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Bulimia nervosa — USMLE Step 3 MCQ

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EasyPsychiatry (outpatient management)Bulimia nervosaUSMLE Step 3

A 22-year-old woman has recurrent episodes of eating large amounts of food with loss of control followed by self-induced vomiting. This occurs twice weekly for 4 months. BMI is 23 kg/m2. Parotid glands are enlarged and dental enamel is eroded. Which of the following is the most likely diagnosis?

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Correct answer: BBulimia nervosa

Recurrent binge eating with compensatory purging at normal weight is characteristic of bulimia nervosa.

Reference: APA Eating Disorders Guideline