Final Exam: NR577 NR 577 Latest

Final Exam: NR577 / NR 577 (Latest

Update 2025 / 2026) Primary Care Management of Adolescents and Adults | Study Guide Questions and Answers | Grade A | 100% Correct – Chamberlain

Question:

What questions are included in the SCOFF tool?

Answer:

• Do you make yourself sick because you feel uncomfortably full?
• Do you worry you have lost control over how much you eat?
• Have you recently lost more than one stone in a three-month period?
• Do you believe yourself to be fat when others say you are too thin?
• Would you say that food dominates your life?

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Question:

What is the SCOFF tool used for?

Answer:

The SCOFF tool is a screening tool for eating disorders.

Question:

What are the diagnostic criteria for anorexia nervosa?

Answer:

• Restriction of energy intake leading to significantly low body weight.
• Intense fear of gaining weight or persistent behavior interfering with weight

gain.

• Disturbance in body weight or shape perception.

Question:

What is considered significantly low weight in anorexia nervosa diagnosis?

Answer:

A weight that is less than minimally normal or expected for the individual's age, sex, and physical health.

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Question:

What is the significance of the disturbance in body image for anorexia nervosa?

Answer:

It includes undue influence of body weight or shape on self-evaluation and a lack of recognition of the seriousness of the current low body weight.

Question:

What are some dental complications of bulimia nervosa?

Answer:

Enamel erosion, hot/cold sensitivity, discoloration, dental caries, gum disease.

Question:

What endocrine complications can arise from bulimia nervosa?

Answer:

Menstrual irregularities, osteopenia and osteoporosis, diabetes.

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Question:

List gastrointestinal complications associated with bulimia nervosa.

Answer:

Parotid and submandibular gland hypertrophy, laryngopharyngeal reflux, loss of gag reflex, esophageal dysmotility, abdominal pain and bloating, Mallory- Weiss syndrome, esophageal rupture, gastroesophageal reflux disease (GERD), Barrett's esophagus, gastric dilation, diarrhea and malabsorption, steatorrhea, protein-losing gastroenteropathy, hypokalemic ileus, colonic dysmotility, constipation, irritable bowel syndrome, melanosis coli, cathartic colon, rectal prolapse, pancreatitis.

Question:

What renal and electrolyte complications can occur due to bulimia nervosa?

Answer:

Dehydration, hypokalemia, hypochloremia, hyponatremia, metabolic alkalosis, hypomagnesemia, hypophosphatemia.

Question:

What is the first-line pharmacological treatment for bulimia nervosa?

Answer:

Fluoxetine.

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