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 anorexia nervosa  



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Author9 Posts
  #1

Which of the following personality traits is most
likely to describe a young woman with anorexia nervosa?

(A) Depressive
(B) Borderline
(C) Anxious
(D) Perfectionist
(E) Impulsive

Which of the following therapies is most effective
for a patient with anorexia nervosa who is 70% of ideal
body weight?

(A) Tricyclic antidepressant
(B) Serotonin uptake antagonist antidepressant
(C) Supervised oral re-feeding in the hospital
(D) Total parenteral nutrition
(E) Oral re-feeding with outpatient psychiatric treatmen






  #2

A
E If pt has more wgt loss,it would be inpatient tx


  #3

Ha!
I'll say: 1B, 2E


  #4

for first qs D
People with anorexia have been found to have certain personality traits that are thought to predispose them to develop eating disorders. High levels of obsessionality (being subject to intrusive thoughts about food and weight-related issues), restraint (being able to fight temptation), and clinical levels of perfectionism (the pathological pursuit of personal high-standards and the need for control) have been cited as commonly reported factors in research studies


  #5

1...D

2...E



  #6

shaking head


  #7

1-C
2-E


  #8

#1 -D ; Good job to (sukhs,me007)

#2 -The answer is C.
Treating patients with severe anorexia nervosa (<75% of expected body weight) requires careful medical and psychiatric care. Patients with such severe weight deficits should be hospitalized, at which time a program of nutritional restoration with oral feeding with food or liquid supplements can be undertaken. However, much support and education are required to reassure the patient that the weight gain will
not be permitted to get “out of control.” Psychiatric treatment focuses on emotional support and improving self-esteem. Complications of re-feeding can be as severe as congestive heart failure; abnormal liver function tests and low levels of magnesium and phosphate
have been reported. Tricyclic antidepressants are contraindicated due to the possibility of prolongation of the QT interval in the setting of abnormal electrolyte levels. No psychotropic medicine has been shown to be beneficial in this disorder.


  #9

good question. I will remember them.





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