Eating disorders: ARFID: practice question

A Psychiatry 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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Psychiatry · Eating disorders: ARFID

Sample item

A 9-year-old restricts food to a few textures, has weight loss and nutritional deficiency and has no fear of weight gain or body image disturbance. The diagnosis is

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

The answer and the reasoning

A. Avoidant restrictive food intake disorder

ARFID is a DSM-5 disorder of avoidance or restriction of food because of sensory aversion, lack of interest or fear of aversive consequences, leading to weight loss or nutritional deficiency. It lacks the disturbed body image and fear of fatness of anorexia nervosa. Treatment is CBT adapted for ARFID with nutritional rehabilitation.

Option by option

  • A. Avoidant restrictive food intake disorder (correct)

    Correct. Restriction without body image concern is ARFID.

  • B. Anorexia nervosa

    Anorexia nervosa requires fear of weight gain and distorted body image.

  • C. Binge eating disorder

    Binge eating disorder involves recurrent binges without compensation.

  • D. Bulimia nervosa

    Bulimia involves binge eating and compensation.

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 Psychiatry question

What is the answer to this Psychiatry question?

The best answer is A, Avoidant restrictive food intake disorder. ARFID is a DSM-5 disorder of avoidance or restriction of food because of sensory aversion, lack of interest or fear of aversive consequences, leading to weight loss or nutritional deficiency.

Why is "Anorexia nervosa" not the answer?

Anorexia nervosa requires fear of weight gain and distorted body image.

Why is "Binge eating disorder" not the answer?

Binge eating disorder involves recurrent binges without compensation.

Why is "Bulimia nervosa" not the answer?

Bulimia involves binge eating and compensation.

What concept does this question test?

It tests Eating disorders: ARFID in Psychiatry. It lacks the disturbed body image and fear of fatness of anorexia nervosa. Treatment is CBT adapted for ARFID with nutritional rehabilitation.

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 Eating disorders: ARFID?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry 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.