Theory II

  1. what syndrome is cahracterized by a refusal of the individual to maintain body weight over the minimal normal weight for age and height
    anorexia nervosa
  2. what syndrome is an aversion to eating and results in life threatening weight loss
    anorexia nervosa
  3. anorexia involves self imposed _____ that results from an obsessive desire to be ____ and a marked fear of ____ ____
    • starvation
    • thin
    • gaining weight
  4. t/f with anorexia nervosa the persons perception of body image is disturbed
  5. what are the two types of anorexia nervosa?
    • restricting type
    • bulimarexia
  6. what type of person is an anorexic? 3
    high achiever, socially isolated, depressed
  7. the signs and symptoms of anorexia nervosa are severe weight loss with _____, preoccupation with ____, hyperactivity and excessive _____, abuse of ____, _____ and ____. Has ____ and _____ skin, _____ fingernails with ____ on the arms and face
    • emaciation
    • food
    • exercise
    • diuretics, laxatives and enemas
    • dry and flaky
    • brittle
    • lanugo
  8. what are the vital signs like for a person with anorexia nervosa?
    • low!
    • low pulse rate, hypotension, decreased respiratory rate and low body temperature
  9. t/f anorexia nervosa can cause amenorrhea
  10. what are the three oral complications of anorexia nervosa?
    • xerostomia
    • caries
    • perimylolysis
  11. what is a psychiatric compulsive disorder marked by recurrent episodes of uncontrollable binge eating?
    bulima nervosa
  12. what are the two types of bulima nervosa?
    • purging
    • nonpurging
  13. what is caracteristic of the purging type of bulima nervosa?
    self induced vomiting after eating or the use of laxatives or diuretics
  14. what does a nonpurging bulimic use or control weight gain?
    • dieting
    • fasting
    • vigorous exercise
  15. what are the individuals that are concered with body weight and shape called?
  16. is a bulimic aware of their abnormality?
  17. how is an episode of binge eating characterized?
    • eating within a 2 hour period more than most people would eat in two hours
    • the lack of control of what or how much one eats
  18. t/f a bulimic alternates during normal eating and fasting
  19. in contrast to the thin anorectic person how does a bulimic appear?
    normal body weight or slightly overweight
  20. what kinds of foods are consumed during a binge?
    • cariogenic items, high in calories
    • sweet taste
    • texture allows for rapid eating
    • favorite foods
  21. is drug or alcohol abuse by the pt or family common for bulimia nervosa?
    yes yes it sure is
  22. when is amenorrhea a ccomplication for a bulimic?
    when there is a history of anorexia nervosa
  23. what does the treatment of bulimia nervosa focus on?
    modifying dysfunctional beliefs about body shape and weight
  24. what has ben demonstrated as effective in reducing binge eating and purging?
  25. what is considered the treatment of choice for bulimia nervosa?
    cognitive behavioral therapy
  26. after vomiting acid is retained where? and what does this provide?
    • tongue papillae
    • longer contact with palatal surfaces of maxillary teeth
  27. what may be ther erliest evidence of bulima?
    parimylolysis on smooth palatal surcaces of teeth
  28. how do the restorations appear for a bulimic
    raised because of erosion of the enamel around the margins
  29. what promotes caries in bulimia nervosa
    • pH changes in saliva
    • zerostomia
    • large quantities of cariogenic foods
  30. for bulimia nervosa the saliva decreases in ____and _____
    • quality
    • quantity
  31. what limits the buffereing and lubricating properties of saliva
  32. how might there be trauma to the oral cavity from bulimia nervosa?
    • soft palate-fingers, comb, pencils, toothbrush to induce vomiting
    • pharyngeal-large food bolus that is swallowed or regurgitated
  33. what gland is effected by bulimia
    parotid gland
  34. how long does the parotid gland stay enlarged for after a binge
    2 to 6 days
  35. how can you instructed the bulimic pt to prevent perimylolysis and dental caries?
    • reduce cariogenic foods
    • imporve personal oral care
  36. what should you tell a bulimic pt about brushing?
    do not brush after vomiting, demineralization of the tooth surface by the acid from the stomach starts immediately on contact and brushing may abrade the demineralized areas
  37. how can a bulimic help with remineralization?
    • alkaline rinse (Sodium bicarbonate or magnesium hydroxide solution)
    • .05% neutral sodium fluoride rinse
Card Set
Theory II
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