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Opioid levels are thought to be high in people with bulimia nervosa.

A) True
B) False

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Bencherif and colleagues (2005) used brain MRI to study hormone secretion in eating disordered patients. They found that:


A) Patients with bulimia have high levels of endogenous opioid beta-endorphin.
B) Patients with bulimia have high levels of aldosterone alpha-endorphin.
C) Patients with bulimia have increased HYPERLINK "http:/ /users.rcn.com/jkimball.ma.ultranet/BiologyPages/S/SexHormones.html" chorionic gonadotropin, indicating that thyroxine could not bind to the transmembrane HYPERLINK "http://user s.rcn.com/jkimball.ma.ultranet/BiologyPages/G/G.html" G-protein-coupled receptors.
D) Patients with bulimia have decreased regional mu-opioid receptor binding in the insular cortex.

E) A) and C)
F) A) and D)

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Bulimia nervosa typically begins in late adolescence or early adulthood.

A) True
B) False

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What is the current prevalence of obesity in North America?


A) Between 10 and 20%.
B) Between 20 and 30%.
C) Between 30 and 35%.
D) Between 35 and 40%.

E) A) and B)
F) A) and C)

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Canadian researchers Pliner and Chaiken have coined the term "Scarlett O'Hara effect" which refers to:


A) Avoiding exercise to project an image of femininity
B) Eating lightly to project an image of femininity
C) Purging to maintain an image of femininity
D) Dieting to project an image of femininity

E) B) and D)
F) B) and C)

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Research conducted in Canadian schools suggests which of the following eating disorders is most common among adolescents?


A) Anorexia nervosa
B) Bulimia nervosa
C) Obese binge eating
D) Elimination disorder

E) None of the above
F) A) and B)

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Assessments of body shapes reveal that women with distorted attitudes toward eating, relative to those with normal attitudes toward eating:


A) Overestimate their current body size
B) Choose a much thinner body image as ideal
C) Have comparable views about which body image choice is most attractive
D) All of the above

E) A) and D)
F) All of the above

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Minuchin has argued that families of children with eating disorders are:


A) Chaotic
B) Low in conflict resolution
C) Hyper-critical
D) All of the above

E) A) and B)
F) B) and C)

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Monozygotic twins are more likely to both have anorexia or bulimia than dizygotic twins.

A) True
B) False

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Bingeing and purging is an effective way to lose weight.

A) True
B) False

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Jana is a fifteen year old girl who weighs slightly below the normal weight for her height. Her mother has made an appointment with you, a psychologist, because she is concerned about Jana's weight. She tells you that Jana is exercising more than usual and always asks if she looks fat. She has started obsessing about counting calories and reading the nutritional information on food packages. What two diagnoses would you consider? What other information would you need to make a diagnosis?

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Which two behaviours characteristic of eating disorders have been identified as reinforcing as they trigger the release of opioids in the brain?


A) Starvation and excessive exercise
B) Starvation and purging
C) Purging and excessive exercise
D) Excessive exercise and planning meals for others

E) A) and C)
F) None of the above

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Which of the following biological factors has been identified as direct risk factors (as compared to generalized risk factors) for eating disorders?


A) Temperament
B) Impulsivity
C) Neurobiology
D) Energy metabolism

E) A) and B)
F) A) and C)

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Endogenous opioids, which are commonly released in patients with eating disorders, are associated with


A) depressed moods.
B) obsessive thoughts.
C) suppressed appetite.
D) increased pain sensitivity.

E) B) and D)
F) A) and C)

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What diagnosis is most appropriate for Kristi? Her weight is stable but she reports that, several times a week, she "loses control" and "stuffs her face" eating lots of cookies and ice cream, then throws up by tickling her throat.


A) Anorexia nervosa
B) Bulimia nervosa
C) Binge eating disorder
D) She would not be diagnosed because her weight is stable

E) B) and D)
F) A) and B)

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Given the current state of eating disorders in Canada and the recommendations made to Parliament in 2014, if you have a $500 million budget, how would you allocate the money nationally? Be specific in what you would expect to happen as a result of where the money would be going.

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According to the World Health Organization's 2002 Health Behaviour in School Aged Children (HBSC) Canadian survey, by grade 10, ___ of young women thought they were too fat.


A) 44%
B) 66%
C) 75%
D) 96%

E) B) and C)
F) A) and D)

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Observing a family, rather than relying on self-report, can highlight the difference between a child's _______ and parents' _________.


A) imagination; desire to look good
B) desire to look good; actual behaviour
C) perception; actual behaviour
D) actual behaviour; perception

E) A) and B)
F) B) and C)

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Self-harm is associated with eating disorders and is more common in people with:


A) High levels of impulsivity
B) Low levels of stress
C) High pain tolerance
D) Low pain tolerance

E) C) and D)
F) A) and D)

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What medications are used to treat anorexia nervosa and bulimia nervosa? How are (or aren't)they helpful?

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