Tuesday, December 02, 2003
Back to MRCPsych revision
Eating Disorders
1. Complications of bulimia nervosa include epileptic seizures T
2. Complications of bulimia nervosa include duodenal ulcer F
3. Complications of bulimia nervosa include Amenorrhoea T
4. Complications of bulimia nervosa include Oesophageal tear T
5. Complications of bulimia nervosa include erosion of dental enamel T
6. Binging is a Poor prognostic indicator in anorexia nervosa T
7. Self induced vomiting is a Poor prognostic indicator in anorexia nervosa T
8. Male sex is a Poor prognostic indicator in anorexia nervosa T
9. Onset of illness in adolescence is a Poor prognostic indicator in anorexia nervosa F
10. A long duration of illness prior to presentation is a Poor prognostic indicator in anorexia nervosa T
11. Over eating occurs in anorexia nervosa T
12. Over eating occurs in bulimia nervosa T
13. Over eating occurs in Klein – Levin syndrome T
14. Over eating occurs in seasonal affective disorder T
15. Over eating occurs in depression T
16. Anorexia nervosa has a higher incidence in MZ than DZ twins T
17. Anorexia nervosa has a higher incidence in MZ than DZ twins T
18. Anorexia nervosa has a higher incidence in MZ than DZ twins T
19. Anorexia nervosa rare in non white western countries T
20. Anorexia nervosa rare in non white western countries T
21. In Anorexia nervosa the onset is always after the age of 14
22. In Anorexia nervosa amenorrhoea may not occur if the patient is on the pill T
23. In Anorexia nervosa resting bradycardia is likely to indicate hypothyroidism F
24. In Anorexia nervosa ankle oedema may be seen T
25. In Anorexia nervosa there may be preoccupation with cooking & preparation of food T
26. In Anorexia nervosa amenorrhoea starts usually before weight loss F
27. In Anorexia nervosa there is an abnormal response to TSH F
28. In Anorexia nervosa patients have an abnormal body image even at normal body weight T
29. If Anorexia nervosa is associated with features of bulimia the diagnosis should be changed to bulimia nervosa F
In Anorexia nervosa there is loss of pubic hair F
30. Bulimia nervosa has a peak age of onset of 20-30 T
31. Bulimia nervosa involves a morbid fear of fatness T
32. Bulimia nervosa has a prevalence of less 1% F
33. Bulimia nervosa is associated with high socio-economic class F
34. Bulimia nervosa may present with abdominal pain T
35. Anorexia nervosa is associated with impotence T
36. Anorexia nervosa M : F ratio is 1 : 10 T
37. Anorexia nervosa has a 2% mortality F 5-20%
38. Anorexia nervosa is associated with hypocarotinosis F
39. Anorexia nervosa is characterised by increased sleeping F
40. Recognised features of Bulimia nervosa include a sexually active relationship T
41. Recognised features of Bulimia nervosa include significant weight loss T
42. Recognised features of Bulimia nervosa include Amenorrhoea T
43. Recognised features of Bulimia nervosa include normal mood T
44. Recognised features of Bulimia nervosa include recurrent binge eating T
45. Anorexia nervosa is related to some occupations T
46. Anorexia nervosa is rare in developing countries T
47. Anorexia nervosa is over represented in higher social class T
48. In Anorexia nervosa MZ twins are more concordant for the disorder than DZ T
49. In Anorexia nervosa 5-10% of the patients are men T
50. In Anorexia nervosa tachycardia is as common as bradycardia F
51. In Anorexia nervosa Cholesterol level is increased T
52. In Anorexia nervosa Growth hormone is increased T
53. In Anorexia nervosa Secondary sexual hair is lost F
Most body systems are affected by anorexia
Biochemistry: Increased cholesterol, amylase, LFT, GH, cortisol. Low T3,
Glucose, Ca, k, mg, sex hormones (oestrogen & testosterone) LH level
reverts to prepubertal.
Haematological: leucopenia, relative lymphocytosis, and anaemia of chronic
disease.
Other features: muscle wasting, emaciation, pitted teeth (from Hcl), calluses on the back of the hand (patient induces vomiting by putting a finger in the throat or scraping hand on the upper teeth Russell’s sign), amenorrhoea, low BP, bradycardia, hypothermia, decreased libido, lanugo hair, constipation, peripheral oedema, osteoporosis, arrhythmia secondary to biochemical disturbance & delayed onset of puberty
54. In Anorexia nervosa female patients must have by definition a history of amenorrhoea F
55. Patients with Anorexia nervosa often show obsessions unrelated to eating T
56. Patients with Anorexia nervosa show disturbances of hypothalamic – pituitary – adrenal axis when weight is low T
57. Patients with Anorexia nervosa have 5% risk of suicide & death F 15%
58. Patients with Anorexia nervosa develop osteoporosis through oestrogen deficit T
59. Lab abnormalities found in Anorexia nervosa include decreased plasma cortisol F
60. Lab abnormalities found in Anorexia nervosa include increased GH T
61. Lab abnormalities found in Anorexia nervosa include metabolic acidosis F
62. Lab abnormalities found in Anorexia nervosa include increased cholesterol T
63. Lab abnormalities found in Anorexia nervosa include decreased plasma tri-iodothyronin T
64. Clinical signs of normal weight Bulimia nervosa include erosion of teeth enamel T
65. Clinical signs of normal weight Bulimia nervosa include abdominal striae T
66. Clinical signs of normal weight Bulimia nervosa include hyperventilation secondary to metabolic acidosis F
67. Clinical signs of normal weight Bulimia nervosa include Lanugo hair F
68. Clinical signs of normal weight Bulimia nervosa include Calluses on the fingers T
69. Complications of bulimia nervosa include parotid gland enlargement T
70. Complications of bulimia nervosa include hypokalaemic alkalosis T
71. Complications of bulimia nervosa include cardiac failure T
72. Complications of bulimia nervosa include acute dilatation of the stomach T
73. Complications of bulimia nervosa include oesophageal tear T
74. Features of Anorexia nervosa include loss of potency in men T
75. Common endocrine abnormalities in An include high resting cortisol level T
76. Unlike Anorexia nervosa most patients with bulimia nervosa continue to be sexually active T
77. In eating disorders body image disturbance is usually recognised by the patient F
78. Anorexia nervosa is more common in adolescence of social classes 2 & 3 F
79. Food deprivation lead to subsequent Anorexia nervosa F deprivation lead to overeating & subsequent Weight gain
80. Low serum cholesterol is seen in Anorexia nervosa F
81. Late onset Anorexia nervosa has a better prognosis than early onset F better prognosis when it begins at a younger age & duration of illness is short
82. Hyperphagia is a feature of bulimia nervosa T
83. Olfactory hallucinations may be seen in Anorexia nervosa F
84. In Anorexia nervosa amenorrhoea precedes weight loss in most patients F
85. Depressive symptoms are more common in Anorexia nervosa compared with bulimia nervosa F
86. Anorexia nervosa generally begins between the age of 12 & 14 year T
87. Males with Anorexia nervosa have better prognosis than females F
88. In bulimia nervosa Patient have a loss of control over eating T
Eating Disorders
1. Complications of bulimia nervosa include epileptic seizures T
2. Complications of bulimia nervosa include duodenal ulcer F
3. Complications of bulimia nervosa include Amenorrhoea T
4. Complications of bulimia nervosa include Oesophageal tear T
5. Complications of bulimia nervosa include erosion of dental enamel T
6. Binging is a Poor prognostic indicator in anorexia nervosa T
7. Self induced vomiting is a Poor prognostic indicator in anorexia nervosa T
8. Male sex is a Poor prognostic indicator in anorexia nervosa T
9. Onset of illness in adolescence is a Poor prognostic indicator in anorexia nervosa F
10. A long duration of illness prior to presentation is a Poor prognostic indicator in anorexia nervosa T
11. Over eating occurs in anorexia nervosa T
12. Over eating occurs in bulimia nervosa T
13. Over eating occurs in Klein – Levin syndrome T
14. Over eating occurs in seasonal affective disorder T
15. Over eating occurs in depression T
16. Anorexia nervosa has a higher incidence in MZ than DZ twins T
17. Anorexia nervosa has a higher incidence in MZ than DZ twins T
18. Anorexia nervosa has a higher incidence in MZ than DZ twins T
19. Anorexia nervosa rare in non white western countries T
20. Anorexia nervosa rare in non white western countries T
21. In Anorexia nervosa the onset is always after the age of 14
22. In Anorexia nervosa amenorrhoea may not occur if the patient is on the pill T
23. In Anorexia nervosa resting bradycardia is likely to indicate hypothyroidism F
24. In Anorexia nervosa ankle oedema may be seen T
25. In Anorexia nervosa there may be preoccupation with cooking & preparation of food T
26. In Anorexia nervosa amenorrhoea starts usually before weight loss F
27. In Anorexia nervosa there is an abnormal response to TSH F
28. In Anorexia nervosa patients have an abnormal body image even at normal body weight T
29. If Anorexia nervosa is associated with features of bulimia the diagnosis should be changed to bulimia nervosa F
In Anorexia nervosa there is loss of pubic hair F
30. Bulimia nervosa has a peak age of onset of 20-30 T
31. Bulimia nervosa involves a morbid fear of fatness T
32. Bulimia nervosa has a prevalence of less 1% F
33. Bulimia nervosa is associated with high socio-economic class F
34. Bulimia nervosa may present with abdominal pain T
35. Anorexia nervosa is associated with impotence T
36. Anorexia nervosa M : F ratio is 1 : 10 T
37. Anorexia nervosa has a 2% mortality F 5-20%
38. Anorexia nervosa is associated with hypocarotinosis F
39. Anorexia nervosa is characterised by increased sleeping F
40. Recognised features of Bulimia nervosa include a sexually active relationship T
41. Recognised features of Bulimia nervosa include significant weight loss T
42. Recognised features of Bulimia nervosa include Amenorrhoea T
43. Recognised features of Bulimia nervosa include normal mood T
44. Recognised features of Bulimia nervosa include recurrent binge eating T
45. Anorexia nervosa is related to some occupations T
46. Anorexia nervosa is rare in developing countries T
47. Anorexia nervosa is over represented in higher social class T
48. In Anorexia nervosa MZ twins are more concordant for the disorder than DZ T
49. In Anorexia nervosa 5-10% of the patients are men T
50. In Anorexia nervosa tachycardia is as common as bradycardia F
51. In Anorexia nervosa Cholesterol level is increased T
52. In Anorexia nervosa Growth hormone is increased T
53. In Anorexia nervosa Secondary sexual hair is lost F
Most body systems are affected by anorexia
Biochemistry: Increased cholesterol, amylase, LFT, GH, cortisol. Low T3,
Glucose, Ca, k, mg, sex hormones (oestrogen & testosterone) LH level
reverts to prepubertal.
Haematological: leucopenia, relative lymphocytosis, and anaemia of chronic
disease.
Other features: muscle wasting, emaciation, pitted teeth (from Hcl), calluses on the back of the hand (patient induces vomiting by putting a finger in the throat or scraping hand on the upper teeth Russell’s sign), amenorrhoea, low BP, bradycardia, hypothermia, decreased libido, lanugo hair, constipation, peripheral oedema, osteoporosis, arrhythmia secondary to biochemical disturbance & delayed onset of puberty
54. In Anorexia nervosa female patients must have by definition a history of amenorrhoea F
55. Patients with Anorexia nervosa often show obsessions unrelated to eating T
56. Patients with Anorexia nervosa show disturbances of hypothalamic – pituitary – adrenal axis when weight is low T
57. Patients with Anorexia nervosa have 5% risk of suicide & death F 15%
58. Patients with Anorexia nervosa develop osteoporosis through oestrogen deficit T
59. Lab abnormalities found in Anorexia nervosa include decreased plasma cortisol F
60. Lab abnormalities found in Anorexia nervosa include increased GH T
61. Lab abnormalities found in Anorexia nervosa include metabolic acidosis F
62. Lab abnormalities found in Anorexia nervosa include increased cholesterol T
63. Lab abnormalities found in Anorexia nervosa include decreased plasma tri-iodothyronin T
64. Clinical signs of normal weight Bulimia nervosa include erosion of teeth enamel T
65. Clinical signs of normal weight Bulimia nervosa include abdominal striae T
66. Clinical signs of normal weight Bulimia nervosa include hyperventilation secondary to metabolic acidosis F
67. Clinical signs of normal weight Bulimia nervosa include Lanugo hair F
68. Clinical signs of normal weight Bulimia nervosa include Calluses on the fingers T
69. Complications of bulimia nervosa include parotid gland enlargement T
70. Complications of bulimia nervosa include hypokalaemic alkalosis T
71. Complications of bulimia nervosa include cardiac failure T
72. Complications of bulimia nervosa include acute dilatation of the stomach T
73. Complications of bulimia nervosa include oesophageal tear T
74. Features of Anorexia nervosa include loss of potency in men T
75. Common endocrine abnormalities in An include high resting cortisol level T
76. Unlike Anorexia nervosa most patients with bulimia nervosa continue to be sexually active T
77. In eating disorders body image disturbance is usually recognised by the patient F
78. Anorexia nervosa is more common in adolescence of social classes 2 & 3 F
79. Food deprivation lead to subsequent Anorexia nervosa F deprivation lead to overeating & subsequent Weight gain
80. Low serum cholesterol is seen in Anorexia nervosa F
81. Late onset Anorexia nervosa has a better prognosis than early onset F better prognosis when it begins at a younger age & duration of illness is short
82. Hyperphagia is a feature of bulimia nervosa T
83. Olfactory hallucinations may be seen in Anorexia nervosa F
84. In Anorexia nervosa amenorrhoea precedes weight loss in most patients F
85. Depressive symptoms are more common in Anorexia nervosa compared with bulimia nervosa F
86. Anorexia nervosa generally begins between the age of 12 & 14 year T
87. Males with Anorexia nervosa have better prognosis than females F
88. In bulimia nervosa Patient have a loss of control over eating T
