Eating Disorder Quiz: Anorexia Or Bulimia?

1. A nursing diagnosis for a patient with anorexia nervosa is imbalanced nutrition: less than body requirements. What is the priority nursing intervention?

Force-feeding through nasogastric tube

Educate about food pyramid and nutrition

Monitor intake, weight, and vital signs; provide structured meal plan

Encourage unlimited exercise for health

2. In the diagnostic criteria for anorexia nervosa, the minimum weight loss or failure to gain weight expected for age/height is typically what percentage below normal?

5% below expected

10% below expected

15% below expected

20% or more below expected

3. A patient with bulimia nervosa has knuckle calluses and scarring on the dorsal hand. What is the clinical term for this finding?

Russell's sign

Chvostek's sign

Trousseau's sign

Kernig's sign

4. Which family therapy approach is evidence-based for adolescents with anorexia nervosa?

Psychodynamic therapy

Maudsley method (family-based treatment)

Exposure therapy only

Hypnotherapy

5. A 20-year-old with anorexia nervosa reports preoccupation with body image and calories despite being significantly underweight. This reflects which core psychopathology?

Body dysmorphia only

Distorted body image and overvaluation of weight/shape

Normal adolescent concern

Schizophrenia

6. Which gastrointestinal complication is most life-threatening in bulimia nervosa?

Constipation

Gastric rupture from binge eating

Mild gastroesophageal reflux

Bloating

7. A patient with anorexia nervosa has a serum cortisol level significantly elevated. What is the clinical significance of this finding?

Indicates primary adrenal insufficiency

Reflects chronic metabolic stress and malnutrition

Suggests hyperthyroidism

Is unrelated to the eating disorder

8. Cognitive-behavioral therapy (CBT) is the first-line psychotherapy for bulimia nervosa. How long is the typical treatment duration?

2-4 weeks

8-12 weeks

16-20 weeks

6-12 months

9. A patient with anorexia nervosa exhibits signs of refeeding syndrome during hospitalization. Which lab value is most concerning?

Hyperphosphatemia

Hypophosphatemia

Hyperkalemia

Hypercalcemia

10. Which medication has FDA approval for treating bulimia nervosa?

Sertraline (SSRI)

Fluoxetine (SSRI)

Bupropion

Haloperidol

11. A 22-year-old female reports severe food restriction and a BMI of 16.5. She exhibits obsessive exercise habits and denies the seriousness of her condition. Which eating disorder is most consistent with this presentation?

Anorexia nervosa, restricting type

Bulimia nervosa, purging type

Binge eating disorder

Avoidant/restrictive food intake disorder

12. Which neurotransmitter dysfunction is implicated in the pathophysiology of bulimia nervosa?

Decreased dopamine

Decreased serotonin

Increased acetylcholine

Increased GABA

13. A patient with anorexia nervosa has a serum albumin of 2.8 g/dL. What does this indicate regarding nutritional status?

Adequate protein intake

Severe protein malnutrition

Liver dysfunction only

Normal nutritional status

14. Which bone complication is most commonly seen in patients with long-standing anorexia nervosa?

Osteoporosis

Osteomyelitis

Rickets

Paget's disease

15. A patient with bulimia nervosa reports recurrent binge episodes followed by self-induced vomiting. How many days per week must this occur to meet diagnostic criteria?

At least 1 day per week for 3 months

At least 2 days per week for 3 months

Daily for 1 month

At least 3 days per week for 6 months

16. Which screening tool is most commonly used to assess eating disorder risk in primary care settings?

CAGE questionnaire

SCOFF questionnaire

PHQ-9

GAD-7

17. A 19-year-old with anorexia nervosa is hospitalized with a heart rate of 38 bpm. What is the primary physiological mechanism behind this bradycardia?

Increased thyroid hormone production

Adaptive metabolic slowing and reduced energy expenditure

Cardiac structural damage

Excessive potassium supplementation

18. Which dental finding is characteristic of bulimia nervosa due to repeated vomiting?

Enamel erosion on lingual surfaces

Generalized enamel erosion on buccal surfaces

Severe periodontal disease only

No specific dental changes

19. A patient with anorexia nervosa presents with amenorrhea, low body weight, and intense fear of weight gain despite being underweight. This meets criteria for which specifier?

Restricting type

Binge-eating/purging type

In remission, partial

In remission, full

20. Which electrolyte imbalance is most commonly associated with bulimia nervosa due to purging behaviors?