Test 1 Question 74. A 20-year-old patient comes into the emergency room while you are on call. She is 5 feet (152cm) tall and has difficulty maintaining her body weight above 67 pounds (30kg). She has lost weight in the past by dieting and was encouraged by her progress. She continued to decrease food intake and increase exercising until her weight dropped below 63 pounds (28kg). At this time she is no longer having her menstrual periods. She comes to the emergency room with symptoms of peptic ulcer disease. Which one of the following would be considered the most important and urgent part of her initial medical workup?
Bone scan
Head CT scan
Gastric emptying study
Cholesterol level
Serum potassium level
Test 1 Question 110. A young girl is brought to the pediatrician because she is not eating well. She has a lack of interest in food. She has had significant weight loss and is not growing properly. She is not getting enough nutrition and is missing days of school because she feels physically ill. She has no disturbances in the way her weight or body is experienced. Which one of the following is the most appropriate diagnosis?
Avoidant/restrictive food intake disorder
Anorexia nervosa
Bulimia nervosa
Binge eating disorder
Atypical anorexia nervosa
Test 1 Question 134. A 20-year-old woman comes to the emergency room with hypokalemic alkalosis, enlarged parotids, hypotension, and Russell’s sign. What diagnosis do you suspect?
Psychosis
Major depressive disorder
Bulimia
Inhalant-induced euphoria
HIV
Test 4 Question 27. Which one of the following is not a medical complication of weight loss in eating disorders?
Cachexia
Loss of cardiac muscle
Delayed gastric emptying
Lanugo
Increased bone density
Test 4 Question 29. Which one of the following is not a medical complication of purging seen in eating disorders?
Electrolyte abnormalities
Salivary gland inflammation
Erosion of dental enamel
Hyperkalemia
Seizures
Test 6 Question 23. A bulimic patient admits to you that she has been using large quantities of ipecac on a daily basis. Which of the following medical issues should you be most concerned with?
Cardiomyopathy
Shortening of QTc interval
Leukocytosis
Increased serum amylase
Infection
Test 6 Question 93. Which of the following categories of disorders classically has a female-to-male ratio of about 10 to 1?
Substance abuse disorders
Sexual disorders
Eating disorders
Dissociative disorders
Personality disorders
Test 6 Question 98. The main factor differentiating binge eating disorder from bulimia nervosa is:
Lack of control over eating
Must occur once per week for 3 months
Consuming a large amount of food in a 2-hour period
Feelings of embarrassment
Absence of inappropriate compensatory behaviors
Vignette 9 Question 1. Which of the following factors would you consider essential to make a diagnosis of anorexia nervosa? (Choose three of four)
Body weight less than minimally normal for height and age
A disturbance in how body weight is experienced
Amenorrhea
Binge eating and purging behavior
Vignette 9 Question 2. Based on diagnostic criteria you determine that Judy has anorexia. Which of the following medical complications are likely to be associated with the diagnosis? (Choose five of six)
Bradycardia
Pancytopenia
Osteopenia
Metabolic encephalopathy
Ulcerative colitis
Vignette 9 Question 3. Which of the following would be considered indications that Judy should be admitted to a hospital? (Choose three of four)
Significant hypokalemia
Body mass index (BMI) less than 15 kg/m^2
Growth arrest
Vignette 9 Question 4. As part of your evaluation of Judy you wish to calculate her BMI. How do you do that?
100lb for the first 5 feet in height +5lb/inch over 5 feet ± 10%
Height (m2)/weight (kg)
(Age [years]×0.375+height [m])×0.093/0.09 (daily caloric intake [kcal])
Weight (kg)/height (m)
Vignette 9 Question 5. You consider treatment options for Judy. Which of the following have proven efficacy in patients with anorexia? (Choose four of five)
Cognitive behavioral therapy
Family therapy
Fluoxetine
Olanzapine
Bupropion
Vignette 9 Question 6. Which of the following are possible complications of self-induced vomiting? (Choose three of four)
Russell’s sign
Mallory–Weiss syndrome
Spontaneous abortion
Atonic colon
Vignette 9 Question 7. Which of the following are possible complications of ipecac abuse? (Choose three of four)
Skeletal muscle atrophy
Rectal prolapse
Prolonged QTc interval
Vignette 9 Question 8. Which of the following statements are correct concerning anorexia? (Choose two of four)
Risk of anorexia increases when family members have anorexia
Patients with anorexia often demonstrate traits of paranoid personality disorder
Patients with anorexia are characterized by emotional flexibility
Adolescence is a time of increased risk for anorexia
Vignette 9 Question 9. Which of the following should be included in the differential diagnosis for anorexia? (Choose four of five)
Anxiety disorders
Substance abuse
Brief psychotic disorder
10. Medical treatment for anorexia should include which of the following? (Choose three of four)
Combination estrogen and progesterone
Dental follow-up
Electrocardiogram
Correction of hypokalemia