Psychiatry Quiz #19: Eating Disorders

1. A 17-year-old female high school student is brought to the physician by her parents due to significant weight loss over the past 6 months. She expresses an intense fear of gaining weight and has a distorted body image, perceiving herself as overweight despite being underweight. She restricts her caloric intake severely and exercises for several hours daily. Her menstrual periods have become irregular. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 22-year-old college student presents to the counseling center with concerns about her eating habits. She reports episodes of eating an unusually large amount of food in a discrete period of time, followed by self-induced vomiting. She feels a lack of control over her eating during these episodes. She is of normal weight. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 25-year-old woman presents to her primary care physician for a routine check-up. She reports that she frequently consumes large amounts of food in short periods, often feeling out of control during these episodes. She expresses distress over these binge eating episodes but denies engaging in any compensatory behaviors such as vomiting, fasting, or excessive exercise. Her BMI is 30. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 16-year-old girl is seen by a pediatrician for a health maintenance visit. The patient is noted to be at the 10th percentile for weight for her age and height, down from the 50th percentile a year ago. She admits to restricting her food intake because of a fear of becoming fat, even though she appears thin. Physical examination reveals lanugo hair and bradycardia. Which of the following complications is most likely associated with her condition? 

Question 4 of 5

5. A 20-year-old university student is referred to a psychiatrist for evaluation of her eating habits. She reports consuming large amounts of food in a discrete period of time at least once a week for the past three months. She feels disgusted with herself after these episodes but does not engage in any compensatory behaviors. Her weight and physical examination are within normal limits. She is seeking help because she feels her eating behavior is not normal. Which of the following is the most appropriate initial treatment? 

Question 5 of 5


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