skip to main content

Bulimia nervosa — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

HardPsychiatry (outpatient management)Bulimia nervosaUSMLE Step 3

A 22-year-old woman has recurrent episodes of eating large amounts of food followed by self-induced vomiting. BMI is 22 kg/m2. She has dental enamel erosion and parotid enlargement. She is preoccupied with body shape and weight. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Bulimia nervosa

Recurrent binge eating with compensatory behaviors and normal or high-normal weight is consistent with bulimia nervosa.

Reference: American Psychiatric Association Clinical Practice Guidelines: https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines