Eating disorders: bulimia nervosa treatment: 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: bulimia nervosa treatment

Sample item

The antidepressant with evidence for use in bulimia nervosa at relatively high dose (60 mg) is:

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

The answer and the reasoning

B. Fluoxetine

Fluoxetine at 60 mg daily is the approved drug for bulimia, together with CBT. Bupropion is contraindicated because of seizure risk in patients who purge.

Option by option

  • A. Bupropion

    Bupropion carries a seizure risk in bulimia.

  • B. Fluoxetine (correct)

    Correct. Fluoxetine is approved for bulimia nervosa.

  • C. Amitriptyline

    Amitriptyline is not preferred because of adverse effects and overdose risk.

  • D. Mirtazapine

    Mirtazapine causes weight gain, and is not the recommended drug.

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 B, Fluoxetine. Fluoxetine at 60 mg daily is the approved drug for bulimia, together with CBT.

Why is "Bupropion" not the answer?

Bupropion carries a seizure risk in bulimia.

Why is "Amitriptyline" not the answer?

Amitriptyline is not preferred because of adverse effects and overdose risk.

Why is "Mirtazapine" not the answer?

Mirtazapine causes weight gain, and is not the recommended drug.

What concept does this question test?

It tests Eating disorders: bulimia nervosa treatment in Psychiatry. Bupropion is contraindicated because of seizure risk in patients who purge.

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: bulimia nervosa treatment?

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.