Uncontrolled eating of food, followed by inappropriate compensatory behaviors to get rid of excess calories, is called?

Appeared in: Daman & Diu Staff Nurse - 2018

Explanation

Bulimia Nervosa is defined by recurrent episodes of binge eating, which involves eating a large amount of food with a sense of lack of control.
Following the binge, the individual engages in inappropriate compensatory behaviors to prevent weight gain.
These behaviors can include self-induced vomiting, misuse of laxatives, diuretics, fasting, or excessive exercise.
The cycle of binging and purging is a core feature of this disorder.

Option A: Anorexia Nervosa is primarily characterized by severe food restriction and a significantly low body weight, driven by an intense fear of gaining weight. While a binge-purge subtype exists, the core feature is restriction and low weight, not the cycle described.
Option B: Pervasive eating syndrome is not a recognized clinical diagnosis in standard diagnostic manuals like the DSM-5 or ICD-11. It is a distractor term.
Option C: Binge-Eating Disorder involves recurrent episodes of eating large quantities of food with a sense of lack of control, but it is specifically defined by the absence of compensatory behaviors.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Differentiating features of common eating disorders as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in identifying eating disorders, which are often hidden. Screening questions about eating habits, body image, and weight control methods are essential during patient assessments.
Observe for subtle physical signs such as dental erosion, swollen salivary glands (sialadenosis), and calluses on the knuckles (Russell's sign), which can indicate self-induced vomiting.
Management requires a multidisciplinary approach involving medical, psychological, and nutritional support. A therapeutic, non-judgmental relationship is key to patient engagement.

How to Approach the Question

First, break down the question stem to identify the core components. The key phrases are "uncontrolled eating of food" (binge eating) and "inappropriate compensatory behaviors" (purging).
Next, review the options and recall the definitions of each eating disorder.
Anorexia Nervosa is primarily about restriction and low weight.
Binge-Eating Disorder involves binging but no compensation.
Bulimia Nervosa involves both binging and compensation.
Match the two core components from the stem to the definition that fits perfectly. The combination of binging and compensatory actions is the classic definition of Bulimia Nervosa.

Concept Tested & Keywords

Concept Tested: Differentiating features of common eating disorders.
Stem keywords: Uncontrolled eating, inappropriate compensatory behaviors, excess calories
Lead-in keywords: is called
Negative lead-in flag: false

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E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 1496-1498, 1497-1499

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 311-313

Practise the full Daman & Diu Staff Nurse - 2018

Attempt every question from this paper in a timed mock, then review the full solution for each one.