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Kaplan Qbank USMLE



Author12 Posts
  #1

A very thin 17-year-old girl is referred for medical opinion. A comprehensive battery of tests fails to establish any clear medical cause for her condition and you think that she has an eating disorder. Which one of the following statements about anorexia nervosa and bulimia nervosa is true?

A: In both anorexia nervosa and bulimia nervosa body weight is significantly reduced.

B: Patients with anorexia nervosa judge self-worth largely or exclusively in terms of shape and weight, but those with bulimia nervosa do not.

C: In anorexia nervosa body weight is significantly reduced, but in bulimia nervosa it is often normal.

D: Patients with anorexia nervosa and bulimia nervosa are both in control of their eating, but exert this control in different ways.

E: Patients with anorexia nervosa tend to give a reliable history of how much (and how little) they eat, whereas patients with bulimia nervosa tend to conceal their history of vomiting.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

b?


  #3

B

___________________
Malcolm Forbes: Victory is sweetest when you've known defeat

  #4

c.

In anorexia nervosa,there is distorted bodyimage and significant weightloss.
In Bulimia,the bodyweight is usually normal and body image is not as distored as in anorexia

  #5

shaking headshaking headnod


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #6

C

The ICD-10 critera for anorexia nervosa require BMI <17.5, self-induced weight loss, body image distortion, and abnormalities of the hypothalamic-pituitary-gonadal axis.

The DSM-IV criteria for bulimia nervosa require recurrent episodes of binge eating, recurrent inappropriate compensatory behaviour to prevent weight gain, with these features occurring more than twice weekly for three months. There is no diagnostic requirement for weight loss.

In both anorexia nervosa and bulimia nervosa self-worth is judged largely or exclusively in terms of shape and weight, and in both conditions a reliable dietary history is unlikely to be obtained from the patient. A key feature in the binge eating of bulimia nervosa is a feeling of loss of control.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

yah its clearly c. & in blumia you will see othe signs like oral mucosal ulceration b/c of selfinduced vomitings & ulcerations on index fingers while anorexics they starve themselves.

  #8

how can u say that

"In both anorexia nervosa and bulimia nervosa self-worth is judged largely or exclusively in terms of shape and weight"

wos the source?

  #9

Kaplan

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #10

well thres no such thing mentioned about Bulimia in kaplan's behavioral science if thz wot ur talkin about.

  #11

Valentino Plz Go thru Kaplan Pg 152 Table 12-4 2004 Ed. raised eyebrowraised eyebrowraised eyebrowraised eyebrowraised eyebrow

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #12

valentinosmiling facemaybe your kaplan notes have a missing page...jokes apart, it is given in kaplan and this point and the answer which is C has been emphasized by dr steven in his lectures.







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