Step 1

Behavioral 3

A 21-year-old woman presents to the clinic with her parents because they are concerned that she appears thin. They have noticed that she pretends to eat her food during dinner, but she secretly places the food in a napkin to throw it away when nobody is looking. When questioned, she mentions that she has not had a menstrual period in the past 2 years. When asked about her body weight, she patient says she feels "fat" and would love to lose 20 more pounds in order to look like the models in magazines. On physical examination, the patient has a BMI of 17. She has soft, fine hair over her abdomen and extremities, and her conjunctiva are pale.

Which of the following is the patient's most likely diagnosis?

  • A) Anorexia nervosa with predominantly purging behaviors
  • B) Anorexia nervosa with predominantly restricting behaviors
  • C) Binge eating disorder
  • D) Bulimia nervosa with excessive exercise
  • E) Bulimia nervosa with self-induced vomiting


Dr. Ted O'Connell

Anastasiya Haponyuk


Dr. Ted O'Connell