05-06-2007, 04:15 PM
A 39-year-old woman comes to the office for a periodic health maintenance examination. You have been treating her for anorexia nervosa for the past 15 years. She has required 4 hospitalizations during this time. She tells you that she is "doing as well as can be expected" now and that she has a new boyfriend who is very helpful. She is 157 cm (5 ft 2 in) tall and weighs 41 kg (90 lb). She admits that she still does not have a menstrual period. Her temperature is 36.7 C (98.0 F), blood pressure is 100/70 mm Hg, and her pulse is 55/min. Physical examination shows lanugo, dry, scaly skin, yellow discoloration of the palms, and pharyngeal abrasions. At this time the most correct statement is:
A. Electrocardiography will show shortened QT intervals
B. Fluoxetine is not effective in reducing binge eating and purging episodes
C. Her immune function is seriously affected and she is at risk for severe infections
D. Laboratory studies will show hyperkalemia
E. She is at an increased risk for developing osteoporosis
A. Electrocardiography will show shortened QT intervals
B. Fluoxetine is not effective in reducing binge eating and purging episodes
C. Her immune function is seriously affected and she is at risk for severe infections
D. Laboratory studies will show hyperkalemia
E. She is at an increased risk for developing osteoporosis