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45 Cards in this Set
- Front
- Back
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loss of appetite
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anorexia
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signs of anorexia
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self induced starvation, relentless drive for thinnes, presences of medical signs from starvation
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number of girls with anorexia nervosa
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0.5 o 1 percent
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most common symptom in anorexia nervosa
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depression in 65%
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how does MHPG play a part in anorexia
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increase in MHPG is decrease in depression. Diminsihed norepinephrine turnover and activity are suggested by reduced 3-methoxy-4-hydroxyphenylglycol (MHPG) levels in urine and CSF
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what contributes to denial of hunger?
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endogenous opiods
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chemical changes in starvation
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hypercortisolemia and nonsupression by dexamethasone as well as thyroid suppression and amenorrhea. Also enlarged CSF spaces
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how close to gay % of eating disorders to heterosexual women
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close but lower. much higher than lesbians
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self starvation may be seen as what?
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an effort to gain validation as a unique special perons
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what are some symptoms if anorexia
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hypothermia, bradycardia, orthostasis, hypokalemic alkalosis, T- wave flattening or inversion, ST=getment depression, and lengthening of QT interval
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How long must anorexic behaviors be present?
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3 months
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when does loss of appetite happen in annorexia?
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not until late in the disorder. They are constantly thinking about food
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what are some common behaviors of anorexia?
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Stealing, usually candy, rigid and perfectionist, decreased interest in sex,
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the two types of anorexia nervosa
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restricting with 300-500 calories a day and binge eating/purging type. binge eating are known for substance abuse while restrictive are obsessive compulsive. suicide rate higher in binge eating type
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difference between depression and anorexia
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anorexic patients feel they have a normal appetite
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somatization disorder
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amenorrhea for over three months is rare, weight loss is not severe
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changes in what nerve causes changes in eating patterns
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vagus nerve
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who benefits from family therapy?
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people younger than 18
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medication used in restricting type of anorexia
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cyproheptadine (periactin)
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A failed attempt at anorexia
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bulimia
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define bulimia
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binge eating with inappropriate ways of stopping weight gain, social interruption or physical discomfort that stops the binge eating, followed by guilt. usually normal weight
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medication in bulimia
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antidepressants
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family relationship of people with bulimia
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less close to family
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attitude of bulimia patient
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more outgoing
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the depression after episode
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postbinge anguish
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behavior that is increased in bulimia
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anxiety disorders, bipolar I, and histories of sexual abuse
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those who do not purge in bulimia are usually
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obese
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health of purging type of ulimia
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hypokalemia, hypochloremic alkalosis, gastric and esophageal tears. thyroid function intact but dehydrated patients can get hyomagnesmia and hyperamylasemia
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treatment in a seasonal affective disorder
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bright light therapy
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First line treatment for bulimia
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cognitive behavioral therapy
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what constitutes obese
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BMI over 30 with 25-29.9 being overweight and 40 being extreme obese
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when hunger is satisfied
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satiety
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dysfunction in satiety could be due to what chemical involvements?
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serotonin, dopamine, norepinephrine
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cannabinoid receptors are stimulated with what
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cannabis. increase appetite
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rimonabant function?
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functions as an inverse agonist to block appetite on cannabinoid receptors
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obesity affects on adipose cells
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if in childhood, cells increase. if as adult, cells get bigger
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what happens when the blood level of leptin is low?
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more fat is consumed
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destruction of what can produce obesity?
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the ventromedial hypothalamus
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increase in appetite and weight during what months?
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winter and fall
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adiposogenital dysrophy characterized by obesity and sexual and skeletal abnormalities
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Frohlich's syndrome
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use of long term steroids on weight
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you gain weight
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Ambien causes some people to do what?
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Sleep eat
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when a person is 100 percent over desirable weight and has associated respiratory and radiovascular pathology
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Pickwickian syndrome
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metabolic syndrome is when you have 3 of what 5 risk factors?
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abdominal obesity, high triglyceride level, low high density lipoprotein cholesterol level, hypertension, elevated fasting blood glucose level
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ketogenic diets
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high protein, high fat diets used to promote weight loss
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