Chapter 16 Single best answer questions

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. Concerning eating disorders, which of the following statements is TRUE?

Anorexia nervosa (AN) is as common as bulimia nervosa (BN) correct incorrect

The male: female ratio in anorexia nervosa is 70:30. correct incorrect

The incidence of eating disorders in men is decreasing correct incorrect

Perfectionism is a trait common to both AN and BN correct incorrect

The genetic influence is stronger in BN than in AN correct incorrect

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. Which of the following statements regarding the aetiology of eating disorders is TRUE?

Heritability of AN is less than 50% correct incorrect

Low self esteem is associated with the development of AN but not BN correct incorrect

Approximately 50% of patients with AN have previously suffered with BN correct incorrect

Experiences of childhood abuse are more common in AN than in other forms of psychiatric problems correct incorrect

Family enmeshment is associated with AN correct incorrect

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. Which of the following statements regarding anorexia nervosa is TRUE?

A BMI less than 18 kg/m² is required for the diagnosis correct incorrect

People with AN and diabetes may increase their insulin dose to suppress their appetite correct incorrect

Depressed patients who develop severe weight loss (BMI <17.5) should be given a diagnosis of comorbid AN. correct incorrect

Amenorrhoea is a significant symptom in females with anorexia correct incorrect

Anorexic patients characteristically avoid all contact with food correct incorrect

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. People with anorexia nervosa are by definition malnourished.
Clinical signs suggesting malnutrition in AN include all of the following EXCEPT::

Postural hypotension correct incorrect

Peripheral oedema correct incorrect

Lanugo hair correct incorrect

Hypercholesterolaemia correct incorrect

Tachycardia correct incorrect

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. Mr Henry Rimmel is a 45 year old man whose 15 year old daughter Neela has recently been diagnosed with anorexia nervosa. Mr Rimmel calls the GP surgery where you are on placement as a final year medical student to discuss her treatment and what is going to happen next. The GP asks you to take the call.
Regarding the treatment of AN, which of the following statements is TRUE?

Inpatient treatment is indicated if BMI is <17 correct incorrect

Patients should be expected to gain weight at a minimum of approximately 1-2 kg/week correct incorrect

Compulsory refeeding regimes under the Mental Health Act is often the mainstay of treatment correct incorrect

Motivational interviewing is useful in patients who lack insight into their disorder correct incorrect

Family therapy is not an effective treatment of eating disorders. correct incorrect