Eating Disorders: ABFM practice questions

6 board-style questions on eating disorders in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 20-year-old female college student presents with a BMI of 16.5, amenorrhea for 6 months, and lanugo hair on her arms. She exercises 2 hours daily and admits to restricting food intake. Labs show potassium 3.0 mEq/L, bicarbonate 30 mEq/L, and BUN 28 mg/dL. ECG shows prolonged QTc of 480 ms. What is the most immediate management priority?

  1. Nutritional counseling and weekly weight checks as an outpatient
  2. Medical stabilization with electrolyte correction, cardiac monitoring, and careful refeeding
  3. Start fluoxetine for the eating disorder
  4. Outpatient family-based therapy (Maudsley approach)

Sample question 2

A 34-year-old woman who smokes 15 cigarettes daily presents to discuss smoking cessation. She is motivated to quit and requests a prescription medication. Her medical history includes well-controlled asthma, generalized anxiety disorder treated with buspirone, and a remote history of bulimia nervosa that was in full remission for 8 years but relapsed 3 months ago with active purging episodes. She also takes a multivitamin. Which of the following is the most important reason bupropion is contraindicated in this patient?

  1. Bupropion is contraindicated in patients with active asthma due to risk of bronchospasm
  2. Bupropion is contraindicated in patients with a current diagnosis of bulimia or anorexia nervosa due to increased seizure risk
  3. Concurrent use of buspirone creates a risk of serotonin syndrome when combined with bupropion
  4. Bupropion is contraindicated in patients with any history of anxiety disorders due to risk of worsening panic attacks

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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