CDN Eating Disorder Treatment 2

Question 1

Which medical complication is most associated with chronic laxative abuse in bulimia nervosa?

Accepted Answer

Hypokalemia

Answer

Chronic laxative abuse causes significant potassium loss through the GI tract, leading to hypokalemia.

Question 2

A patient with ARFID avoids foods based on sensory characteristics. Which treatment approach is most evidence-based?

Accepted Answer

Cognitive behavioral therapy with exposure and response prevention

Answer

CBT with exposure and response prevention helps patients gradually tolerate feared sensory properties of foods.

Question 3

During refeeding of a severely malnourished anorexia patient, which electrolyte requires closest monitoring during the first 72 hours?

Accepted Answer

Phosphorus

Answer

Hypophosphatemia is the hallmark of refeeding syndrome and the electrolyte requiring most urgent monitoring.

Question 4

In treating binge eating disorder (BED), which pharmacological agent is FDA-approved and works by reducing binge frequency?

Accepted Answer

Lisdexamfetamine

Answer

Lisdexamfetamine (Vyvanse) is the only FDA-approved medication specifically indicated for moderate-to-severe BED.

Question 5

A dietitian is using the 'Health at Every Size' (HAES) framework for a patient with an eating disorder. This approach prioritizes:

Accepted Answer

Intuitive eating and well-being over weight outcomes

Answer

HAES prioritizes health-promoting behaviors, intuitive eating, and psychological well-being independent of weight or BMI outcomes.

(CDN) Certified Dietician Nutritionist Practice Test