Eating Disorders

 

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1. Regarding Anorexia Nervosa (AN):  
A. There has been a recent increase in the incidence in the 11-16 age group.
F
B. Ten times more women are affected than men.
T
C. Prevalence is of the order of 250 per 100,000 women.
T
D. Adverse life events are more common in the ‘early onset’ (<25) group.
F
E. Purging has to be present for the diagnosis to be made.
F
   
2. The following are recognized physical complications of AN:  
A. ‘Pseudoatrophy’ on brain imaging.
T
B. EEG abnormalities.
T
C. Increased heart size.
F
D. Prolongation of the QT interval.
T
E. Tachycardia
F
   
3. The following are recognized physical complications of AN:  
A. Hypercholesterolaemia.
T
B. Increased plasma amylase.
T
C. Increased growth hormone secretion.
T
D. Decreased cortisol secretion, resulting in a positive Dexamethasone Suppression Test (DST)
F
E. Relative Lymphopenia.
F
   
4. The following are recognized physical complications of AN:  
A. Increased gastric emptying.
F
B. Diabetes mellitus.
F
C. Acute pancreatitis.
T
D. Abnormal secondary sexual hair pattern.
F
E. Increased perinatal mortality.
T
   
5. The following are abnormal in AN:  
A. Cholecystokinin (CCK) activity.
T
B. 5-HT activity.
T
C. Dopamine activity.
F
D. Thalamic function.
F
E. Hypothalamic function.
T
   
6. The following are predictors of good outcome in AN:  
A. Late age of onset.
F
B. Short illness duration.
T
C. Premorbid obesity.
F
D. Absence of bulimic behaviour.
T
E. Male sex.
F
   
7. Bulimia Nervosa (BN):  
A. Is more common than Anorexia Nervosa (AN).
T
B. Has an onset later than that of AN.
T
C. Is more common in developed countries.
T
D. Often develops with a prior history of AN
T
E. Affects 10-20 % of female adolescents at any one time.
F
   
8. Physical complications of BN include:  
A. Hyperkalaemia.
F
B. Hypocalcaemia.
T
C. Injury to myenteric plexuses of small bowel
F
D. Urinary infections.
T
E. Cardiac arrhythmia.
T
   
9. Associations with BN include:  
A. Shoplifting.
T
B. Depression.
T
C. Decreased sexual activity.
F
D. History of sexual abuse.
T
E. Lower rate of alcohol abuse than anorexia nervosa.
F
   
10. Regarding the aetiology of BN:  
A. There is increased 5-HT activity.
F
B. Dopamine abnormalities have been found.
T
C. There are abnormalities of CCK activity.
T
D. Increased levels of CSF HVA.
F
E. MZ:DZ ratios of 10:1 have been found.
F
   
11. The following are true in obesity:  
A. Increased levels of measurable neuroticism.
F
B. Increased heat production from brown adipose tissue.
F
C. Accurate judgement of how much has been eaten.
F
D. Eating is more related to internal stimuli, such as gastric activity.
F
E. Response to stress includes bingeing.
T


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