Deck 11: Feeding and Eating Disorders

Question 1

Natalie Sundheimer presents with the following medical symptoms; dry, yellowish skin and lanugo baby fine downy hair on her trunk, face and extremities). In addition, her teeth appear "moth eaten" and she wears a heavy sweater despite the fact that it is a hot summer day. She is excessively fearful of being fat and weighs less that 80 percent of her normal body weight. These features most often accompany the following diagnosis:

A)Bulimia nervosa
B)Binge eating disorder BED)
C)Other specified feeding or eating disorder
D)Anorexia nervosa

Answer 1

D

Question 2

Which of the following can co-exist with anorexia nervosa?

A)Depression
B)Cluster C personality disorders
C)Specific phobias
D)Chromosomal abnormalities

Answer 2

A

Question 3

All of the following characterize a binge except:

A)Eating food until one feels uncomfortably full and overstuffed
B)The individual has a lack of control over their eating
C)Eating large quantities of food even when not physically hungry
D)The individual regularly consumes small amounts of food almost every evening even if they are not hungry

Answer 3

D

Question 4

Blake Wilcox is a 28 year old young woman with a history of anorexia nervosa. She has been in counseling off and on for the past 10 years. She returns to the counseling center and confides to the social worker that for the past 3 months her fear of gaining weight has returned but this time around she does not purge; that is, Blake does not self-induce vomiting after eating. Instead, Blake has put herself on a strict regimen of dieting, interspersed with fasting and excessive exercise. What type of anorexia does Blake have?

A)Anorexia nervosa in partial remission
B)Anorexia nervosa in full remission
C)Anorexia nervosa restricting type
D)Anorexia nervosa binge-eating purging type

Question 5

Individuals who are diagnosed with a restricting subtype of anorexia nervosa are:

A)Often obsessive, rigid and highly controlled
B)Usually binging and purging but only once a week for at least 3 months
C)Showing a pattern of weight loss by dieting and/or excessive exercise
D)Usually switching between periods of controlled and impulsive behavior

Question 6

Verna Brunning engages in binge eating without any evidence of compensatory behaviors. She would most likely receive a diagnosis of __________ according to the DSM -5 criteria.

A)Rumination disorder
B)Pica disorder
C)Binge eating disorder BED)
D)Avoidant/restrictive food intake disorder

Question 7

Maureen Seth is a 42 year old woman who vividly remembers choking on a salad about 3years ago. "It felt like my cucumber was a rock that just didn't move down my throat. It was awful. You know those little 'prickles' that stick out on the sides? Well, they felt like spikes!" Since that time, Maureen has been afraid to eat a range of solid vegetables because she is afraid she will choke again. "I can just look at a cucumber and feel my throat starting to close up," she adds. Maureen is afraid of embarrassing herself so she only eats at home and has lost weight. What is the most likely diagnosis to consider?

A)Pica
B)Avoidant/restrictive food intake disorder
C)Bulimia nervosa
D)Anorexia nervosa

Question 8

Each of the following is considered to be an eating disorder except:

A)Binge eating disorder BED)
B)Anorexia nervosa
C)Bulimia nervosa
D)Obesity

Question 9

The following assessment criteria for bulimia nervosa include all of the following except:

A)Recurrent, inappropriate compensatory methods used to prevent weight gain
B)Both binge-eating and inappropriate compensatory methods must occur on average at once a week or more for three months
C)The individual experiences a lack of control over eating during the episode
D)The individual is desperately fearful of gaining weight and/or becoming fat

Question 10

Of the following, which is not characteristic of individuals with bulimia nervosa?

A)Misuse of laxatives and/or enemas
B)Misuse of diuretics
C)Eats only until full
D)Self-induced vomiting

Question 11

All of the following statements are true about anorexia nervosa except:

A)Anorexics mistakenly believe an extremely thin body is the "perfect body"
B)Anorexics generally feel hungry all the time
C)The term "anorexia nervosa" means loss of appetite
D)Individuals with anorexia usually have a childhood history of antisocial behavior

Question 12

Alberta Rynner, age seventeen, started dieting to lose weight because her boyfriend, Paul, thought she was "too fat." Her diet consisted of eating no more than a banana and drinking two cups of plain tea each day. At the beginning of her diet, she weighed 130 pounds. By the end of five months she lost thirty-five pounds and was exhibiting some medical complications that included cold intolerance, constipation, painful swelling of her fingers, knees, and elbows. Additionally, Alberta reports she has not had a normal menstrual cycle for the past three months. Her most likely diagnosis would be:

A)Anorexia nervosa, restricting type
B)Pica
C)Binge eating disorder BED)
D)Bulimia nervosa, partial remission

Question 13

Considering the etiology of eating disorders, the most significant contributing factor is:

A)Medical
B)Social
C)Psychological
D)Biological

Question 14

Rumination disorder is associated with:

A)Binge eating disorder BED)
B)The desire to be thin and the fear of obesity
C)Falsely perceiving oneself as fat
D)Regurgitating and re-swallowing food

Question 15

Someone with an eating disorder who "purges" will exhibit all of the following behaviors except:

A)Exercise
B)Use and misuse of laxatives
C)Use and misuse of diuretics
D)Self-induced vomiting

Question 16

Belle St. Patrick is five feet seven inches tall and weighs ninety pounds. She makes every attempt to avoid eating very much or else she moves the food on her plate around, especially if people are watching her. She has always been very active in high school athletic sports and is captain of the girls' swim team. However, since Belle turned sixteen, she has become intensely fearful of gaining weight. She has begun a regimen of eating minimal amounts of food as well as exercising excessively to prevent herself from gaining weight. Belle often wears many layers of bulky clothing because her parents constantly complain about how thin she is. Which diagnosis would you consider the most appropriate?

A)Bulimia nervosa, purging type
B)Bulimia nervosa, non-purging type
C)Anorexia nervosa, restricting type
D)Anorexia nervosa, binge eating/purging type

Question 17

Mavis Brown is a nineteen-year old African American woman who weighs ninety percent of her expected normal weight for her height and age) and has an intense fear of gaining weight. Mavis places undue emphasis on her body weight and shape that strongly influences her self-esteem. During a counseling session with you, Mavis admits that she does not understand all the "fuss" people have been making over her weight. Mavis' diagnosis is most likely:

A)Eating disorder not otherwise specified NOS)
B)Binge eating disorder
C)Bulimia nervosa, non-purging type
D)Anorexia nervosa, restrictive type

Question 18

Purging refers to:

A)Eating excessive amounts of food in a short period of time
B)Falsely viewing oneself as "fat"
C)Forcing oneself to vomit
D)Using excessive amounts of exercise as a way to lose weight

Question 19

The typical age of onset for anorexia nervosa typically begins in:

A)Adolescence or young adulthood
B)Early adulthood
C)Middle adulthood
D)At any time in the lifespan

Question 20

Which of the following is not a medical complication or consequence of bulimia?

A)Electrolyte abnormalities low potassium levels)
B)Erosion of tooth enamel
C)Parotid gland enlargement
D)Increased gag reflex

Question 21

Persons with anorexia tend to be preoccupied with thoughts about food, grocery shopping and cooking meals for others.

Question 22

Two subtypes identified in bulimia nervosa include, purging and restricting.

Question 23

Eating disorders are characterized by severe disturbances in eating behavior, maladaptive and unhealthy efforts to control body weight, and abnormal attitudes about body, weight and shape.

Question 24

Anorexia nervosa is more commonly seen in men than women.

Question 25

The development of eating disorders seems related to one major stressful episode that is evaluated as related to the cause of eating difficulties.

Question 26

The difference between someone who is of "low body weight" and someone with anorexia nervosa revolves around intrapersonal factors wherein the individual refuses to maintain a normal body weight and is extremely fearful of becoming fat.

Question 27

Current studies suggest that an individual's judgment about their body image are influenced by cognitive, affective, cultural and attitudinal variables.

Question 28

Rumination involves the chronic regurgitation and re-swallowing of food, such that interference occurs in nutritional benefits and weight gain which is most prevalent among infants, and persons with intellectual disability.

Question 29

Anorexia nervosa typically develops after the age of twenty-two.

Question 30

Anorexia is an eating disorder characterized by a serious loss of weight and disturbed body image.

Question 31

Most persons with bulimia tend to wear several layers of bulky clothing in order to keep their body warm and conceal their extreme thinness.

Question 32

During the current episode of the restricting type of anorexia nervosa, the individual severely limits their caloric intake, and does not regularly engage in binge eating or purging behaviors.

Question 33

One of the most serious medical complications in eating disorders is depression.

Question 34

Binge eating disorder BED) is an eating disorder characterized by recurrent binge eating and inappropriate weight-control behavior.

Question 35

A binge is defined as ingesting a much larger amount of food than most people would eat under similar circumstances.

Question 36

The most striking feature of anorexia nervosa is the marked distortion in the way the individual experiences their body size and shape.

Question 37

The two types of anorexia nervosa include restricting and bingeing.

Question 38

Bill Houston will eat large quantities of food in a relatively short period of time and tells his social worker that he's "out of control" when eating. After binging, Bill makes himself vomit to rid his body of the food. He binges and purges about two to three times a month and has been doing so for the last seven or eight months. He admits that his self-esteem is strongly linked to his physical appearance. The most likely diagnosis to consider for Bill's pattern of eating is:

A)Binge eating disorder BED)
B)Bulimia nervosa, in partial remission
C)Other specified feeding or eating disorder
D)Avoidant/restrictive food intake disorder
True/False:

Question 39

For the diagnosis of bulimia nervosa to be made, binge eating must occur at least twice a week for one month.

Question 40

During the current episode of binge eating-purging type of anorexia nervosa, the individual regularly engages in binge eating or purging behavior, for example self-induced vomiting, or misuse of laxatives, enemas, or diuretics.

Question 41

Use the following terms to answer:

The type of binge eating in which affected individuals consume large amounts of food almost continuously throughout the day is known as _______________.

Question 42

Use the following terms to answer:

The absence of three menstrual cycles, while significant, is one no longer of the essential signs used to assess the presence of _______________.

Question 43

Use the following terms to answer:

_______________ behaviors such as self-induced vomiting or misuse of laxatives) often deplete essential body sustaining minerals including potassium, sodium, magnesium, phosphate, and chloride.

Question 44

Use the following terms to answer:

The essential feature of ____________ disorder is the repeated regurgitation of food that happens after feeding or eating for at least one month.

Question 46

Use the following terms to answer:

Robin Alexandra refuses to maintain a minimal normal body weight. She has an intense fear of getting fat, a disturbance in the way she views her body shape and has missed her last four menstrual cycles. These symptoms are indicative of _______________.

Question 47

Use the following terms to answer:

Although anorexia and bulimia are the most thoroughly studied eating disorders, the most common eating disorder is _______________.
Matching Items:

Question 48

Use the following terms to answer:

_______________ is considered a potentially fatal disease with a mortality rate that ranges somewhere between 5 to 10 percent.

Question 49

Use the following terms to answer:

When an individual eats out of control and is unable to resist the temptation to consume certain foods, this is known as _______________.

Question 50

Use the following terms to answer:

Children who are characterized by having an appetite for nonnutritive substances; - or example metal, clay, coal, dirt, sand, soil, feces, chalk, pens and pencils - are diagnosed with ____________.

Question 51

The incidence of anorexia nervosa has declined substantially in North America during the last half of the twentieth century.