Deck 12: Eating Disorders

Question 1

Which of the following is not required for a diagnosis of anorexia nervosa (AN) in DSM-5?

A) Intense fear of weight gain.
B) Caloric restriction.
C) Weight loss > 10lbs over 3 months.
D) Body image disturbance.

Answer 1

C

Question 2

You are interviewing a patient in your office. She is a 19-year-old female who restricts her caloric intake to 500 kcal/day and runs at least 8 miles/day. As a result, she has dropped from a body mass index (BMI) of 19 to a BMI 16 over the last 3 months. She is proud of her weight loss and states that being thin is the most important thing to her. She does not verbally express an intense fear of weight gain, but her behaviors (restriction, exercise) suggest that this is a fear of hers. Using DSM-5 criteria, you would diagnose her with:

A) Anorexia nervosa
B) Feeding and Eating Disorder Not Elsewhere Classified
C) Avoidant and Restrictive Food Intake Disorder
D) Delusional Disorder

Answer 2

A

Question 3

AN exclusively affects Caucasian women, most often those of a higher socioeconomic status.

Answer 3

False

Question 4

The youngest age of onset in AN that has been observed in empirical investigation is:

A) 7
B) 10
C) 15
D) 12

Question 5

Patients with AN show neurocognitive deficits in which of the following areas?

A) Attention
B) Working memory
C) Mental flexibility
D) All of the above

Question 6

An adolescent female with AN says to you, "I know I'm the skinniest of my friends, but my thighs are huge. I have to stay on my diet until they stop touching." This is an example of:

A) Body image distortion
B) Response inhibition
C) Emotional suppression
D) Interoceptive awareness

Question 7

Individuals with purely restricting behaviors have higher rates of:

A) Obsessive compulsive personality disorder
B) Borderline personality disorder
C) Depression
D) Bulimia Nervosa

Question 8

The treatment of choice for adolescents with AN is:

A) Interpersonal therapy (IPT)
B) Family-based therapy (FBT)
C) Ego-oriented individual therapy (EOIT)
D) Existential therapy

Question 9

The research on pharmacological treatments of AN suggest:

A) Antipsychotics are the preferred treatment.
B) Antidepressants are the preferred treatment.
C) Benzodiazepines are the preferred treatment.
D) There is no medication preferred for the treatment of AN.

Question 10

Eating disorders are frequently comorbid with which of the following form of psychopathology?

A) Substance use
B) Personality disorders
C) Mood disorders
D) All of the above

Question 11

Changes in eating disorder diagnostic criteria from DSM-IV-TR to DSM-5 were primarily intended to:

A) Limit the number of people presenting for eating concerns but failing
To meet criteria for AN or BN
B) Eliminate migration between eating disorder diagnoses.
C) Increase the number of individuals diagnosed with an eating disorder.
D) Restrict eating disorder diagnoses to women.

Question 12

In order to be classified an objective binge episode (OBE), an eating episode must:

A) Consist of an objectively large quantity of food.
B) Be comprised exclusively of high-calorie, high-fat foods.
C) Be accompanied by a sense of loss of control over eating.
D) Both A and C.

Question 13

Bulimia nervosa is often not detected and diagnosed until later in the course of illness because:

A) Clinicians fear the stigma of a diagnosis of BN.
B) The lack of effective treatments for BN make a diagnosis meaningless.
C) Individuals are reluctant to admit to their disordered behaviors.
D) Binge eating is seen as an effective coping strategy.

Question 14

The primary distinction between bulimia nervosa (BN) and binge eating disorder (BED) is:

A) Individuals with BED are overweight or obese.
B) Binge episodes are accompanied by compensatory behaviors in BN, but not BED.
C) BN affects only women, whereas BED affects only men.
D) Onset of BED is later than that of BN.

Question 15

Which of the following is a specific eating syndrome included in the Other Specified Feeding or Eating Disorder (OSFED)?

A) Obesity
B) Night eating syndrome
C) Exercise anorexia
D) Diabulimia

Question 16

The transdiagnostic model of eating disorders identifies __________ as the core feature common to all eating disorders.

A) Thin ideal internalization
B) Negative affect
C) Obsessionality
D) Overevaluation of eating/shape/weight

Question 17

BED has a more equitable gender distribution than BN or AN.

Question 18

Which of the following diagnoses precedes the onset of BN in approximately one third of individuals seeking treatment for BN?

A) Major depression
B) Posttraumatic stress disorder
C) Anorexia nervosa
D) Obsessive compulsive disorder

Question 19

__________ is the most commonly comorbid personality disorder among individuals with BN.

A) Narcissistic personality disorder
B) Schizoid personality disorder
C) Borderline personality disorder
D) Antisocial personality disorder

Question 20

Genetic risk for eating disorders in girls remains consistent across the lifespan.

Question 21

The primary cause of eating disorders is exposure to thin models via the media.

Question 22

The psychological intervention with the most empirical support for the treatment of BN is:

A) Dialectical behavioral therapy
B) Cognitive behavioral therapy
C) Exposure and response prevention
D) Schema-focused therapy