Topic 11

58. A common characteristic of both bulimics and anorexics is that they are A. male. B. born underweight for height. C. perfectionists. D. able to recognize their behavior as abnormal.

C. perfectionists.

71. The most significant factor promoting eating disorders in North American culture is A. food availability. B. the current focus on physical fitness. C. societal emphasis on being thin and the link between thinness and social value. D. the fatty foods emphasized in our culture.

C. societal emphasis on being thin and the link between thinness and social value.

27. Which of the following is characteristic of bulimics? A. Binge eating B. Have obvious symptoms C. Tend to be very thin D. Are almost never male

A. Binge eating

60. Which of the following is true about the bingeing behavior of the bulimic? A. Violation of rigid food rules can initiate a binge. B. Binges most often occur during the morning. C. Binges usually last 15 to 30 minutes. D. Accomplishing a personal goal usually initiates a binge.

A. Violation of rigid food rules can initiate a binge

76. Patients with ____________ may present with clinical signs of semistarvation, such as decreased metabolic rate. A. anorexia nervosa B. bulimia nervosa C. binge-eating disorder D. night eating syndrome

A. anorexia nervosa

77. Cessation of menstruation is most likely associated with A. anorexia nervosa B. binge-eating disorder. C. bulimia nervosa. D. night eating syndrome.

A. anorexia nervosa

51. The most long-term success in anorexia nervosa treatment has been with A. hospitalization and feeding via a tube. B. a multidisciplinary team of health care providers. C. scare tactics. D. outpatient treatment.

B. a multidisciplinary team of health care providers.

41. The incidence of anorexia nervosa is highest in A. adolescent males from middle and high socioeconomic classes. B. adolescent females from middle and upper socioeconomic classes. C. adolescent males from low-income classes. D. preteen females from low-income classes.

B. adolescent females from middle and upper socioeconomic classes.

78. Downy hair that grows on the body to counteract the heat loss associated with a lack of insulating subcutaneous fat is/are called A. amenorrhea. B. lanugo. C. hypothyroidism. D. endorphins.

B. lanugo.

26. Anorexia nervosa sufferers A. tend to be between 25 and 35 years of age. B. tend to be adolescent and early adult girls. C. lack denial of their disease. D. see themselves as thin even though they are fat.

B. tend to be adolescent and early adult girls.

52. The first goal in nutrition therapy for anorexia nervosa is A. to increase weight to return the basal metabolic rate to normal. B. to stop further weight loss. C. hospitalization and forced feeding. D. rapid weight gain to reverse physical symptoms.

B. to stop further weight loss.

64. Most of the health problems in bulimia arise from A. binge eating. B. vomiting. C. using laxatives. D. eating sweets.

B. vomiting.

68. Jane is a binge eater. Which of the following is probably not true about her? A. There is a high probability that she comes from an alcoholic family and may have been sexually abused. B. She uses food to numb herself in response to disruptive emotions such as anger and hurt. C. She binges on large quantities of food and purges. D. She most likely does not have the persistent preoccupation with body shape, weight, and thinness that anorexics and bulimics have.

C. She binges on large quantities of food and purges.

61. A food typically chosen for a bulimic binge is A. chicken. B. milk. C. donuts. D. pizza.

C. donuts.

79. Coping with stress by not eating is a characteristic of A. anorexia nervosa. B. bulimia nervosa. C. binge-eating disorder. D. night eating syndrome.

A. anorexia nervosa.

59. A difference between anorexics and bulimics is that A. anorexics turn away from food during a crisis, whereas bulimics turn toward food. B. bulimics exhibit denial of the disorder, whereas anorexics know their behavior is abnormal. C. anorexics come from loosely organized families, whereas bulimics come from overly-organized families. D. bulimics tend to be methodical, whereas anorexics tend to be impulsive.

A. anorexics turn away from food during a crisis, whereas bulimics turn toward food.

37. The family of a bulimic tends to A. have a great deal of conflict. B. have an overbearing father and mother. C. be overprotective. D. be rigid, with members over involved with one another.

A. have a great deal of conflict.

63. All of the following are associated with bulimia except A. less sexual activity than the general population. B. compulsive lying. C. drug abuse. D. shoplifting.

A. less sexual activity than the general population.

48. Loss of menstrual periods associated with anorexia nervosa is caused by A. low body fat content. B. loss of lean body mass. C. low thyroid hormone synthesis. D. lanugo.

A. low body fat content.

54. The typical characteristics for binge-eating disorder include binge-eating episodes A. not accompanied by purging. B. that do not cause distress. C. no more than once per week. D. that can be controlled or stopped at will.

A. not accompanied by purging.

55. All of the following are helpful for the recovery of the anorexic person except A. not pursuing family therapy. B. using antidepressant medications. C. joining a self-help group. D. establishing a strong relationship with a supportive person.

A. not pursuing family therapy.

70. Studies have shown that night eating syndrome symptoms, including nocturnal ingestion and evening hyperphagia, are significantly improved with use of A. an antibiotic. B. an antidepressant. C. a sleeping pill. D. amphetamines.

B. an antidepressant.

39. A condition of self-induced severe weight loss, particularly common in adolescent girls, is called A. malnutrition. B. anorexia nervosa. C. bulimia nervosa. D. binge-eating disorder.

B. anorexia nervosa.

75. Approximately half of the people with ____________ also suffer from chronic depression. A. anorexia nervosa B. bulimia nervosa C. female athlete triad

B. bulimia nervosa

74. Understanding the abnormality of the behavior is most common among people with A. anorexia nervosa. B. bulimia nervosa.

B. bulimia nervosa.

56. A disorder in which frequent bingeing and possibly purging occurs is called A. hypoglycemia. B. bulimia. C. anorexia nervosa. D. compulsive overeating.

B. bulimia.

46. The slower basal metabolism that accompanies anorexia nervosa is caused by A. decreased synthesis of growth hormone. B. decreased synthesis of thyroid hormone. C. low intake of iron. D. hypoglycemia.

B. decreased synthesis of thyroid hormone.

49. A major characteristic of an anorexic person that significantly inhibits successful treatment is A. suppression of feelings. B. denial of the problem. C. rationalization of the problem. D. high self-esteem.

B. denial of the problem.

28. Criteria for diagnosing anorexia nervosa include all the following except A. body weight 15 percent below expected. B. intense fear of becoming too thin. C. feels fat even when emaciated. D. amenorrhea.

B. intense fear of becoming too thin.

29. Criteria for diagnosing bulimia nervosa includes all the following except A. overconcern with body shape and weight. B. purposely eats large quantities of food and feels tremendous control in doing it. C. uses purging techniques like self-induced vomiting. D. two binge eating episodes per week for at least 3 months.

B. purposely eats large quantities of food and feels tremendous control in doing it.

66. Treatment for bulimia should last at least how many weeks? A. 4 B. 8 C. 16 D. 32

C. 16

62. Which of the following is true about purging behavior related to bulimia? A. There are no medical risks to purging. B. After many months of purging, it gets harder and harder to do. C. After vomiting, many kcalories from the food eaten are still absorbed. D. Few kcalories are absorbed when laxatives are used as a purging technique.

C. After vomiting, many kcalories from the food eaten are still absorbed.

32. Which of the following is not a sign or symptom of night eating syndrome? A. Not feeling hungry in the morning and delaying the first meal until several hours after waking B. Overeating in the evening with more than one-third of daily food intake after dinner C. Difficulty staying awake and not feeling hungry before falling asleep at night D. Feeling depressed, especially at night

C. Difficulty staying awake and not feeling hungry before falling asleep at night

40. What is the name of the condition characterized by disordered eating, lack of menstrual periods, and osteoporosis? A. Female anorexia B. Female bulimia C. Female athlete triad D. Binge eating disorder

C. Female athlete triad

31. Which characteristic is more indicative of bulimia than anorexia nervosa? A. Rigid, disciplined dieting B. Feeling a sense of power because of strict discipline and self-denial C. Fluctuating weight D. Lack of menstruation

C. Fluctuating weight

43. Which of the following is not an early warning sign of anorexia nervosa? A. Withdrawing from family and friends B. Cooking a large meal and watching others eat, but not eating themselves C. Sleeping often and having no interest in exercise D. Becoming irritable and hostile

C. Sleeping often and having no interest in exercise

80. Coping with stress by eating is a characteristic of A. anorexia nervosa. B. female athlete triad. C. bulimia nervosa.

C. bulimia nervosa.

33. All of the following can initiate the problem of anorexia nervosa except A. comments from significant others about being too fat. B. a job or profession that demands maintaining a certain weight. C. coming from a supportive family. D. leaving home and family for college.

C. coming from a supportive family.

36. A person with anorexia nervosa is likely to A. come from a low socioeconomic class. B. come from a loose, flexible home. C. grow up in a perfectionistic home with very high expectations. D. have a mother with a healthy view of the body and food habits.

C. grow up in a perfectionistic home with very high expectations.

45. The semistarvation of anorexia nervosa results in all the following physiological changes except A. dry, scaly, cold skin. B. lanugo hair. C. increased heart rate. D. iron-deficiency anemia.

C. increased heart rate.

69. Which of the following is the best treatment approach for binge eating disorder? A. A diet that lists foods to be eaten and others to be avoided. B. A structured eating plan that the person eats without regard to his or her hunger signals. C. Teaching them not to be selfish and work at nurturing others. D. An eating plan that does not restrict particular foods, in which the person eats in response to hunger signals.

D. An eating plan that does not restrict particular foods, in which the person eats in response to hunger signals.

42. Which of the following is not characteristic of individuals who develop eating disorders? A. From middle- and upper-class families B. Highly competitive C. From families with unrealistic expectations D. Have high self-esteem

D. Have high self-esteem

72. Slowly increasing body weight to achieve a BMI of 20 or more is a goal in the treatment of A. night eating syndrome. B. binge-eating disorder. C. bulimia nervosa. D. anorexia nervosa.

D. anorexia nervosa.

73. Food diaries and a regular meal plan are commonly part of the treatment for A. female athlete triad. B. anorexia nervosa. C. night eating syndrome. D. bulimia nervosa.

D. bulimia nervosa.

44. At later stages in anorexia development, anorexics A. do not feel hungry. B. abstain from beverages and food. C. eat 1,200 to 1,500 kcalories per day. D. eat 300 to 600 kcalories per day.

D. eat 300 to 600 kcalories per day.

34. Night eating syndrome is characterized by evening hyperphagia which is defined as A. eating all of total daily calories after the evening meal. B. eating one-half of total daily calories after the evening meal. C. eating one-half of total daily calories at the evening meal. D. eating more than one-third of total daily calories after the evening meal.

D. eating more than one-third of total daily calories after the evening meal.

50. One of the best ways to get anorexics into treatment is to A. threaten them. B. deny the disorder. C. keep offering them food. D. have group intervention of friends and family to confront them with the problem.

D. have group intervention of friends and family to confront them with the problem.

65. Joni uses ipecac syrup to promote vomiting after her binges. All of the following are negative effects of vomiting except A. tooth decay. B. swelling of salivary glands. C. stomach ulcers. D. high blood potassium levels, which disturb heart rhythm

D. high blood potassium levels, which disturb heart rhythm

25. All of the following are true of anorexia nervosa except A. distorted body image. B. decreased heart rate. C. denial of appetite. D. increased body temperature.

D. increased body temperature.

53. All of the following are goals for an anorexic person except A. gain 2-3 pounds per week. B. a slow rate of weight gain. C. for weight to exceed 90 percent of pre-illness weight. D. keep activity at a high level.

D. keep activity at a high level.

35. All of the following are true of an anorexic person who falls below 75 percent of normal body weight except A. hospitalization is almost always necessary. B. cure becomes very difficult. C. premature death is likely. D. loss of menstrual period becomes irreversible.

D. loss of menstrual period becomes irreversible.

47. In anorexia nervosa, low blood potassium levels are associated with all of the following except A. poor nutrient intake. B. diuretic use. C. heart rhythm disturbances. D. low protein intake.

D. low protein intake.

38. Anorexia nervosa is defined as A. hyperactivity. B. compulsive eating. C. purging, including laxatives and diuretics. D. psychological denial of appetite.

D. psychological denial of appetite.

67. An effective nutritional counseling approach to bulimia involves all the following except A. a daily meal plan. B. keeping a daily food diary. C. helping the person correct misconceptions about food. D. suggesting that the person follow strict food rules to control eating.

D. suggesting that the person follow strict food rules to control eating.

57. All of the following are true about bulimia except A. the disordered behavior is secretive. B. frequent bingeing and purging occurs. C. it most commonly occurs in adolescent and college-age individuals. D. the result is low body weight.

D. the result is low body weight.

30. Prevention of eating disorders might include any of the following except A. discourage dieting. B. teach normal, healthy approach to eating and nutrition. C. encourage eating in relation to hunger and satiety cues. D. weighing often.

D. weighing often.