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Exam 2: NU665C/ NU 665C (Latest 2025/ 2026 Update) Psychiatric Mental Health Care of the Family II Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Regis

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Exam 2: NU665C/ NU 665C (Latest 2025/ 2026 Update) Psychiatric Mental Health Care of the Family II Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Regis QUESTION Bulimia Nervosa (BN) Why does vomiting cause hypochloremic metabolic alkalosis? Answer: Loss of stomach acid (HCl) leads to increased bicarbonate, causing alkalosis. QUESTION What happens to amylase levels in BN? Answer: Elevated amylase is due to salivary gland hypertrophy from frequent vomiting. QUESTION A 19-year-old college student reports binge eating followed by self-induced vomiting. Labs show hypokalemia, hypochloremia, metabolic alkalosis, and elevated serum amylase. What is the most likely diagnosis? Answer: Bulimia Nervosa QUESTION Why does BED lead to metabolic syndrome? Answer: Excess calorie intake → weight gain → insulin resistance, high cholesterol, and fatty liver disease. QUESTION A 35-year-old woman presents with uncontrolled binge eating episodes. She has hypertension, elevated glucose, and a BMI of 33. What medication is FDA-approved for her condition? Answer: Lisdexamfetamine (Vyvanse). QUESTION Why do non-Western cultures present differently? Answer: Less focus on body image concerns. Eating disorders may manifest as GI complaints or food avoidance rather than a desire to be thin. QUESTION How does gender affect eating disorder diagnosis? Answer: Men are often underdiagnosed due to stigma. More common in athletes, bodybuilders, and wrestlers.

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Examl 2:l NU665C/l NUl 665Cl (Latestl
2025/l 2026l Update)l Psychiatricl Mentall
Healthl Carel ofl thel Familyl IIl Review|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Regis

Q:l Bulimial Nervosal (BN)
l Whyl doesl vomitingl causel hypochloremicl metabolicl alkalosis?

Answer:
Lossl ofl stomachl acidl (HCl)l leadsl tol increasedl bicarbonate,l causingl alkalosis.




Q:l Whatl happensl tol amylasel levelsl inl BN?
Answer:
Elevatedl amylasel isl duel tol salivaryl glandl hypertrophyl froml frequentl vomiting.




Q:l Al 19-year-oldl collegel studentl reportsl bingel eatingl followedl byl self-inducedl
vomiting.l Labsl showl hypokalemia,l hypochloremia,l metabolicl alkalosis,l andl elevatedl
seruml amylase.l Whatl isl thel mostl likelyl diagnosis?

Answer:
Bulimial Nervosa




Q:l Whyl doesl BEDl leadl tol metabolicl syndrome?
Answer:

, Excessl caloriel intakel →l weightl gainl →l insulinl resistance,l highl cholesterol,l andl fattyl
liverl disease.




Q:l Al 35-year-oldl womanl presentsl withl uncontrolledl bingel eatingl episodes.l Shel hasl
hypertension,l elevatedl glucose,l andl al BMIl ofl 33.l Whatl medicationl isl FDA-approvedl
forl herl condition?

Answer:
Lisdexamfetaminel (Vyvanse).




Q:l Whyl dol non-Westernl culturesl presentl differently?
Answer:
Lessl focusl onl bodyl imagel concerns.
Eatingl disordersl mayl manifestl asl GIl complaintsl orl foodl avoidancel ratherl thanl al desirel
tol bel thin.




Q:l l Howl doesl genderl affectl eatingl disorderl diagnosis?

Answer:
Menl arel oftenl underdiagnosedl duel tol stigma.
Morel commonl inl athletes,l bodybuilders,l andl wrestlers.




Q:l Al 25-year-oldl malel wrestlerl presentsl withl bingel eating,l excessivel exercise,l andl
dehydration.l Hel deniesl bodyl imagel concerns.l Hisl BMIl isl normal.l Whatl shouldl youl
consider?

Answer:
Eatingl disorderl relatedl tol weight-classl sportsl (BNl orl BED).

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