CDN Eating Disorder Treatment 4

Question 1

Which lab finding is most indicative of severe malnutrition requiring immediate medical stabilization before outpatient eating disorder treatment?

Accepted Answer

Heart rate of 46 bpm

Answer

Bradycardia (heart rate below 50 bpm) is a medical emergency in anorexia nervosa and requires inpatient stabilization.

Question 2

The 'fear foods' hierarchy used in eating disorder treatment is a tool derived from which theoretical framework?

Accepted Answer

Cognitive behavioral therapy

Answer

The fear foods hierarchy is a CBT exposure tool where patients gradually face avoided foods from least to most feared.

Question 3

Which eating disorder has the highest mortality rate among all psychiatric disorders?

Accepted Answer

Anorexia nervosa

Answer

Anorexia nervosa has the highest mortality of any psychiatric disorder, with deaths from cardiac complications and suicide.

Question 4

A night eating syndrome (NES) patient reports consuming >25% of daily calories after the evening meal. Which intervention is first-line?

Accepted Answer

Structured meal timing with earlier caloric distribution

Answer

Restructuring meal timing to distribute calories more evenly throughout the day addresses the core behavioral pattern of NES.

Question 5

Which serum marker, though not specific, is often monitored as a proxy for nutritional rehabilitation progress in anorexia nervosa?

Accepted Answer

Prealbumin (transthyretin)

Answer

Prealbumin has a short half-life (~2 days), making it a more sensitive marker of recent nutritional status changes than albumin.

(CDN) Certified Dietician Nutritionist Practice Test