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the answer is C
other choice for bulimia and we may see them in anorexia but :High academic achievement

is specific for anorexia

i think Abe is right...all others are found in bulimics too...brs fadem states:was a perfect child...good student in her list of characteristics specific to anorexia...also remember 2 types of anorexics...binge purge and the restrictive....restrictives do not induce vomit so less chance of dental caries, swollen parotids and elec disturbances...compared to bing purge anorexics and bulimics....

Anorexia nervosa:

Definition
- Self imposed dietary limitation.
- Great weight loss (>15%)
- Fear of gaining weight.
- Distorted body image (decreased GnRH) = no periods.
Gender Female>male
Age Mid teenager
Neurotransmitter Serotonin/ NE
Binge/purge Yes
Laxative/diuretics Yes
Sexual adjust. Poor
Complications
Clinical signs
- Amenorrhea
- Great weight loss.
“ High mortality
“ Electrolyte imbalance
- Hypothermia
- Lanugo
- Hypercholesterolemia
- Osteoporosis
- Dental cavities

Treatment
- Resistant to treatment (denial) stabilizing weight
- Family and individual therapy
- Drugs: Cyproheptadine-Chlorpromazine Amitriptyline

Bulimia nervosa:

- Compulsive-rapid ingestion of food followed by self-induced vomiting, laxatives or exercise.
- No distorted body image
- Young lady, stethoscope on the chest and crunching sound!
Female>male
Late teens “ early adulthood
Neurotransmitter: Serotonin/ NE
Binge/purge Yes
Laxative/diuretics Yes
Sexual adjust. Good
Complications
- Electrolyte imbalance (Metabolic Alkalosis) - left shift
- Dental Cavities (acid erodes enamel)
- Callous on hands-fingers
- Enlarged parotid and salivary glands
- Mallory Weis: tear distal esophagus or proximal stomach/ vomit blood.
- Cardiac: Ventricular fibrillation (arrhythmias) / hypoxia

Treatment
- Imipramine
- SSRIs
- Insight and group therapy

B, the most dangerous emergency in anorexia nervousa is hypoK from severe vomiting... that is why she needs hospitalization..... otherwise she might die.... ventricular arrhythmia!!!

thank you progesterone, those Doctor Abrahem's questions are always hard, the right answer is C.
please listen to goljan audio too.

If we revised the Q we will find that they as the characteristic of a patient with anotexia nervosa transfered to the hospital "THIS PATIENT"... I think we could not transfer patients to the hospital for anything of the list except for electrolyte disturbance.....