peraspera
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A 23-year-old woman presents for a routine physical
examination. The patient gives a history of trying to diet,
but she also admits to binge intake and extensive use of
laxatives. The physical examination discloses a woman of
normal height and weight and is unremarkable except for
chipping and erosion of the front teeth. This patient is
likely to
(A) have disrupted menstrual cycles
(B) experience a normal life span
(C) have osteopenic bones
(D) have elevated serum anti-goblet cell antibodies
(E) be unconcerned about body shape and weight
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| aaroho
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E
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| peraspera
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| Doc750
transfer:step 3 prison
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B
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| hanialkhadher
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My 1st idea was Normal life span,But they really have many serious complications, Igo with C- Osteopenia
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"أقرأ بأسم ربك الذي خلق,خلق الأنسان من علق,أقرأ و ربك الأكرم, الذي علم بالقلم,علم الأنسان ما لم يعلم"
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| titly
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my guess between A and C.
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| peraspera
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correct answer is
The answer is B.
This patient has bulimia nervosa, typically seen in females
in their mid-twenties who report binge eating and purging five to ten times per week for over 5 years. In an attempt to avoid weight gain after being on a diet, the patient may induce vomiting, take laxatives or diuretics, or engage in some form of compensatory behavior dedicated to minimizing net caloric intake. Patients may induce vomiting by stimulating the gag reflex or by taking syrup of ipecac or may learn to vomit at will. The use of laxatives and/or diuretics is common in this condition. Although patients usually appear normal, they may have salivary gland hypertrophy, a scar on the dorsum of the
hand due to repeated trauma from teeth, or chipped and eroded front teeth due to constant exposure to stomach acid. However, serious complications and mortality among patients with bulimia nervosa are rare and the prognosis is good.
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| Doc750
transfer:step 3 prison
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Boo-yaka-sha!
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| hanialkhadher
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Thats some kind weared ,this is in emedicine
Because of the potential for osteoporosis in this group of people, a dual energy absorptiometry (DEXA) scan may also be indicated
and about the prognosis they can't tell
http://www.emedicine.com/med/topic255.htm
From where did you get this Q peraspers?,Did they explain why other choices are wrong ?
I found many contradictories in step 2 
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"أقرأ بأسم ربك الذي خلق,خلق الأنسان من علق,أقرأ و ربك الأكرم, الذي علم بالقلم,علم الأنسان ما لم يعلم"
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| peraspera
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dear hanialkhadher,
The question from Harrison's IM, unfortunately there is no explanation of other wrong qs. But if you have Harrison' IM you can read about bulemia nervosa in Chapter #65, pg433 it says:Serious physical complications resulting from BN are rare. Oligomenorrhea & amenorrhea are more frequent than among women without eating disorders. Arrhythmias occasionally occur secondary to electrolyte disturbances. Tearing of the esophagus & rupture of the stomac have been reported & constutute life-threatening events. Actually bulimisc have normal life span.
I have read the article from emedicine, but it also says: Compared to anorexia nervosa, the medical complications associated with bulimia are generally benign, and the mortality rate from bulimia is actually low
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