A 27-year-old has normal BMI and recurrent binge eating followed by self-induced vomiting four times weekly. Potassium is normal, there is no

Question

A 27-year-old has normal BMI and recurrent binge eating followed by self-induced vomiting four times weekly. Potassium is normal, there is no suicidality, and she accepts outpatient care. Which evidence-based initial plan is most appropriate?

Accepted Answer

Begin eating-disorder-focused CBT plus fluoxetine titrated to 60 mg daily

Answer

Begin olanzapine monotherapy to prevent binge-purge episodes

Answer

Begin nutritional counseling alone and defer psychotherapy for three months

Answer

Begin bupropion because it reduces appetite and improves depressive symptoms

Answer

Begin lisdexamfetamine as the preferred medication for purging behavior

Bipolar I disorder — USMLE Step 3 MCQ

A 27-year-old has normal BMI and recurrent binge eating followed by self-induced vomiting four times weekly. Potassium is normal, there is no suicidality, and she accepts outpatient care. Which evidence-based initial plan is most appropriate?