence of this fact includes all of the following EXCEPT:

A)number of restaurants available
B)food magazines
C)cooking shows on television
D)number of diet books on the market

Question 20

Feeding and Eating Disorders also include which of the following disorders?

A)Pica
B)Rumination Disorders
C)Anxiety Disorders
D)Both a and b

Question 21

A biological consequence of anorexia nervosa is

A)dry skin
B)kidney and gastrointestinal problems
C)lanugo
D)all of the above

Question 22

The DSM-5 requires that the episodes of bingeing occur:

A)at least once a month for 3 months
B)at least once a week for 3 months
C)at least once a month for 6 months
D)at least once a week for 6 months

Question 23

In bulimia nervosa,binge eating typically occurs

A)while alone
B)after stress
C)after a negative social interaction
D)all of the above

Question 24

Individuals with binge eating disorder are

A)relatively confident with their body image
B)more likely to be African American than Caucasian
C)more likely to be men than women
D)often obese

Question 25

Which of the following is most prevalent?

A)binge eating disorder
B)anorexia nervosa,binge-eating/purging type
C)anorexia nervosa,restricting type
D)bulimia nervosa

Question 26

Bulimia comes from a Greek word meaning:

A)excessiveness
B)expulsion
C)ox hunger
D)compensatory

Question 27

Anorexia nervosa occurs:

A)10 times more frequently in women than it does in men
B)20 times more frequently in women than it does in men
C)30 times more frequently in women than it does in men
D)equally in men and women

Question 28

Regina visits her family physician.Her weight is 90 pounds although she believes she is overweight.She 'snacks' on laxatives,and restricts her eating to one small meal a day,after which she exercises for two hours.Her physical exam is likely to reveal that she has

A)lowered heart rate and blood pressure
B)calcium deposits
C)improved muscle tone
D)fibroid tumors

Question 29

When those with bulimia nervosa are bingeing they:

A)are fully aware of what they are doing
B)are unaware of what they are doing
C)do not care whether their actions are positive or negative
D)none of the above

Question 30

As compared to anorexia nervosa,the diagnosis of bulimia nervosa is associated with

A)higher mortality rates
B)lower mortality rates
C)equal mortality rates
D)none of the above; data on mortality caused by eating disorders does not exist

Question 31

The feature common to both anorexia nervosa and bulimia nervosa is

A)refusal to maintain normal body weight
B)fear of gaining weight
C)purging to prevent weight gain
D)none of the above

Question 32

Anorexia nervosa typically begins in:

A)early childhood
B)adolescence
C)early adulthood
D)late adulthood

Question 33

Binge eating disorder is characterized by bingeing

A)between periods of starvation
B)despite guilt over weight gain
C)with weight under 85% of normal
D)without compensatory behaviors

Question 34

Prior to the onset of bulimia,sufferers often

A)have anorexia nervosa
B)are overweight and dieting
C)have attempted suicide
D)have higher than normal levels of serotonin

Question 35

Which of the following is defined,in part,by the absence of purging?

A)anorexia nervosa
B)bulimia nervosa
C)binge eating disorder
D)purging occurs in all of these conditions

Question 36

The DSM-5 categorizes bulimia nervosa as

A)an organic mental disorder
B)a subtype of binge eating disorder
C)a subtype of anorexia nervosa
D)an eating disorder separate from anorexia nervosa

Question 37

People with anorexia nervosa are also frequently diagnosed with

A)depression
B)anxiety
C)substance abuse
D)all of the above

Question 38

Beatrice has lost control of her eating.She gorges on huge amounts of high-fat fast foods,eating as much as 2000 calories in 30 minutes.She is gaining weight rapidly,and weighs over 170 pounds.Which disorder best fits Beatrice's symptoms best?

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

Question 39

During binge episodes,many bulimics

A)feel a great sense of control
B)experience a feeling of being out of control
C)feel very satisfied
D)none of the above

Question 40

What is the most likely prognosis for a woman with anorexia nervosa?

A)She will regain normal weight as she enters puberty.
B)She will never recover.
C)She will recover within a year with no relapses.
D)She will eventually recover,but will likely relapse and continue to struggle with the disorder for years.

Question 41

In 2008,over __________ of men and women in the US were obese.

A)10%
B)a quarter
C)a third
D)two thirds

Question 42

The physical consequences of bulimia nervosa include all of the following EXCEPT:

A)menstrual problems
B)loss of dental enamel
C)irregular heartbeat
D)colon cancer

Question 43

Which of the following brain mechanisms have been implicated in anorexia?

A)Starvation releases natural pain-reducing opioids producing a high,which reinforces not eating.
B)With puberty,female hormones increase dramatically and damage centers which control eating in the thalamus and pituitary.
C)Excessive exercise depletes the brain of neurotransmitters utilized by areas that regulate hunger or satiation.
D)Stress-released hormones reduce the sensitivity of receptors that detect blood-sugar levels and release hormones that induce hunger.

Question 44

The normal BMI for a woman is:

A)15-20
B)20-25
C)25-30
D)none of the above

Question 45

If your sister has anorexia nervosa and you are female,

A)you are over ten times more likely to have anorexia nervosa
B)you are over twenty times more likely to have anorexia nervosa
C)you are over two times more likely to have anorexia nervosa.
D)there is no greater risk to you for developing anorexia nervosa

Question 46

Studies of perfectionism in anorexia nervosa indicate that which of the following statements would be most typical of an anorexic?

A)"I must complete all my work before I can enjoy a night out."
B)"I can't stand it when my boyfriend lets me down by not buying me flowers on special occasions."
C)"I've got to show my teacher that I can meet his goal for me of winning the debate championship."
D)"I can't possibly be expected to meet the unrealistically high standards that my parents have set for me."

Question 47

In 2010,a study of over 500,000 women found that __________ was more important in predicting high birth weights than genetic factors

A)mothers' weight gain during pregnancy
B)mothers' level of exercise during pregnancy
C)fathers' weight
D)none of the above

Question 48

The neurotransmitter most closely associated with eating disorders is

A)epinephrine
B)norepinephrine
C)opioids
D)serotonin

Question 49

Bulimia nervosa typically begins in:

A)childhood
B)early or middle adolescence
C)late adolescence or early adulthood
D)late adulthood

Question 50

Although the hypothalamus has been considered a part of the biological etiology of anorexia,a limitation of this account is that it does not account

A)hunger and the obsession with food
B)body image disturbance
C)fear of becoming fat
D)all of the above

Question 51

Risk factors associated with developing binge eating disorder include:

A)childhood obesity
B)critical comment regarding being overweight
C)childhood physical or sexual abuse
D)all of the above

Question 52

Paula scored higher on a measure of dietary restraint than did Roberta.Based on this information,recent research suggests that

A)Roberta would be more likely to have bulimia nervosa.
B)Paula would be more likely to have anorexia nervosa.
C)Roberta will probably exhibit greater dopamine activity in her brain when presented with food.
D)Paula will probably exhibit greater dopamine activity in her brain when presented with food.

Question 53

Genetic influences on eating disorders are

A)a substantial factor
B)a minor factor
C)not important for anorexia nervosa or bulimia nervosa
D)not important for obesity

Question 54

In the cognitive-behavioral view,the non-eating of anorexics is reinforced by

A)reducing anxiety about being fat
B)reducing sexual demands from males
C)attention of overly concerned family members
D)increased time and energy for studies

Question 55

In eating disorders,endogenous opioids

A)are at low levels,leading to euphoria
B)are at high levels,leading to euphoria
C)are released by purging,leading to euphoria
D)are decreased by bingeing,leading to euphoria

Question 56

The physical consequence associated with binge eating disorder includes all of the following EXCEPT:

A)breathing problems
B)cardiovascular problems
C)migraine headaches
D)joint/muscle problems

Question 57

Research regarding the role of the hypothalamus in anorexia nervosa indicates that

A)the hypothalamus is damaged in most individuals with anorexia
B)hypothalamus dysfunction is the most likely explanation for the fact that people with anorexia do not experience hunger
C)the hypothalamus appears to be overactive in people with anorexia,leading to binge eating
D)dysfunction in the hypothalamus does not seem to be an important factor in anorexia

Question 58

Twin studies of eating disorders have shown

A)environmental factors to be of greater influence than genetic factors
B)higher concordance amongst monozygotic (MZ)twins compared to dizygotic (DZ)twins
C)that genes do not affect personality characteristics associated with eating disorders
D)all of the above

Question 59

Recent research has begun to focus on the role of __________ in eating behavior.

A)norepinephrine
B)epinephrine
C)dopamine
D)serotonin

Question 60

Eating disorders are usually caused by

A)genetic disposition
B)neurochemical imbalance
C)sociocultural pressures
D)a combination of factors

Question 61

Margaret,a Canadian,and Rosemary,a Nigerian,are asked to rate the attractiveness of a drawing of an obese woman.Which of the following is most likely to occur?

A)They will similarly rate the woman as highly unattractive.
B)They will similarly rate the woman as highly attractive.
C)Rosemary will rate the woman as more attractive compared to Margaret's rating of the woman.
D)Margaret will rate the woman as more attractive compared to Rosemary's rating of the woman.

Question 62

Recent studies on cognitive-behavioral factors involved in bulimia nervosa have shown that bingeing and purging may function as means of

A)relieving stress and negative affect
B)increasing energy and thus mood
C)feeling in control of the situation
D)distracting oneself from inner pain

Question 63

A recent review of many studies concludes that __________,no matter how it is measured,is higher among girls with anorexia than girls without anorexia,and that it remains high even after successful treatment for anorexia.

A)neuroticism
B)introversion
C)constraint
D)perfectionism

Question 64

Which is NOT a disadvantage of medication in the treatment of bulimia?

A)relapses when medication is stopped
B)it controls only bingeing,not purging
C)unpleasant side effects
D)high dropout rates

Question 65

Which of the following statements is true regarding gender differences in eating disorders?

A)Women are more likely to have bulimia,while men are more likely to have anorexia.
B)Men are more likely to have bulimia,while women are more likely to have anorexia.
C)Women are more likely to have both bulimia and anorexia than men.
D)Adequate prevalence data on eating disorders has not been collected for men,because men are reluctant to disclose disordered eating patterns.

Question 66

A recent area of research in eating disorders has been upon

A)actual eating habits.
B)associated fears such as phobias or other anxiety disorders.
C)concerns with self-focused attention.
D)child abuse and the link to eating disorders.

Question 67

Evelyn is Hispanic and reports a higher level of acculturative stress than Katherine who is African American.Which of these women is more likely to have greater body dissatisfaction?

A)Evelyn
B)Katherine
C)They are both equally likely to have body dissatisfaction due to their culture.
D)There is not enough information to answer this question.

Question 68

Bingeing in a person with anorexia nervosa is most likely to happen

A)after family conflict
B)after a lapse in a strict diet
C)after struggling with the disorder for at least one year
D)none of the above; bingeing appears to happen randomly in anorexia.

Question 69

Regarding family influences on eating disorders,most anorexics and bulimics report

A)high levels of familial support
B)high levels of familial support and low levels of familial conflict
C)low levels of familial support
D)high levels of familial conflict

Question 70

The difference in the incidence of eating disorders between Caucasian and African Americans has been largely attributed to

A)genetic factors
B)family environment factors
C)socioeconomic status rather than race
D)errors in diagnosis

Question 71

Studies have shown drug treatment to be

A)effective for bulimia only
B)effective for anorexia only
C)effective for both bulimia and anorexia
D)ineffective for both bulimia and anorexia

Question 72

The textbook authors assert that psychologists need to consider what when evaluating the personalities of people with anorexia and bulimia?

A)How Axis I disorders affect presentation of Axis II
B)Severe restriction of food intake can have powerful effects on personality and behavior
C)Personality shouldn't be important when trying to understand an Axis I disorder
D)Psychosocial stressors are more important to assess than personality

Question 73

A group of college students reads a case study about a woman who is 5'6",weighs 105 pounds and is experiencing amenorrhea.Recent research suggests that these students are more likely to believe her symptoms are a result of an eating disorder

A)if her race is presented as Native American.
B)if her race is presented as Hispanic.
C)if her socioeconomic status is presented as middle class.
D)if her race is presented as Caucasian.

Question 74

Eating disorders are more common in women who are

A)single
B)white
C)urban
D)less educated

Question 75

Lydia is a white,upper-class woman with anorexia.Which of the following is most likely to also be true of Lydia?

A)She has dieted before.
B)She also has bulimia.
C)She also has bipolar disorder.
D)She reads many women's magazines.

Question 76

The cognitive-behavioral view of bulimia suggests that binges result from

A)breaking self-rules about dieting
B)ambivalence over social pressure to be thin
C)excessive desire for peer approval
D)not accepting responsibility for actions

Question 77

Polivy and others conducted a series of studies in which participants tasted ice cream.These studies looked at the participants' tendency to

A)refuse food
B)binge
C)purge
D)feel guilty

Question 78

Drug treatment of bulimia nervosa is most significantly limited by

A)the lack of demonstrated effectiveness of the drugs
B)addiction
C)dropping out of treatment
D)the resulting obesity

Question 79

After looking through a fashion magazine,Daisy feels fat and is ashamed of her body.She doubts that she will ever be as thin as the models she sees in the magazine.Which theory explains Daisy's reactions to the magazine?

A)biosocial theory
B)expectancy theory
C)objectification theory
D)self-deprecating theory

Question 80

A weakness of many of the family studies of eating disorders is

A)most rely upon self-report and not direct observation.
B)an inadequate level of attention paid to third variable causes.
C)limited generalizability given the laboratory nature of the research.
D)an overreliance upon a single theoretical paradigm.