CEDS
TESTED QUESTIONS AND COMPLETE SOLUTIONS
Question 1.
most common form of purging in girls with T1DM. prevalence numbers
ANSWER
2% preteens
11-15% mid teens
30-39% for late teens/early adults
Question 2.
AN-BP and BN most commonly case which type of acid/base imbalance?
ANSWER
metabolic alkalosis
Question 3.
key concept: Med eval
ANSWER
RULE IN eating disorder (don't attempt to rule out all possible medical contributors, can delay
care and worsen outcomes)
Question 4.
weight suppression is
ANSWER
difference btwn highest wt and current wt as a % of body mass lost
>10% =mild
>15% = moderate
>20% lost in 1 year OR >10% lost in 6 months = severe
"extreme" only applies if final bmi <=13
,Question 5.
physical findings: Selective eating
ANSWER
micro/macro deficiencies
Question 6.
need for acute med stabilization
ANSWER
bradycardia - needs stabilization
Question 7.
high bicarb signifies
ANSWER
marker of dehydration, volume depletion AKA contraction metabolic alkalosis (PURGING)
Question 8.
which electrolyte imbalance seen in purging disorders
ANSWER
hypokalemia
Question 9.
targeted review of symptoms: general
ANSWER
wt loss, gain or fluctuations
weakness
cold intolerance
fatigue/lethargy
, Question 10.
ED ROS: Muskoluskeletal
ANSWER
overuse injuries, stress fx
Question 11.
med eval: Selective eating
ANSWER
complications result from the intensity, freq, and duration of selctive eating - may result in
issues with volume as well as variety
Question 12.
ED ROS: Dermatologic
ANSWER
lanugo hair
hair loss
yellow discoloration of the skin
acrocyanosis
poor wound healing
Question 13.
obstacles to comprehensive evaluation include (2)
ANSWER
focus on identifying medical crisis
lack of familiarity with newer dx and complications
Question 14.
complications present in BED
ANSWER
metabolic and cardiovascular
TESTED QUESTIONS AND COMPLETE SOLUTIONS
Question 1.
most common form of purging in girls with T1DM. prevalence numbers
ANSWER
2% preteens
11-15% mid teens
30-39% for late teens/early adults
Question 2.
AN-BP and BN most commonly case which type of acid/base imbalance?
ANSWER
metabolic alkalosis
Question 3.
key concept: Med eval
ANSWER
RULE IN eating disorder (don't attempt to rule out all possible medical contributors, can delay
care and worsen outcomes)
Question 4.
weight suppression is
ANSWER
difference btwn highest wt and current wt as a % of body mass lost
>10% =mild
>15% = moderate
>20% lost in 1 year OR >10% lost in 6 months = severe
"extreme" only applies if final bmi <=13
,Question 5.
physical findings: Selective eating
ANSWER
micro/macro deficiencies
Question 6.
need for acute med stabilization
ANSWER
bradycardia - needs stabilization
Question 7.
high bicarb signifies
ANSWER
marker of dehydration, volume depletion AKA contraction metabolic alkalosis (PURGING)
Question 8.
which electrolyte imbalance seen in purging disorders
ANSWER
hypokalemia
Question 9.
targeted review of symptoms: general
ANSWER
wt loss, gain or fluctuations
weakness
cold intolerance
fatigue/lethargy
, Question 10.
ED ROS: Muskoluskeletal
ANSWER
overuse injuries, stress fx
Question 11.
med eval: Selective eating
ANSWER
complications result from the intensity, freq, and duration of selctive eating - may result in
issues with volume as well as variety
Question 12.
ED ROS: Dermatologic
ANSWER
lanugo hair
hair loss
yellow discoloration of the skin
acrocyanosis
poor wound healing
Question 13.
obstacles to comprehensive evaluation include (2)
ANSWER
focus on identifying medical crisis
lack of familiarity with newer dx and complications
Question 14.
complications present in BED
ANSWER
metabolic and cardiovascular
