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Kaplan Qbank USMLE



Author6 Posts
  #1

1. A 17-year-old girl is brought to the clinic by her mother. Girl lost 15 lbs in 3 months. The girl is athlete, 3 hours training daily. Menses are regular. Height 5'4'', weight 100 lbs. Has calluses and enamel erosion.
A. Anorexia nervosa
B. Eating disorder, not otherwise specified
C. Bulimia nervosa

2. A 15-year old girl is brought to the clinic by her mother. Girl vomited in a bathroom twice last week. The girl is gymnast. Her height is 5', weight is 80 lbs. She has abrasions on back of her fingers, parotid glands are swollen. 3 months of amenorrhea.
A. Anorexia nervosa
B. Eating disorder, not otherwise specified
C. Bulimia nervosa


  #2

case 1 = eating disorder nonspecific
normal menses so anorexia not possible
wtloss almost 15% of ideal so cannot be bullimia, also no history of binge . bullimiacs are never grossly underwt.


case 2 = anorexia
bwt < 15%
amennorhea
forced vomiting



  #3

I agree.nod
1. is B. there is low weight but menses are regular.
2. is anorexia.

  #4

I agree too, btw what is the treatment for eating disorder not specific.

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  #5

hmmmmm.. hahahah that is a smart question dr in trouble, i think it must be psychoterapy of the insight kind and ssris cos ssris seem to be used for eating disorder. i really dont know justa wild guess.
but i like the question.smiling face

  #6

Yes I agree.







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