Adolescent medicine: eating disorders: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Adolescent medicine: eating disorders

Sample item

An adolescent has marked weight loss, intense fear of weight gain, body-image distortion, bradycardia, and amenorrhea. Which diagnosis is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Anorexia nervosa

Anorexia nervosa involves restriction leading to significantly low weight, fear of weight gain or behavior preventing weight gain, and body-image disturbance. Medical instability such as bradycardia needs urgent assessment.

Option by option

  • A. Binge-eating disorder

    Binge-eating disorder lacks regular compensatory behaviors and low-weight criterion.

  • B. Anorexia nervosa (correct)

    Correct. Low weight with weight-gain fear and distorted body image is characteristic.

  • C. Avoidant/restrictive food intake disorder

    ARFID restriction is not driven by body-image disturbance.

  • D. Bulimia nervosa at normal weight

    Bulimia involves bingeing and compensatory behavior, often without low weight.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, Anorexia nervosa. Anorexia nervosa involves restriction leading to significantly low weight, fear of weight gain or behavior preventing weight gain, and body-image disturbance.

Why is "Binge-eating disorder" not the answer?

Binge-eating disorder lacks regular compensatory behaviors and low-weight criterion.

Why is "Avoidant/restrictive food intake disorder" not the answer?

ARFID restriction is not driven by body-image disturbance.

Why is "Bulimia nervosa at normal weight" not the answer?

Bulimia involves bingeing and compensatory behavior, often without low weight.

What concept does this question test?

It tests Adolescent medicine: eating disorders in Pediatrics. Medical instability such as bradycardia needs urgent assessment.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Adolescent medicine: eating disorders?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.