A 21-Year-Old Woman Is Referred for Evaluation of Sleep and Appetite

question 220

Multiple Choice

A 21-year-old woman is referred for evaluation of sleep and appetite disturbance.  The patient is a college senior who initially went to student health services following a romantic breakup a week ago.  Her sleep has returned to normal, but "my eating is still out of control."  The patient has been eating entire containers of ice cream and bags of cookies and chips.  She says, "I'm sure one of the reasons he dumped me was because of my weight and disgusting body."  The patient acknowledges that, throughout college, she has had a pattern of eating very large amounts of food several times a week and daily while preparing for final exams.  She does not vomit but takes laxatives and exercises for several hours after one of these eating episodes.  The patient has no medical issues but reports that her menstrual cycle is irregular.  Her older sister has a history of anorexia nervosa.
Temperature is 37 C (98.6 F) , blood pressure is 108/62 mm Hg, pulse is 88/min, and respirations are 14/min.  BMI is 21 kg/m².  Physical examination is unremarkable.  Pregnancy test is negative.
Which of the following is the most likely diagnosis?

• A)Adjustment disorder
• B)Anorexia nervosa
• C)Binge-eating disorder
• D)Body dysmorphic disorder
• E)Bulimia nervosa

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Definitions:

Balance Sheet

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Additional Paid-in Capital

Additional paid-in capital is the amount of money shareholders have invested in the company above the par value of the shares, representing excess capital that is not classified as profit.

Shareholders' Equity

The residual interest in the assets of a corporation after deducting its liabilities.

Balance Sheet

A financial statement that shows a company’s assets, liabilities, and shareholders' equity at a specific point in time.