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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

E) B) and D)
F) B) and C)

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A

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


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

E) C) and D)
F) A) and B)

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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) Sedentary behavior, no interest in exercise
D) Becoming irritable and hostile

E) All of the above
F) A) and D)

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

E) B) and D)
F) B) and C)

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


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

E) None of the above
F) C) and D)

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________ is an eating disorder characterized by extreme restriction of energy intake relative to requirements, which leads to significantly low body weight.


A) Anorexia nervosa
B) Bulimia nervosa
C) Purging disorder
D) Binge eating disorder

E) B) and C)
F) B) and D)

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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

E) All of the above
F) A) and B)

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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) low blood potassium levels.
D) laxative abuse.

E) A) and C)
F) B) and C)

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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

E) A) and D)
F) C) and D)

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Nutritional therapy for people with anorexia nervosa aims to slowly increase body weight to achieve a BMI of at least


A) 15 kg/m2.
B) 20 kg/m2.
C) 25 kg/m2.
D) 30 kg/m2.

E) A) and B)
F) C) and D)

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B

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


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

E) B) and C)
F) B) and D)

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Which of the following are potential effects of refeeding during the initial treatment of anorexia nervosa?


A) Feelings of fullness and abdominal bloating
B) Increased body temperature
C) Dangerous changes in electrolyte balance in the blood
D) All of these are potential effects of refeeding.

E) C) and D)
F) B) and D)

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Coping with stress by not eating is the typical pattern of


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

E) B) and C)
F) A) and D)

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Successful treatment for bulimia nervosa usually lasts at least


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

E) A) and D)
F) B) and C)

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Anorexia nervosa is characterized by


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

E) A) and D)
F) B) and D)

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D

For a person who engages in binge eating, typical binge foods include


A) high-protein foods, such as tuna, chicken, and steak.
B) a wide variety of fruits and vegetables.
C) cakes, cookies, doughnuts, and ice cream.
D) sugar-free items, such as artificially sweetened gelatin, candy, and soft drinks.

E) A) and B)
F) A) and C)

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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.

E) B) and D)
F) B) and C)

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


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

E) A) and B)
F) A) and C)

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


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

E) All of the above
F) A) and D)

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The best 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.

E) All of the above
F) None of the above

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