Update ) Primary Care
Management of Adolescents and
Adults | Study Guide Questions and
Answers | Grade A | 100% Correct –
Chamberlain
Question:
What questions are included in the SCOFF tool?
Answer:
1. Do you make yourself sick because you feel uncomfortably full?
2. Do you worry you have lost control over how much you eat?
3. Have you recently lost more than one stone in a three-month period?
4. Do you believe yourself to be fat when others say you are too thin?
5. Would you say that food dominates your life?
,Question:
What is the SCOFF tool used for?
Answer:
The SCOFF tool is a screening tool for eating disorders.
Question:
What are the diagnostic criteria for anorexia nervosa?
Answer:
1. Restriction of energy intake leading to significantly low body weight.
2. Intense fear of gaining weight or persistent behavior interfering with weight
gain.
3. Disturbance in body weight or shape perception.
Question:
What is considered significantly low weight in anorexia nervosa diagnosis?
Answer:
A weight that is less than minimally normal or expected for the individual's
age, sex, and physical health.
,Question:
What is the significance of the disturbance in body image for anorexia
nervosa?
Answer:
It includes undue influence of body weight or shape on self-evaluation and a
lack of recognition of the seriousness of the current low body weight.
Question:
What are some dental complications of bulimia nervosa?
Answer:
Enamel erosion, hot/cold sensitivity, discoloration, dental caries, gum
disease.
Question:
What endocrine complications can arise from bulimia nervosa?
Answer:
Menstrual irregularities, osteopenia and osteoporosis, diabetes.
, Question:
List gastrointestinal complications associated with bulimia nervosa.
Answer:
Parotid and submandibular gland hypertrophy, laryngopharyngeal reflux, loss
of gag reflex, esophageal dysmotility, abdominal pain and bloating, Mallory-
Weiss syndrome, esophageal rupture, gastroesophageal reflux disease
(GERD), Barrett's esophagus, gastric dilation, diarrhea and malabsorption,
steatorrhea, protein-losing gastroenteropathy, hypokalemic ileus, colonic
dysmotility, constipation, irritable bowel syndrome, melanosis coli, cathartic
colon, rectal prolapse, pancreatitis.
Question:
What renal and electrolyte complications can occur due to bulimia nervosa?
Answer:
Dehydration, hypokalemia, hypochloremia, hyponatremia, metabolic
alkalosis, hypomagnesemia, hypophosphatemia.
Question:
What is the first-line pharmacological treatment for bulimia nervosa?
Answer:
Fluoxetine.