Eating Disorders
| 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
|
