What physical assessment finding is noticeable in a patient who has a history of bulimia?
prominent parotid glands.
25% underweight.
peripheral edema.
lanugo.
The Correct Answer is A
A. Repeated vomiting in bulimia nervosa can cause swelling of the parotid glands, which is a common physical sign of the disorder.
B. Unlike anorexia nervosa, patients with bulimia are often normal weight or slightly overweight, not severely underweight.
C. Edema is not a typical finding in bulimia unless there is severe electrolyte imbalance, which is less common.
D. Lanugo (fine hair covering the body) is usually associated with anorexia nervosa, not bulimia nervosa.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Antipsychotics are used for psychosis (e.g., schizophrenia, delusions, hallucinations), not for acute anxiety.
B. Benzodiazepines (e.g., lorazepam, diazepam, alprazolam) are the treatment of choice for acute anxiety or panic attacks because they act quickly (within minutes to hours) by enhancing GABA neurotransmission, providing rapid relief.
C. Mood stabilizers (e.g., lithium, valproate) are used in bipolar disorder, not for acute situational anxiety.
D. Tricyclic antidepressants (e.g., amitriptyline) are used for long-term management of depression and some anxiety disorders, but their onset is delayed (2–6 weeks), making them ineffective for acute anxiety.
Correct Answer is C
Explanation
A. This response is confrontational and judgmental, likely causing defensiveness rather than insight.
B. Pointing out defensiveness may provoke resistance rather than helping the patient analyze their behavior objectively.
C. This response encourages the patient to reflect on their own behavior and the consequences of drinking, promoting self-awareness and objective evaluation without judgment. It allows the patient to explore their actions and recognize patterns.
D. This response is accusatory and may make the patient feel blamed, which is not therapeutic.
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